Npsy tst eval phsy/qhp 1st hr at UPMC Horizon-Greenville
110 N Main St, Greenville, PA · UPMC · · NPI 1225048838
$445.80
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.
$743.00
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.
$95.72 with Aetna vs $949.25 with Highmark BCBS of PA — 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 |
|---|---|---|---|
| Aetna | Medicaid | $95.72 | ↓ -79% |
| UPMC Health Plan | Managed Medicaid | $95.72 | ↓ -79% |
| Geisinger | Medicaid/CHIP | $120.95 | ↓ -73% |
| Highmark Wholecare (prev Gateway) | Medicaid | $129.05 | ↓ -71% |
| Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $131.23 | ↓ -71% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $135.85 | ↓ -70% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $148.30 | ↓ -67% |
| UPMC Work Partners | Workers Comp | $159.15 | ↓ -64% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity/Managed Care - Social Mission | $194.58 | ↓ -56% |
| Highmark BCBS of PA | Commercial - Indemnity/Managed Care | $239.71 | ↓ -46% |
| United Healthcare | Compass Exchange | $245.19 | ↓ -45% |
| Anthem Blue Cross Blue Shield | Traditional | $253.36 | ↓ -43% |
| UPMC Health Plan | CHIP | $260.05 | ↓ -42% |
| Aetna | Neighborhood Network | $274.91 | ↓ -38% |
| Aetna | Home Depot Employer Group | $283.83 | ↓ -36% |
| Anthem Blue Cross Blue Shield | Blue Access PPO/Blue Preferred HMO/HIC | $289.03 | ↓ -35% |
| Cigna | NBR ASO/FI | $289.77 | ↓ -35% |
| United Healthcare | All Business | $289.77 | ↓ -35% |
| Aetna | NBR ASO/FI | $289.77 | ↓ -35% |
| Cigna | New Business ASO | $289.77 | ↓ -35% |
| Cigna | EBR | $297.20 | ↓ -33% |
| Aetna | EBR ASO | $297.20 | ↓ -33% |
| Cigna | Commercial | $297.20 | ↓ -33% |
| UPMC Health Plan | Commercial | $364.44 | ↓ -18% |
| Aetna | EBR FI | $445.80 | ↑ +0% |
| UPMC Health Plan | Managed Medicare | $452.90 | ↑ +2% |
| InterGroup | PPO | $482.95 | ↑ +8% |
| Coventry/First Health | Commercial | $490.38 | ↑ +10% |
| Health Coalition Partners | PPO | $520.10 | ↑ +17% |
| UPMC Health Plan | EPO Partners/EPO Select Plan/HMO | $520.93 | ↑ +17% |
| Aetna | Medicare | $521.04 | ↑ +17% |
| Aetna of PA | Medicare | $531.15 | ↑ +19% |
| United Healthcare Community Plan for Families | Unison MedPLUS | $531.15 | ↑ +19% |
| United Healthcare Community Plan for Families | Unison Kids | $531.15 | ↑ +19% |
| United Healthcare | Medicare | $541.27 | ↑ +21% |
| Highmark Wholecare (prev Gateway) | Medicare | $546.28 | ↑ +23% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $546.33 | ↑ +23% |
| AmeriHealth Caritas | Medicare | $546.33 | ↑ +23% |
| Cigna | Medicare | $546.33 | ↑ +23% |
| Private Health Care Systems | PPO | $594.40 | ↑ +33% |
| Prime Net | Commercial | $609.26 | ↑ +37% |
| Humana | Commercial | $631.55 | ↑ +42% |
| Highmark BCBS of PA | Community Blue Medicare Advantage/Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage/Together Blue Medicare Advantage | $949.25 | ↑ +113% |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
Visitor-reported prices
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Npsy tst eval phsy/qhp 1st hr at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Community Osteopathic | Harrisburg | $244.80 | $346.80 – $346.80 |
| UPMC Jameson | New Castle | $445.80 | $81.64 – $632.33 |
| UPMC Magee | Pittsburgh | $468.60 | $80.99 – $546.33 |
| UPMC Presbyterian | Pittsburgh | $674.40 | $80.99 – $556.45 |
| UPMC Somerset | Somerset | $244.80 | $101.39 – $109.49 |
| Uniontown Hospital | Uniontown | $429.00 | $80.81 – $751.23 |