Polysomnography sleep staging >=4 parameters age >=6 years w/cpap bipap at UPMC Horizon-Greenville
110 N Main St, Greenville, PA · UPMC · · NPI 1225048838
$3,305.40
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.
$5,509.00
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.
$679.94 with United Healthcare Community Plan for Families vs $4,682.65 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 |
|---|---|---|---|
| United Healthcare Community Plan for Families | Unison MedPLUS | $679.94 | ↓ -79% |
| Aetna | Medicaid | $712.32 | ↓ -78% |
| UPMC Health Plan | Managed Medicaid | $712.32 | ↓ -78% |
| United Healthcare Community Plan for Families | Unison Kids | $744.69 | ↓ -77% |
| UPMC Health Plan | Managed Medicare | $868.41 | ↓ -74% |
| Geisinger | Medicaid/CHIP | $900.04 | ↓ -73% |
| Highmark Wholecare (prev Gateway) | Medicaid | $960.33 | ↓ -71% |
| Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $976.52 | ↓ -70% |
| UPMC Health Plan | EPO Partners/EPO Select Plan/HMO | $998.86 | ↓ -70% |
| Aetna | Medicare | $999.06 | ↓ -70% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $1,010.91 | ↓ -69% |
| Aetna of PA | Medicare | $1,018.46 | ↓ -69% |
| United Healthcare | Medicare | $1,037.86 | ↓ -69% |
| Highmark Wholecare (prev Gateway) | Medicare | $1,047.46 | ↓ -68% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $1,047.56 | ↓ -68% |
| Cigna | Medicare | $1,047.56 | ↓ -68% |
| AmeriHealth Caritas | Medicare | $1,047.56 | ↓ -68% |
| UPMC Work Partners | Workers Comp | $1,067.37 | ↓ -68% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $1,103.57 | ↓ -67% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity/Managed Care - Social Mission | $1,375.62 | ↓ -58% |
| Highmark BCBS of PA | Commercial - Indemnity/Managed Care | $1,694.66 | ↓ -49% |
| UPMC Health Plan | CHIP | $1,749.72 | ↓ -47% |
| United Healthcare | Compass Exchange | $1,817.97 | ↓ -45% |
| Highmark BCBS of PA | Community Blue Medicare Advantage/Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage/Together Blue Medicare Advantage | $1,820.13 | ↓ -45% |
| Anthem Blue Cross Blue Shield | Traditional | $1,878.57 | ↓ -43% |
| Aetna | Neighborhood Network | $2,038.33 | ↓ -38% |
| Aetna | Home Depot Employer Group | $2,104.44 | ↓ -36% |
| Anthem Blue Cross Blue Shield | Blue Access PPO/Blue Preferred HMO/HIC | $2,143.00 | ↓ -35% |
| Cigna | NBR ASO/FI | $2,148.51 | ↓ -35% |
| United Healthcare | All Business | $2,148.51 | ↓ -35% |
| Aetna | NBR ASO/FI | $2,148.51 | ↓ -35% |
| Cigna | New Business ASO | $2,148.51 | ↓ -35% |
| Aetna | EBR ASO | $2,203.60 | ↓ -33% |
| Cigna | Commercial | $2,203.60 | ↓ -33% |
| Cigna | EBR | $2,203.60 | ↓ -33% |
| UPMC Health Plan | Commercial | $2,344.62 | ↓ -29% |
| Aetna | EBR FI | $3,305.40 | ↑ +0% |
| InterGroup | PPO | $3,580.85 | ↑ +8% |
| Coventry/First Health | Commercial | $3,635.94 | ↑ +10% |
| Health Coalition Partners | PPO | $3,856.30 | ↑ +17% |
| Private Health Care Systems | PPO | $4,407.20 | ↑ +33% |
| Prime Net | Commercial | $4,517.38 | ↑ +37% |
| Humana | Commercial | $4,682.65 | ↑ +42% |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
Visitor-reported prices
Comments
Polysomnography sleep staging >=4 parameters age >=6 years w/cpap bipap at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $2,547.00 | $517.67 – $3,396.00 |
| UPMC Bedford | Everett | $3,496.20 | $349.96 – $5,244.30 |
| UPMC Carlisle | Carlisle | $4,898.40 | $678.15 – $6,939.40 |
| UPMC Hamot | Erie | $2,308.20 | $292.41 – $1,349.45 |
| UPMC Hanover | Hanover | $4,898.40 | $678.15 – $1,555.06 |
| UPMC Jameson | New Castle | $3,108.60 | $577.18 – $1,212.45 |
| UPMC Lititz | Lititz | $4,898.40 | $678.15 – $1,563.46 |
| UPMC Memorial | York | $4,898.40 | $462.27 – $1,560.93 |