Removal of hip foreign body 27087 at UPMC Horizon-Greenville
110 N Main St, Greenville, PA · UPMC · · NPI 1225048838
$3,645.60
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.
$6,076.00
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.
$71.50 with Aetna vs $5,804.67 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 | $71.50 | ↓ -98% |
| UPMC Health Plan | Managed Medicaid | $71.50 | ↓ -98% |
| Geisinger | Medicaid/CHIP | $90.34 | ↓ -98% |
| Highmark Wholecare (prev Gateway) | Medicaid | $96.39 | ↓ -97% |
| Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $98.02 | ↓ -97% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $101.47 | ↓ -97% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $110.77 | ↓ -97% |
| Anthem Blue Cross Blue Shield | Blue Access PPO/Blue Preferred HMO/HIC | $808.00 | ↓ -78% |
| UPMC Work Partners | Workers Comp | $993.28 | ↓ -73% |
| UPMC Health Plan | Commercial | $1,430.38 | ↓ -61% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity/Managed Care - Social Mission | $1,628.27 | ↓ -55% |
| United Healthcare | Compass Exchange | $2,005.08 | ↓ -45% |
| Highmark BCBS of PA | Commercial - Indemnity/Managed Care | $2,006.22 | ↓ -45% |
| Anthem Blue Cross Blue Shield | Traditional | $2,071.92 | ↓ -43% |
| Aetna | Neighborhood Network | $2,248.12 | ↓ -38% |
| Aetna | Home Depot Employer Group | $2,321.03 | ↓ -36% |
| Cigna | NBR ASO/FI | $2,369.64 | ↓ -35% |
| United Healthcare | All Business | $2,369.64 | ↓ -35% |
| Aetna | NBR ASO/FI | $2,369.64 | ↓ -35% |
| Cigna | New Business ASO | $2,369.64 | ↓ -35% |
| Aetna | EBR ASO | $2,430.40 | ↓ -33% |
| Cigna | EBR | $2,430.40 | ↓ -33% |
| Cigna | Commercial | $2,430.40 | ↓ -33% |
| UPMC Health Plan | CHIP | $2,636.82 | ↓ -28% |
| UPMC Health Plan | Managed Medicare | $2,769.48 | ↓ -24% |
| UPMC Health Plan | EPO Partners/EPO Select Plan/HMO | $3,185.53 | ↓ -13% |
| Aetna | Medicare | $3,186.15 | ↓ -13% |
| United Healthcare Community Plan for Families | Unison MedPLUS | $3,248.02 | ↓ -11% |
| Aetna of PA | Medicare | $3,248.02 | ↓ -11% |
| United Healthcare Community Plan for Families | Unison Kids | $3,248.02 | ↓ -11% |
| United Healthcare | Medicare | $3,309.88 | ↓ -9% |
| Highmark Wholecare (prev Gateway) | Medicare | $3,340.51 | ↓ -8% |
| Cigna | Medicare | $3,340.82 | ↓ -8% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $3,340.82 | ↓ -8% |
| AmeriHealth Caritas | Medicare | $3,340.82 | ↓ -8% |
| Aetna | EBR FI | $3,645.60 | ↑ +0% |
| InterGroup | PPO | $3,949.40 | ↑ +8% |
| Coventry/First Health | Commercial | $4,010.16 | ↑ +10% |
| Health Coalition Partners | PPO | $4,253.20 | ↑ +17% |
| Private Health Care Systems | PPO | $4,860.80 | ↑ +33% |
| Prime Net | Commercial | $4,982.32 | ↑ +37% |
| Humana | Commercial | $5,164.60 | ↑ +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 | $5,804.67 | ↑ +59% |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
Visitor-reported prices
Comments
Removal of hip foreign body 27087 at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $5,152.80 | $65.00 – $6,870.40 |
| UPMC Bedford | Everett | $5,247.60 | $68.25 – $7,871.40 |
| UPMC East | Monroeville | $4,669.80 | $71.50 – $6,226.40 |
| UPMC Hamot | Erie | $4,596.00 | $71.50 – $4,499.05 |
| UPMC Northwest | Seneca | $5,009.40 | $71.50 – $3,248.02 |
| UPMC Jameson | New Castle | $3,645.60 | $71.50 – $4,176.02 |
| UPMC Magee | Pittsburgh | $3,961.20 | $71.50 – $3,340.82 |
| UPMC McKeesport | Mckeesport | $4,303.80 | $71.50 – $3,402.68 |