MRI breast without cont bi at UPMC Horizon-Greenville
110 N Main St, Greenville, PA · UPMC · · NPI 1225048838
$5,664.00
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.
$9,440.00
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.
$197.63 with Highmark BCBS of PA vs $8,024.00 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 |
|---|---|---|---|
| Highmark BCBS of PA | Commercial - Social Mission Indemnity/Managed Care - Social Mission | $197.63 | ↓ -97% |
| UPMC Health Plan | Managed Medicare | $206.32 | ↓ -96% |
| Aetna | Medicaid | $217.58 | ↓ -96% |
| UPMC Health Plan | Managed Medicaid | $217.58 | ↓ -96% |
| UPMC Health Plan | EPO Partners/EPO Select Plan/HMO | $237.32 | ↓ -96% |
| Aetna | Medicare | $237.36 | ↓ -96% |
| United Healthcare Community Plan for Families | Unison Kids | $241.97 | ↓ -96% |
| United Healthcare Community Plan for Families | Unison MedPLUS | $241.97 | ↓ -96% |
| Aetna of PA | Medicare | $241.97 | ↓ -96% |
| Highmark BCBS of PA | Commercial - Indemnity/Managed Care | $243.50 | ↓ -96% |
| United Healthcare | Medicare | $246.58 | ↓ -96% |
| Highmark Wholecare (prev Gateway) | Medicare | $248.86 | ↓ -96% |
| Cigna | Medicare | $248.89 | ↓ -96% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $248.89 | ↓ -96% |
| AmeriHealth Caritas | Medicare | $248.89 | ↓ -96% |
| Geisinger | Medicaid/CHIP | $274.92 | ↓ -95% |
| Highmark Wholecare (prev Gateway) | Medicaid | $293.34 | ↓ -95% |
| Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $298.28 | ↓ -95% |
| UPMC Work Partners | Workers Comp | $299.52 | ↓ -95% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $308.79 | ↓ -95% |
| UPMC Health Plan | Commercial | $326.48 | ↓ -94% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $337.09 | ↓ -94% |
| Highmark BCBS of PA | Community Blue Medicare Advantage/Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage/Together Blue Medicare Advantage | $432.44 | ↓ -92% |
| UPMC Health Plan | CHIP | $703.14 | ↓ -88% |
| United Healthcare | Compass Exchange | $3,115.20 | ↓ -45% |
| Anthem Blue Cross Blue Shield | Traditional | $3,219.04 | ↓ -43% |
| Aetna | Neighborhood Network | $3,492.80 | ↓ -38% |
| Aetna | Home Depot Employer Group | $3,606.08 | ↓ -36% |
| Anthem Blue Cross Blue Shield | Blue Access PPO/Blue Preferred HMO/HIC | $3,672.16 | ↓ -35% |
| Cigna | NBR ASO/FI | $3,681.60 | ↓ -35% |
| United Healthcare | All Business | $3,681.60 | ↓ -35% |
| Aetna | NBR ASO/FI | $3,681.60 | ↓ -35% |
| Cigna | New Business ASO | $3,681.60 | ↓ -35% |
| Cigna | EBR | $3,776.00 | ↓ -33% |
| Aetna | EBR ASO | $3,776.00 | ↓ -33% |
| Cigna | Commercial | $3,776.00 | ↓ -33% |
| Aetna | EBR FI | $5,664.00 | ↑ +0% |
| InterGroup | PPO | $6,136.00 | ↑ +8% |
| Coventry/First Health | Commercial | $6,230.40 | ↑ +10% |
| Health Coalition Partners | PPO | $6,608.00 | ↑ +17% |
| Private Health Care Systems | PPO | $7,552.00 | ↑ +33% |
| Prime Net | Commercial | $7,740.80 | ↑ +37% |
| Humana | Commercial | $8,024.00 | ↑ +42% |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
Visitor-reported prices
Comments
MRI breast without cont bi at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $3,316.80 | $101.58 – $4,422.40 |
| UPMC Carlisle | Carlisle | $480.60 | $109.74 – $680.85 |
| UPMC Cole | Coudersport | $2,153.40 | $207.69 – $2,871.20 |
| UPMC Community Osteopathic | Harrisburg | $480.60 | $160.20 – $703.14 |
| UPMC Hamot | Erie | $6,276.00 | $101.58 – $345.98 |
| UPMC Northwest | Seneca | $2,913.60 | $209.00 – $299.52 |
| UPMC Hanover | Hanover | $480.60 | $174.32 – $425.00 |
| UPMC Lititz | Lititz | $480.60 | $174.32 – $425.00 |