Pulse ox single at UPMC Horizon-Greenville
110 N Main St, Greenville, PA · UPMC · · NPI 1225048838
$52.20
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.
$87.00
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.
$2.08 with United Healthcare Community Plan for Families vs $73.95 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 | $2.08 | ↓ -96% |
| UPMC Health Plan | Managed Medicaid | $2.18 | ↓ -96% |
| Aetna | Medicaid | $2.18 | ↓ -96% |
| United Healthcare Community Plan for Families | Unison Kids | $2.28 | ↓ -96% |
| Geisinger | Medicaid/CHIP | $2.75 | ↓ -95% |
| Highmark Wholecare (prev Gateway) | Medicaid | $2.94 | ↓ -94% |
| Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $2.99 | ↓ -94% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $3.09 | ↓ -94% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $3.37 | ↓ -94% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity/Managed Care - Social Mission | $17.09 | ↓ -67% |
| UPMC Work Partners | Workers Comp | $19.37 | ↓ -63% |
| Highmark BCBS of PA | Commercial - Indemnity/Managed Care | $21.05 | ↓ -60% |
| Aetna | Medicare | $21.75 | ↓ -58% |
| United Healthcare | Compass Exchange | $28.71 | ↓ -45% |
| UPMC Health Plan | CHIP | $29.46 | ↓ -44% |
| Anthem Blue Cross Blue Shield | Traditional | $29.67 | ↓ -43% |
| Aetna | Neighborhood Network | $32.19 | ↓ -38% |
| Aetna | Home Depot Employer Group | $33.23 | ↓ -36% |
| Anthem Blue Cross Blue Shield | Blue Access PPO/Blue Preferred HMO/HIC | $33.84 | ↓ -35% |
| United Healthcare | All Business | $33.93 | ↓ -35% |
| Cigna | New Business ASO | $33.93 | ↓ -35% |
| Cigna | NBR ASO/FI | $33.93 | ↓ -35% |
| Aetna | NBR ASO/FI | $33.93 | ↓ -35% |
| Aetna | EBR ASO | $34.80 | ↓ -33% |
| Cigna | Commercial | $34.80 | ↓ -33% |
| Cigna | EBR | $34.80 | ↓ -33% |
| UPMC Health Plan | Commercial | $39.47 | ↓ -24% |
| Highmark BCBS of PA | Community Blue Medicare Advantage/Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage/Together Blue Medicare Advantage | $43.50 | ↓ -17% |
| Highmark Wholecare (prev Gateway) | Medicare | $43.50 | ↓ -17% |
| Aetna | EBR FI | $52.20 | ↑ +0% |
| InterGroup | PPO | $56.55 | ↑ +8% |
| Coventry/First Health | Commercial | $57.42 | ↑ +10% |
| Health Coalition Partners | PPO | $60.90 | ↑ +17% |
| Private Health Care Systems | PPO | $69.60 | ↑ +33% |
| Prime Net | Commercial | $71.34 | ↑ +37% |
| Humana | Commercial | $73.95 | ↑ +42% |
Visitor-reported prices
Comments
Pulse ox single at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $59.40 | $1.98 – $79.20 |
| UPMC Bedford | Everett | $27.00 | $2.08 – $40.50 |
| UPMC Carlisle | Carlisle | $98.40 | $2.51 – $613.00 |
| UPMC Cole | Coudersport | $20.40 | $2.08 – $27.20 |
| UPMC Community Osteopathic | Harrisburg | $98.40 | $2.51 – $139.40 |
| UPMC East | Monroeville | $36.00 | $2.18 – $48.00 |
| UPMC Hamot | Erie | $55.80 | $2.18 – $20.49 |
| UPMC Northwest | Seneca | $33.00 | $2.18 – $19.37 |