Mayo analysis gene smn1 dosage/deletion at UPMC Horizon-Greenville
110 N Main St, Greenville, PA · UPMC · · NPI 1225048838
$1,261.80
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.
$2,103.00
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.
$109.60 with Health Partners Plans (Jefferson Health Plan) vs $1,004.36 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 |
|---|---|---|---|
| Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $109.60 | ↓ -91% |
| Aetna | Medicaid | $120.56 | ↓ -90% |
| UPMC Health Plan | Managed Medicaid | $120.56 | ↓ -90% |
| UPMC Health Plan | Managed Medicare | $122.66 | ↓ -90% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity/Managed Care - Social Mission | $135.28 | ↓ -89% |
| UPMC Work Partners | Workers Comp | $135.40 | ↓ -89% |
| UPMC Health Plan | EPO Partners/EPO Select Plan/HMO | $141.08 | ↓ -89% |
| Aetna | Medicare | $141.11 | ↓ -89% |
| United Healthcare Community Plan for Families | Unison Kids | $143.85 | ↓ -89% |
| United Healthcare Community Plan for Families | Unison MedPLUS | $143.85 | ↓ -89% |
| Aetna of PA | Medicare | $143.85 | ↓ -89% |
| United Healthcare | Medicare | $146.59 | ↓ -88% |
| Highmark Wholecare (prev Gateway) | Medicare | $147.95 | ↓ -88% |
| Cigna | Medicare | $147.96 | ↓ -88% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $147.96 | ↓ -88% |
| AmeriHealth Caritas | Medicare | $147.96 | ↓ -88% |
| Geisinger | Medicaid/CHIP | $152.33 | ↓ -88% |
| Highmark Wholecare (prev Gateway) | Medicaid | $162.54 | ↓ -87% |
| Highmark BCBS of PA | Commercial - Indemnity/Managed Care | $166.66 | ↓ -87% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $171.10 | ↓ -86% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $186.78 | ↓ -85% |
| United Healthcare | Compass Exchange | $203.94 | ↓ -84% |
| Anthem Blue Cross Blue Shield | Traditional | $210.74 | ↓ -83% |
| Aetna | Neighborhood Network | $228.66 | ↓ -82% |
| Aetna | Home Depot Employer Group | $236.08 | ↓ -81% |
| Anthem Blue Cross Blue Shield | Blue Access PPO/Blue Preferred HMO/HIC | $240.40 | ↓ -81% |
| Cigna | NBR ASO/FI | $241.02 | ↓ -81% |
| United Healthcare | All Business | $241.02 | ↓ -81% |
| Aetna | NBR ASO/FI | $241.02 | ↓ -81% |
| Cigna | New Business ASO | $241.02 | ↓ -81% |
| Cigna | EBR | $247.20 | ↓ -80% |
| Aetna | EBR ASO | $247.20 | ↓ -80% |
| Cigna | Commercial | $247.20 | ↓ -80% |
| Highmark BCBS of PA | Community Blue Medicare Advantage/Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage/Together Blue Medicare Advantage | $257.08 | ↓ -80% |
| Aetna | EBR FI | $370.80 | ↓ -71% |
| InterGroup | PPO | $401.70 | ↓ -68% |
| Coventry/First Health | Commercial | $407.88 | ↓ -68% |
| Health Coalition Partners | PPO | $432.60 | ↓ -66% |
| Private Health Care Systems | PPO | $494.40 | ↓ -61% |
| Prime Net | Commercial | $506.76 | ↓ -60% |
| UPMC Health Plan | Commercial | $518.88 | ↓ -59% |
| Humana | Commercial | $525.30 | ↓ -58% |
| UPMC Health Plan | CHIP | $1,004.36 | ↓ -20% |
Visitor-reported prices
Comments
Mayo analysis gene smn1 dosage/deletion at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $2,430.60 | $83.66 – $489.60 |
| UPMC Bedford | Everett | $2,547.60 | $49.43 – $556.20 |
| UPMC Carlisle | Carlisle | $792.60 | $109.60 – $1,122.85 |
| UPMC Community Osteopathic | Harrisburg | $792.60 | $109.60 – $1,122.85 |
| UPMC East | Monroeville | $2,547.60 | $84.46 – $494.40 |
| UPMC Hamot | Erie | $1,301.40 | $83.66 – $152.33 |
| UPMC Northwest | Seneca | $2,547.60 | $120.56 – $147.96 |
| UPMC Hanover | Hanover | $792.60 | $109.60 – $219.20 |