Macroscopic exam arthropod at UPMC Horizon-Greenville
110 N Main St, Greenville, PA · UPMC · · NPI 1225048838
$45.00
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.
$75.00
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.
$3.82 with UPMC Health Plan vs $63.75 with Humana — 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 |
|---|---|---|---|
| UPMC Health Plan | Managed Medicare | $3.82 | ↓ -92% |
| UPMC Work Partners | Workers Comp | $4.22 | ↓ -91% |
| Aetna | Medicare | $4.40 | ↓ -90% |
| UPMC Health Plan | EPO Partners/EPO Select Plan/HMO | $4.40 | ↓ -90% |
| Aetna of PA | Medicare | $4.48 | ↓ -90% |
| United Healthcare Community Plan for Families | Unison Kids | $4.48 | ↓ -90% |
| United Healthcare Community Plan for Families | Unison MedPLUS | $4.48 | ↓ -90% |
| United Healthcare | Medicare | $4.57 | ↓ -90% |
| Highmark Wholecare (prev Gateway) | Medicare | $4.61 | ↓ -90% |
| AmeriHealth Caritas | Medicare | $4.61 | ↓ -90% |
| Cigna | Medicare | $4.61 | ↓ -90% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $4.61 | ↓ -90% |
| Highmark BCBS of PA | Community Blue Medicare Advantage/Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage/Together Blue Medicare Advantage | $8.01 | ↓ -82% |
| UPMC Health Plan | Commercial | $8.03 | ↓ -82% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity/Managed Care - Social Mission | $18.33 | ↓ -59% |
| Highmark BCBS of PA | Commercial - Indemnity/Managed Care | $22.59 | ↓ -50% |
| United Healthcare | Compass Exchange | $24.75 | ↓ -45% |
| Anthem Blue Cross Blue Shield | Traditional | $25.57 | ↓ -43% |
| Aetna | Neighborhood Network | $27.75 | ↓ -38% |
| Aetna | Home Depot Employer Group | $28.65 | ↓ -36% |
| UPMC Health Plan | CHIP | $28.84 | ↓ -36% |
| Anthem Blue Cross Blue Shield | Blue Access PPO/Blue Preferred HMO/HIC | $29.18 | ↓ -35% |
| Cigna | NBR ASO/FI | $29.25 | ↓ -35% |
| United Healthcare | All Business | $29.25 | ↓ -35% |
| Aetna | NBR ASO/FI | $29.25 | ↓ -35% |
| Cigna | New Business ASO | $29.25 | ↓ -35% |
| Aetna | EBR ASO | $30.00 | ↓ -33% |
| Cigna | EBR | $30.00 | ↓ -33% |
| Cigna | Commercial | $30.00 | ↓ -33% |
| Geisinger | Medicaid/CHIP | $41.25 | ↓ -8% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $41.25 | ↓ -8% |
| Aetna | EBR FI | $45.00 | ↑ +0% |
| InterGroup | PPO | $48.75 | ↑ +8% |
| Coventry/First Health | Commercial | $49.50 | ↑ +10% |
| Health Coalition Partners | PPO | $52.50 | ↑ +17% |
| Private Health Care Systems | PPO | $60.00 | ↑ +33% |
| Prime Net | Commercial | $61.50 | ↑ +37% |
| Humana | Commercial | $63.75 | ↑ +42% |
Visitor-reported prices
Comments
Macroscopic exam arthropod at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $124.80 | $4.22 – $166.40 |
| UPMC Carlisle | Carlisle | $24.00 | $2.35 – $34.00 |
| UPMC Cole | Coudersport | $43.20 | $2.78 – $57.60 |
| UPMC Community Osteopathic | Harrisburg | $24.00 | $3.41 – $34.00 |
| UPMC Northwest | Seneca | $54.00 | $3.87 – $4.61 |
| UPMC Hanover | Hanover | $24.00 | $3.41 – $28.84 |
| UPMC Jameson | New Castle | $36.60 | $2.99 – $11.54 |
| UPMC Kane | Kane | $107.40 | $4.22 – $21.24 |