Repair complex wound scalp/arms/legs 2.6 - 7.5 cm at UPMC Horizon-Greenville
110 N Main St, Greenville, PA · UPMC · · NPI 1225048838
$2,599.80
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.
?
What you pay up front if you don't use insurance.
$4,333.00
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.
?
The hospital's undiscounted list price — almost no one pays this.
$522.49 with UPMC Health Plan vs $3,683.05 with Humana — same scan, same building. Share
Negotiated rates by payer
?
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 →
?
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 |
|---|---|---|---|
| UPMC Health Plan | Managed Medicare | $522.49 | ↓ -80% |
| UPMC Work Partners | Workers Comp | $569.51 | ↓ -78% |
| UPMC Health Plan | EPO Partners/EPO Select Plan/HMO | $600.98 | ↓ -77% |
| Aetna | Medicare | $601.10 | ↓ -77% |
| United Healthcare Community Plan for Families | Unison MedPLUS | $612.77 | ↓ -76% |
| Aetna of PA | Medicare | $612.77 | ↓ -76% |
| United Healthcare Community Plan for Families | Unison Kids | $612.77 | ↓ -76% |
| United Healthcare | Medicare | $624.44 | ↓ -76% |
| Highmark Wholecare (prev Gateway) | Medicare | $630.22 | ↓ -76% |
| Cigna | Medicare | $630.28 | ↓ -76% |
| AmeriHealth Caritas | Medicare | $630.28 | ↓ -76% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $630.28 | ↓ -76% |
| Anthem Blue Cross Blue Shield | Blue Access PPO/Blue Preferred HMO/HIC | $808.00 | ↓ -69% |
| Highmark BCBS of PA | Community Blue Medicare Advantage/Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage/Together Blue Medicare Advantage | $1,095.11 | ↓ -58% |
| United Healthcare | Compass Exchange | $1,429.89 | ↓ -45% |
| UPMC Health Plan | Commercial | $1,440.49 | ↓ -45% |
| Anthem Blue Cross Blue Shield | Traditional | $1,477.55 | ↓ -43% |
| Aetna | Neighborhood Network | $1,603.21 | ↓ -38% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity/Managed Care - Social Mission | $1,628.27 | ↓ -37% |
| Aetna | Home Depot Employer Group | $1,655.21 | ↓ -36% |
| Cigna | New Business ASO | $1,689.87 | ↓ -35% |
| Cigna | NBR ASO/FI | $1,689.87 | ↓ -35% |
| Aetna | NBR ASO/FI | $1,689.87 | ↓ -35% |
| United Healthcare | All Business | $1,689.87 | ↓ -35% |
| Aetna | EBR ASO | $1,733.20 | ↓ -33% |
| Cigna | Commercial | $1,733.20 | ↓ -33% |
| Cigna | EBR | $1,733.20 | ↓ -33% |
| Highmark BCBS of PA | Commercial - Indemnity/Managed Care | $2,006.22 | ↓ -23% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $2,383.15 | ↓ -8% |
| Geisinger | Medicaid/CHIP | $2,383.15 | ↓ -8% |
| Aetna | EBR FI | $2,599.80 | ↑ +0% |
| UPMC Health Plan | CHIP | $2,655.46 | ↑ +2% |
| InterGroup | PPO | $2,816.45 | ↑ +8% |
| Coventry/First Health | Commercial | $2,859.78 | ↑ +10% |
| Health Coalition Partners | PPO | $3,033.10 | ↑ +17% |
| Private Health Care Systems | PPO | $3,466.40 | ↑ +33% |
| Prime Net | Commercial | $3,553.06 | ↑ +37% |
| Humana | Commercial | $3,683.05 | ↑ +42% |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
Visitor-reported prices
Comments
Repair complex wound scalp/arms/legs 2.6 - 7.5 cm at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $1,402.20 | $577.06 – $1,869.60 |
| UPMC Bedford | Everett | $1,863.00 | $210.56 – $2,794.50 |
| UPMC Carlisle | Carlisle | $1,664.40 | $322.07 – $2,357.90 |
| UPMC Cole | Coudersport | $1,941.60 | $195.70 – $1,192.92 |
| UPMC Community Osteopathic | Harrisburg | $1,664.40 | $554.80 – $2,655.46 |
| UPMC East | Monroeville | $3,504.60 | $585.17 – $4,672.80 |
| UPMC Hamot | Erie | $3,582.60 | $603.82 – $848.80 |
| UPMC Northwest | Seneca | $5,299.20 | $529.26 – $630.28 |