Opn exc/dstr ntra-abd 5 cm/< at UPMC Horizon-Greenville
110 N Main St, Greenville, PA · UPMC · · NPI 1225048838
$8,245.80
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.
$13,743.00
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.
$846.15 with Highmark BCBS of PA vs $11,681.55 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 | $846.15 | ↓ -90% |
| Highmark BCBS of PA | Commercial - Indemnity/Managed Care | $1,042.57 | ↓ -87% |
| UPMC Work Partners | Workers Comp | $1,192.92 | ↓ -86% |
| Aetna | Medicare | $3,435.75 | ↓ -58% |
| United Healthcare | Compass Exchange | $4,535.19 | ↓ -45% |
| Anthem Blue Cross Blue Shield | Traditional | $4,686.36 | ↓ -43% |
| UPMC Health Plan | CHIP | $4,810.05 | ↓ -42% |
| Aetna | Neighborhood Network | $5,084.91 | ↓ -38% |
| Aetna | Home Depot Employer Group | $5,249.83 | ↓ -36% |
| Anthem Blue Cross Blue Shield | Blue Access PPO/Blue Preferred HMO/HIC | $5,346.03 | ↓ -35% |
| Aetna | NBR ASO/FI | $5,359.77 | ↓ -35% |
| United Healthcare | All Business | $5,359.77 | ↓ -35% |
| Cigna | NBR ASO/FI | $5,359.77 | ↓ -35% |
| Cigna | New Business ASO | $5,359.77 | ↓ -35% |
| Aetna | EBR ASO | $5,497.20 | ↓ -33% |
| Cigna | Commercial | $5,497.20 | ↓ -33% |
| Cigna | EBR | $5,497.20 | ↓ -33% |
| UPMC Health Plan | Commercial | $6,740.94 | ↓ -18% |
| Highmark Wholecare (prev Gateway) | Medicare | $6,871.50 | ↓ -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 | $6,871.50 | ↓ -17% |
| Geisinger | Medicaid/CHIP | $7,558.65 | ↓ -8% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $7,558.65 | ↓ -8% |
| Aetna | EBR FI | $8,245.80 | ↑ +0% |
| InterGroup | PPO | $8,932.95 | ↑ +8% |
| Coventry/First Health | Commercial | $9,070.38 | ↑ +10% |
| Health Coalition Partners | PPO | $9,620.10 | ↑ +17% |
| Private Health Care Systems | PPO | $10,994.40 | ↑ +33% |
| Prime Net | Commercial | $11,269.26 | ↑ +37% |
| Humana | Commercial | $11,681.55 | ↑ +42% |
Visitor-reported prices
Comments
Opn exc/dstr ntra-abd 5 cm/< at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Carlisle | Carlisle | $6,780.00 | $1,248.41 – $9,605.00 |
| UPMC Community Osteopathic | Harrisburg | $6,780.00 | $1,052.00 – $4,471.00 |
| UPMC Hanover | Hanover | $6,780.00 | $1,248.41 – $1,248.41 |
| UPMC Lititz | Lititz | $6,780.00 | $1,161.92 – $1,248.41 |
| UPMC Memorial | York | $6,780.00 | $354.49 – $1,248.41 |
| UPMC Presbyterian | Pittsburgh | $15,525.00 | $439.08 – $1,516.93 |
| UPMC Somerset | Somerset | $6,780.00 | $430.54 – $1,192.92 |