Procainamide 100 mg/ml injection (wrapper) at UPMC Horizon-Greenville
110 N Main St, Greenville, PA · UPMC · · NPI 1225048838
$52.00
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.
$65.00
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.
$22.10 with United Healthcare vs $552.99 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 |
|---|---|---|---|
| United Healthcare | Compass Exchange | $22.10 | ↓ -58% |
| Anthem Blue Cross Blue Shield | Traditional | $22.16 | ↓ -57% |
| Aetna | Neighborhood Network | $24.05 | ↓ -54% |
| Aetna | Home Depot Employer Group | $24.83 | ↓ -52% |
| Anthem Blue Cross Blue Shield | Blue Access PPO/Blue Preferred HMO/HIC | $25.29 | ↓ -51% |
| Aetna | NBR ASO/FI | $25.35 | ↓ -51% |
| Cigna | New Business ASO | $25.35 | ↓ -51% |
| Cigna | NBR ASO/FI | $25.35 | ↓ -51% |
| Aetna | EBR ASO | $26.00 | ↓ -50% |
| Cigna | Commercial | $26.00 | ↓ -50% |
| United Healthcare | All Business | $26.00 | ↓ -50% |
| Cigna | EBR | $26.00 | ↓ -50% |
| UPMC Work Partners | Workers Comp | $33.30 | ↓ -36% |
| Aetna | EBR FI | $39.00 | ↓ -25% |
| InterGroup | PPO | $42.25 | ↓ -19% |
| Coventry/First Health | Commercial | $42.90 | ↓ -18% |
| Health Coalition Partners | PPO | $45.50 | ↓ -13% |
| Private Health Care Systems | PPO | $52.00 | ↑ +0% |
| Prime Net | Commercial | $53.30 | ↑ +3% |
| Humana | Commercial | $55.25 | ↑ +6% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity/Managed Care - Social Mission | $63.05 | ↑ +21% |
| Highmark BCBS of PA | Commercial - Indemnity/Managed Care | $77.68 | ↑ +49% |
| UPMC Health Plan | CHIP | $169.78 | ↑ +227% |
| UPMC Health Plan | Managed Medicaid | $186.07 | ↑ +258% |
| UPMC Health Plan | Managed Medicare | $263.84 | ↑ +407% |
| Highmark Wholecare (prev Gateway) | Medicaid | $294.69 | ↑ +467% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $294.69 | ↑ +467% |
| Geisinger | Medicaid/CHIP | $294.69 | ↑ +467% |
| UPMC Health Plan | EPO Partners/EPO Select Plan/HMO | $303.47 | ↑ +484% |
| Aetna | Medicare | $303.53 | ↑ +484% |
| Aetna of PA | Medicare | $309.42 | ↑ +495% |
| United Healthcare Community Plan for Families | Unison Kids | $309.42 | ↑ +495% |
| United Healthcare Community Plan for Families | Unison MedPLUS | $309.42 | ↑ +495% |
| United Healthcare | Medicare | $315.32 | ↑ +506% |
| Highmark Wholecare (prev Gateway) | Medicare | $318.24 | ↑ +512% |
| Cigna | Medicare | $318.27 | ↑ +512% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $318.27 | ↑ +512% |
| AmeriHealth Caritas | Medicare | $318.27 | ↑ +512% |
| UPMC Health Plan | Commercial | $362.47 | ↑ +597% |
| Highmark BCBS of PA | Community Blue Medicare Advantage/Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage/Together Blue Medicare Advantage | $552.99 | ↑ +963% |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
Visitor-reported prices
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Procainamide 100 mg/ml injection (wrapper) at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $216.00 | $24.74 – $315.32 |
| UPMC Carlisle | Carlisle | $36.00 | $1.23 – $471.50 |
| UPMC Cole | Coudersport | $106.20 | $2.49 – $294.69 |
| UPMC Community Osteopathic | Harrisburg | $36.00 | $1.80 – $362.47 |
| UPMC East | Monroeville | $148.80 | $16.62 – $309.42 |
| UPMC Hamot | Erie | $222.40 | $24.74 – $318.27 |
| UPMC Hanover | Hanover | $36.00 | $206.31 – $471.50 |
| UPMC Jameson | New Castle | $200.00 | $25.18 – $368.36 |