Respirator motion mgmt simul at UPMC Horizon-Greenville
110 N Main St, Greenville, PA · UPMC · · NPI 1225048838
$1,189.20
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.
$1,982.00
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.
$339.71 with United Healthcare Community Plan for Families vs $2,768.98 with UPMC Health Plan — 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 | $339.71 | ↓ -71% |
| Aetna | Medicaid | $355.88 | ↓ -70% |
| UPMC Health Plan | Managed Medicaid | $355.88 | ↓ -70% |
| United Healthcare Community Plan for Families | Unison Kids | $372.06 | ↓ -69% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity/Managed Care - Social Mission | $434.23 | ↓ -63% |
| Geisinger | Medicaid/CHIP | $449.67 | ↓ -62% |
| Highmark Wholecare (prev Gateway) | Medicaid | $479.79 | ↓ -60% |
| Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $487.88 | ↓ -59% |
| Aetna | Medicare | $495.50 | ↓ -58% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $505.06 | ↓ -58% |
| Highmark BCBS of PA | Commercial - Indemnity/Managed Care | $535.03 | ↓ -55% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $551.36 | ↓ -54% |
| UPMC Work Partners | Workers Comp | $568.09 | ↓ -52% |
| United Healthcare | Compass Exchange | $654.06 | ↓ -45% |
| Anthem Blue Cross Blue Shield | Traditional | $675.86 | ↓ -43% |
| Aetna | Neighborhood Network | $733.34 | ↓ -38% |
| Aetna | Home Depot Employer Group | $757.12 | ↓ -36% |
| Anthem Blue Cross Blue Shield | Blue Access PPO/Blue Preferred HMO/HIC | $771.00 | ↓ -35% |
| Cigna | NBR ASO/FI | $772.98 | ↓ -35% |
| United Healthcare | All Business | $772.98 | ↓ -35% |
| Aetna | NBR ASO/FI | $772.98 | ↓ -35% |
| Cigna | New Business ASO | $772.98 | ↓ -35% |
| Aetna | EBR ASO | $792.80 | ↓ -33% |
| Cigna | EBR | $792.80 | ↓ -33% |
| Cigna | Commercial | $792.80 | ↓ -33% |
| Highmark BCBS of PA | Community Blue Medicare Advantage/Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage/Together Blue Medicare Advantage | $991.00 | ↓ -17% |
| Highmark Wholecare (prev Gateway) | Medicare | $991.00 | ↓ -17% |
| Aetna | EBR FI | $1,189.20 | ↑ +0% |
| UPMC Health Plan | Commercial | $1,285.69 | ↑ +8% |
| InterGroup | PPO | $1,288.30 | ↑ +8% |
| Coventry/First Health | Commercial | $1,308.12 | ↑ +10% |
| Health Coalition Partners | PPO | $1,387.40 | ↑ +17% |
| Private Health Care Systems | PPO | $1,585.60 | ↑ +33% |
| Prime Net | Commercial | $1,625.24 | ↑ +37% |
| Humana | Commercial | $1,684.70 | ↑ +42% |
| UPMC Health Plan | CHIP | $2,768.98 | ↑ +133% |
Visitor-reported prices
Comments
Respirator motion mgmt simul at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $1,374.00 | $223.20 – $1,832.00 |
| UPMC Carlisle | Carlisle | $1,757.40 | $317.11 – $26,132.00 |
| UPMC Community Osteopathic | Harrisburg | $1,757.40 | $317.11 – $2,768.98 |
| UPMC East | Monroeville | $1,189.20 | $225.33 – $1,585.60 |
| UPMC Magee | Pittsburgh | $1,189.20 | $225.33 – $568.09 |
| UPMC McKeesport | Mckeesport | $1,189.20 | $225.33 – $568.09 |
| UPMC Memorial | York | $1,757.40 | $181.92 – $1,978.24 |
| UPMC Passavant-McCandless | Pittsburgh | $1,260.60 | $225.33 – $660.57 |