Lung Function Test Before and After an Inhaler at UPMC Horizon-Greenville
110 N Main St, Greenville, PA · UPMC · · NPI 1225048838
$298.80
Cash price Discounted cash price What a hospital charges a self-pay patient who pays directly, without going through insurance — usually well below the gross charge. Example: A CT scan has a $3,200 gross charge but an $850 discounted cash price. Ask for it by name when scheduling — hospitals don't always advertise it up front.
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What you pay up front if you don't use insurance.
$498.00
Gross charge Gross charge (chargemaster price) The hospital's full, undiscounted list price — pulled from its internal "chargemaster" price list. Almost no one actually pays this. Example: A chest X-ray has a gross charge of $1,450. The same hospital's discounted cash price for the same X-ray is $180 — the gross charge mostly anchors negotiations, not what patients pay.
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The hospital's undiscounted list price — almost no one pays this.
$20.90 with Aetna vs $557.10 with Highmark BCBS of PA — same scan, same building. Share
Negotiated rates by payer
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Negotiated rate
The price a specific insurance plan agreed to pay the hospital for a service — it varies by insurer, and even by plan within the same insurer.
Example: The same knee MRI has a negotiated rate of $904 with one insurer's PPO plan and $1,509 with another's — identical hospital, identical scan.
Full explanation →
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Negotiated rate
The price a specific insurance plan agreed to pay the hospital for a service — it varies by insurer, and even by plan within the same insurer.
Example: The same knee MRI has a negotiated rate of $904 with one insurer's PPO plan and $1,509 with another's — identical hospital, identical scan.
Full explanation →Payer ?Payer The insurance company footing the bill — Aetna, UnitedHealthcare, Medicare, and so on. Example: "Blue Cross Blue Shield" is the payer. Its negotiated rate for an MRI might be $904, while a different payer's negotiated rate for the same scan is $1,509. Full explanation → |
Plan ?Plan The specific product an insurer sells — e.g. "Blue Cross PPO 500" — which sets your deductible, coinsurance and negotiated rates. Example: Two people both insured by Aetna can owe very different amounts for the same MRI: $50 with an HMO plan's flat copay, or the full $1,200 toward a high-deductible PPO plan's unmet deductible. Full explanation → |
Negotiated rate | vs. cash |
|---|---|---|---|
| Aetna | Medicaid | $20.90 | ↓ -93% |
| UPMC Health Plan | Managed Medicaid | $20.90 | ↓ -93% |
| Geisinger | Medicaid/CHIP | $26.41 | ↓ -91% |
| Highmark Wholecare (prev Gateway) | Medicaid | $28.18 | ↓ -91% |
| Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $28.65 | ↓ -90% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $29.66 | ↓ -90% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $32.38 | ↓ -89% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity/Managed Care - Social Mission | $118.88 | ↓ -60% |
| UPMC Health Plan | CHIP | $141.12 | ↓ -53% |
| UPMC Work Partners | Workers Comp | $143.04 | ↓ -52% |
| Highmark BCBS of PA | Commercial - Indemnity/Managed Care | $146.46 | ↓ -51% |
| United Healthcare | Compass Exchange | $164.34 | ↓ -45% |
| Anthem Blue Cross Blue Shield | Traditional | $169.82 | ↓ -43% |
| Aetna | Neighborhood Network | $184.26 | ↓ -38% |
| UPMC Health Plan | Commercial | $189.10 | ↓ -37% |
| Aetna | Home Depot Employer Group | $190.24 | ↓ -36% |
| Anthem Blue Cross Blue Shield | Blue Access PPO/Blue Preferred HMO/HIC | $193.72 | ↓ -35% |
| Aetna | NBR ASO/FI | $194.22 | ↓ -35% |
| Cigna | NBR ASO/FI | $194.22 | ↓ -35% |
| Cigna | New Business ASO | $194.22 | ↓ -35% |
| United Healthcare | All Business | $194.22 | ↓ -35% |
| Aetna | EBR ASO | $199.20 | ↓ -33% |
| Cigna | EBR | $199.20 | ↓ -33% |
| Cigna | Commercial | $199.20 | ↓ -33% |
| UPMC Health Plan | Managed Medicare | $265.80 | ↓ -11% |
| Aetna | EBR FI | $298.80 | ↑ +0% |
| UPMC Health Plan | EPO Partners/EPO Select Plan/HMO | $305.73 | ↑ +2% |
| Aetna | Medicare | $305.79 | ↑ +2% |
| United Healthcare Community Plan for Families | Unison MedPLUS | $311.72 | ↑ +4% |
| Aetna of PA | Medicare | $311.72 | ↑ +4% |
| United Healthcare Community Plan for Families | Unison Kids | $311.72 | ↑ +4% |
| United Healthcare | Medicare | $317.66 | ↑ +6% |
| Highmark Wholecare (prev Gateway) | Medicare | $320.60 | ↑ +7% |
| AmeriHealth Caritas | Medicare | $320.63 | ↑ +7% |
| Cigna | Medicare | $320.63 | ↑ +7% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $320.63 | ↑ +7% |
| InterGroup | PPO | $323.70 | ↑ +8% |
| Coventry/First Health | Commercial | $328.68 | ↑ +10% |
| Health Coalition Partners | PPO | $348.60 | ↑ +17% |
| Private Health Care Systems | PPO | $398.40 | ↑ +33% |
| Prime Net | Commercial | $408.36 | ↑ +37% |
| Humana | Commercial | $423.30 | ↑ +42% |
| Highmark BCBS of PA | Community Blue Medicare Advantage/Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage/Together Blue Medicare Advantage | $557.10 | ↑ +86% |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
Visitor-reported prices
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Lung Function Test Before and After an Inhaler at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $322.80 | $11.40 – $430.40 |
| UPMC Bedford | Everett | $306.60 | $19.95 – $459.90 |
| UPMC Carlisle | Carlisle | $650.40 | $14.93 – $921.40 |
| UPMC Cole | Coudersport | $155.40 | $19.95 – $207.20 |
| UPMC Community Osteopathic | Harrisburg | $650.40 | $14.93 – $519.35 |
| UPMC East | Monroeville | $253.80 | $20.90 – $338.40 |
| UPMC Hamot | Erie | $347.40 | $20.90 – $375.76 |
| UPMC Northwest | Seneca | $281.40 | $20.90 – $311.72 |