Misoprostol, oral, 200 mcg at UPMC Horizon-Greenville
110 N Main St, Greenville, PA · UPMC · · NPI 1225048838
$74.60
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.
$93.25
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.
$4.98 with UPMC Health Plan vs $79.26 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 | CHIP | $4.98 | ↓ -93% |
| UPMC Health Plan | Commercial | $6.68 | ↓ -91% |
| Aetna | Medicare | $23.31 | ↓ -69% |
| United Healthcare | Compass Exchange | $30.77 | ↓ -59% |
| Anthem Blue Cross Blue Shield | Traditional | $31.80 | ↓ -57% |
| Aetna | Neighborhood Network | $34.50 | ↓ -54% |
| Aetna | Home Depot Employer Group | $35.62 | ↓ -52% |
| Anthem Blue Cross Blue Shield | Blue Access PPO/Blue Preferred HMO/HIC | $36.27 | ↓ -51% |
| Cigna | NBR ASO/FI | $36.37 | ↓ -51% |
| United Healthcare | All Business | $36.37 | ↓ -51% |
| Cigna | New Business ASO | $36.37 | ↓ -51% |
| Aetna | NBR ASO/FI | $36.37 | ↓ -51% |
| Aetna | EBR ASO | $37.30 | ↓ -50% |
| Cigna | EBR | $37.30 | ↓ -50% |
| Cigna | Commercial | $37.30 | ↓ -50% |
| Highmark Wholecare (prev Gateway) | Medicare | $46.62 | ↓ -38% |
| Highmark BCBS of PA | Community Blue Medicare Advantage/Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage/Together Blue Medicare Advantage | $46.62 | ↓ -38% |
| UPMC Work Partners | Workers Comp | $47.77 | ↓ -36% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $51.29 | ↓ -31% |
| Geisinger | Medicaid/CHIP | $51.29 | ↓ -31% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity/Managed Care - Social Mission | $52.68 | ↓ -29% |
| Aetna | EBR FI | $55.95 | ↓ -25% |
| InterGroup | PPO | $60.61 | ↓ -19% |
| Coventry/First Health | Commercial | $61.55 | ↓ -17% |
| Highmark BCBS of PA | Commercial - Indemnity/Managed Care | $64.90 | ↓ -13% |
| Health Coalition Partners | PPO | $65.28 | ↓ -12% |
| Private Health Care Systems | PPO | $74.60 | ↑ +0% |
| Prime Net | Commercial | $76.47 | ↑ +3% |
| Humana | Commercial | $79.26 | ↑ +6% |