Opn exc/dst ntra-abd 10.1-20 at UPMC Horizon-Greenville
110 N Main St, Greenville, PA · UPMC · · NPI 1225048838
$12,047.40
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.
$20,079.00
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.
$1,292.79 with Highmark BCBS of PA vs $17,067.15 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 | $1,292.79 | ↓ -89% |
| Highmark BCBS of PA | Commercial - Indemnity/Managed Care | $1,592.88 | ↓ -87% |
| UPMC Work Partners | Workers Comp | $1,822.43 | ↓ -85% |
| Aetna | Medicare | $5,019.75 | ↓ -58% |
| United Healthcare | Compass Exchange | $6,626.07 | ↓ -45% |
| Anthem Blue Cross Blue Shield | Traditional | $6,846.94 | ↓ -43% |
| UPMC Health Plan | CHIP | $7,027.65 | ↓ -42% |
| Aetna | Neighborhood Network | $7,429.23 | ↓ -38% |
| Aetna | Home Depot Employer Group | $7,670.18 | ↓ -36% |
| Anthem Blue Cross Blue Shield | Blue Access PPO/Blue Preferred HMO/HIC | $7,810.73 | ↓ -35% |
| Cigna | New Business ASO | $7,830.81 | ↓ -35% |
| Cigna | NBR ASO/FI | $7,830.81 | ↓ -35% |
| Aetna | NBR ASO/FI | $7,830.81 | ↓ -35% |
| United Healthcare | All Business | $7,830.81 | ↓ -35% |
| Aetna | EBR ASO | $8,031.60 | ↓ -33% |
| Cigna | EBR | $8,031.60 | ↓ -33% |
| Cigna | Commercial | $8,031.60 | ↓ -33% |
| UPMC Health Plan | Commercial | $9,848.75 | ↓ -18% |
| Highmark Wholecare (prev Gateway) | Medicare | $10,039.50 | ↓ -17% |
| Highmark BCBS of PA | Community Blue Medicare Advantage/Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage/Together Blue Medicare Advantage | $10,039.50 | ↓ -17% |
| Geisinger | Medicaid/CHIP | $11,043.45 | ↓ -8% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $11,043.45 | ↓ -8% |
| Aetna | EBR FI | $12,047.40 | ↑ +0% |
| InterGroup | PPO | $13,051.35 | ↑ +8% |
| Coventry/First Health | Commercial | $13,252.14 | ↑ +10% |
| Health Coalition Partners | PPO | $14,055.30 | ↑ +17% |
| Private Health Care Systems | PPO | $16,063.20 | ↑ +33% |
| Prime Net | Commercial | $16,464.78 | ↑ +37% |
| Humana | Commercial | $17,067.15 | ↑ +42% |
Visitor-reported prices
Comments
Opn exc/dst ntra-abd 10.1-20 at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Carlisle | Carlisle | $8,653.20 | $1,907.19 – $12,258.70 |
| UPMC Community Osteopathic | Harrisburg | $8,653.20 | $1,052.00 – $4,471.00 |
| UPMC Hanover | Hanover | $8,653.20 | $1,907.19 – $1,907.19 |
| UPMC Lititz | Lititz | $8,653.20 | $1,775.20 – $1,907.19 |
| UPMC Memorial | York | $8,653.20 | $541.61 – $1,907.19 |
| UPMC Presbyterian | Pittsburgh | $22,682.40 | $670.85 – $2,319.42 |
| UPMC Somerset | Somerset | $8,653.20 | $657.80 – $1,822.43 |