Mayo analysis gene calr common variants exon 9 at UPMC Horizon-Greenville
110 N Main St, Greenville, PA · UPMC · · NPI 1225048838
$1,227.60
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.
$2,046.00
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.
$108.90 with UPMC Health Plan vs $1,121.01 with UPMC Health Plan — 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 | $108.90 | ↓ -91% |
| UPMC Work Partners | Workers Comp | $120.21 | ↓ -90% |
| UPMC Health Plan | EPO Partners/EPO Select Plan/HMO | $125.25 | ↓ -90% |
| Aetna | Medicare | $125.28 | ↓ -90% |
| Aetna of PA | Medicare | $127.71 | ↓ -90% |
| United Healthcare Community Plan for Families | Unison MedPLUS | $127.71 | ↓ -90% |
| United Healthcare Community Plan for Families | Unison Kids | $127.71 | ↓ -90% |
| United Healthcare | Medicare | $130.14 | ↓ -89% |
| Highmark Wholecare (prev Gateway) | Medicare | $131.35 | ↓ -89% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $131.36 | ↓ -89% |
| AmeriHealth Caritas | Medicare | $131.36 | ↓ -89% |
| Cigna | Medicare | $131.36 | ↓ -89% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity/Managed Care - Social Mission | $187.22 | ↓ -85% |
| Highmark BCBS of PA | Community Blue Medicare Advantage/Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage/Together Blue Medicare Advantage | $228.24 | ↓ -81% |
| Highmark BCBS of PA | Commercial - Indemnity/Managed Care | $230.65 | ↓ -81% |
| United Healthcare | Compass Exchange | $282.15 | ↓ -77% |
| Anthem Blue Cross Blue Shield | Traditional | $291.56 | ↓ -76% |
| Aetna | Neighborhood Network | $316.35 | ↓ -74% |
| Aetna | Home Depot Employer Group | $326.61 | ↓ -73% |
| Anthem Blue Cross Blue Shield | Blue Access PPO/Blue Preferred HMO/HIC | $332.60 | ↓ -73% |
| Cigna | NBR ASO/FI | $333.45 | ↓ -73% |
| United Healthcare | All Business | $333.45 | ↓ -73% |
| Aetna | NBR ASO/FI | $333.45 | ↓ -73% |
| Cigna | New Business ASO | $333.45 | ↓ -73% |
| Cigna | Commercial | $342.00 | ↓ -72% |
| Cigna | EBR | $342.00 | ↓ -72% |
| Aetna | EBR ASO | $342.00 | ↓ -72% |
| Geisinger | Medicaid/CHIP | $470.25 | ↓ -62% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $470.25 | ↓ -62% |
| Aetna | EBR FI | $513.00 | ↓ -58% |
| InterGroup | PPO | $555.75 | ↓ -55% |
| Coventry/First Health | Commercial | $564.30 | ↓ -54% |
| UPMC Health Plan | Commercial | $579.14 | ↓ -53% |
| Health Coalition Partners | PPO | $598.50 | ↓ -51% |
| Private Health Care Systems | PPO | $684.00 | ↓ -44% |
| Prime Net | Commercial | $701.10 | ↓ -43% |
| Humana | Commercial | $726.75 | ↓ -41% |
| UPMC Health Plan | CHIP | $1,121.01 | ↓ -9% |
Visitor-reported prices
Comments
Mayo analysis gene calr common variants exon 9 at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $1,148.40 | $115.78 – $279.20 |
| UPMC Bedford | Everett | $1,227.60 | $43.88 – $769.50 |
| UPMC Cole | Coudersport | $565.80 | $53.00 – $754.40 |
| UPMC East | Monroeville | $1,227.60 | $116.89 – $303.20 |
| UPMC Hamot | Erie | $1,247.40 | $115.78 – $131.36 |
| UPMC Northwest | Seneca | $1,227.60 | $110.31 – $131.36 |
| UPMC Jameson | New Castle | $1,227.60 | $85.32 – $131.36 |
| UPMC Magee | Pittsburgh | $1,227.60 | $113.83 – $133.79 |