Pr cystourethroscopy with insertion indwelling ureteral stent at UPMC Horizon-Greenville
110 N Main St, Greenville, PA · UPMC · · NPI 1225048838
$3,521.40
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.
$5,869.00
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.
$158.09 with Aetna vs $6,170.27 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 | $158.09 | ↓ -96% |
| UPMC Health Plan | Managed Medicaid | $158.09 | ↓ -96% |
| Geisinger | Medicaid/CHIP | $199.76 | ↓ -94% |
| Highmark Wholecare (prev Gateway) | Medicaid | $213.14 | ↓ -94% |
| Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $216.73 | ↓ -94% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $224.36 | ↓ -94% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $244.93 | ↓ -93% |
| UPMC Work Partners | Workers Comp | $668.94 | ↓ -81% |
| Anthem Blue Cross Blue Shield | Blue Access PPO/Blue Preferred HMO/HIC | $699.00 | ↓ -80% |
| UPMC Health Plan | Commercial | $1,256.80 | ↓ -64% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity/Managed Care - Social Mission | $1,419.79 | ↓ -60% |
| Highmark BCBS of PA | Commercial - Indemnity/Managed Care | $1,749.36 | ↓ -50% |
| United Healthcare | Compass Exchange | $1,936.77 | ↓ -45% |
| Anthem Blue Cross Blue Shield | Traditional | $2,001.33 | ↓ -43% |
| Aetna | Neighborhood Network | $2,171.53 | ↓ -38% |
| Aetna | Home Depot Employer Group | $2,241.96 | ↓ -36% |
| Cigna | NBR ASO/FI | $2,288.91 | ↓ -35% |
| United Healthcare | All Business | $2,288.91 | ↓ -35% |
| Aetna | NBR ASO/FI | $2,288.91 | ↓ -35% |
| Cigna | New Business ASO | $2,288.91 | ↓ -35% |
| UPMC Health Plan | CHIP | $2,316.83 | ↓ -34% |
| Aetna | EBR ASO | $2,347.60 | ↓ -33% |
| Cigna | EBR | $2,347.60 | ↓ -33% |
| Cigna | Commercial | $2,347.60 | ↓ -33% |
| UPMC Health Plan | Managed Medicare | $2,943.91 | ↓ -16% |
| UPMC Health Plan | EPO Partners/EPO Select Plan/HMO | $3,386.17 | ↓ -4% |
| Aetna | Medicare | $3,386.83 | ↓ -4% |
| United Healthcare Community Plan for Families | Unison MedPLUS | $3,452.59 | ↓ -2% |
| Aetna of PA | Medicare | $3,452.59 | ↓ -2% |
| United Healthcare Community Plan for Families | Unison Kids | $3,452.59 | ↓ -2% |
| United Healthcare | Medicare | $3,518.35 | ↓ -0% |
| Aetna | EBR FI | $3,521.40 | ↑ +0% |
| Highmark Wholecare (prev Gateway) | Medicare | $3,550.91 | ↑ +1% |
| Cigna | Medicare | $3,551.23 | ↑ +1% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $3,551.23 | ↑ +1% |
| AmeriHealth Caritas | Medicare | $3,551.23 | ↑ +1% |
| InterGroup | PPO | $3,814.85 | ↑ +8% |
| Coventry/First Health | Commercial | $3,873.54 | ↑ +10% |
| Health Coalition Partners | PPO | $4,108.30 | ↑ +17% |
| Private Health Care Systems | PPO | $4,695.20 | ↑ +33% |
| Prime Net | Commercial | $4,812.58 | ↑ +37% |
| Humana | Commercial | $4,988.65 | ↑ +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 | $6,170.27 | ↑ +75% |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
Visitor-reported prices
Comments
Pr cystourethroscopy with insertion indwelling ureteral stent at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $4,764.60 | $143.72 – $6,352.80 |
| UPMC Cole | Coudersport | $639.00 | $150.91 – $1,041.88 |
| UPMC East | Monroeville | $4,170.00 | $158.09 – $5,560.00 |
| UPMC Hamot | Erie | $4,273.20 | $158.09 – $4,782.42 |
| UPMC Jameson | New Castle | $3,688.80 | $158.09 – $4,439.04 |
| UPMC Kane | Kane | $3,071.40 | $158.09 – $1,670.55 |
| UPMC Magee | Pittsburgh | $3,570.00 | $158.09 – $3,551.23 |
| UPMC McKeesport | Mckeesport | $3,787.80 | $158.09 – $3,617.00 |