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Sleep Study (Polysomnography) at UPMC Horizon-Greenville
110 N Main St, Greenville, PA · UPMC · · NPI 1225048838
$3,986.40
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.
$6,644.00
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.
$363.89 with United Healthcare Community Plan for Families vs $5,647.40 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 | $363.89 | ↓ -91% |
| UPMC Health Plan | Managed Medicaid | $381.22 | ↓ -90% |
| Aetna | Medicaid | $381.22 | ↓ -90% |
| United Healthcare Community Plan for Families | Unison Kids | $398.54 | ↓ -90% |
| Geisinger | Medicaid/CHIP | $481.68 | ↓ -88% |
| Highmark Wholecare (prev Gateway) | Medicaid | $513.95 | ↓ -87% |
| Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $522.61 | ↓ -87% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $541.01 | ↓ -86% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $590.61 | ↓ -85% |
| UPMC Health Plan | Managed Medicare | $868.41 | ↓ -78% |
| UPMC Health Plan | CHIP | $944.22 | ↓ -76% |
| UPMC Work Partners | Workers Comp | $968.04 | ↓ -76% |
| UPMC Health Plan | EPO Partners/EPO Select Plan/HMO | $998.86 | ↓ -75% |
| Aetna | Medicare | $999.06 | ↓ -75% |
| Aetna of PA | Medicare | $1,018.46 | ↓ -74% |
| United Healthcare | Medicare | $1,037.86 | ↓ -74% |
| Highmark Wholecare (prev Gateway) | Medicare | $1,047.46 | ↓ -74% |
| AmeriHealth Caritas | Medicare | $1,047.56 | ↓ -74% |
| Cigna | Medicare | $1,047.56 | ↓ -74% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $1,047.56 | ↓ -74% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity/Managed Care - Social Mission | $1,223.73 | ↓ -69% |
| UPMC Health Plan | Commercial | $1,265.25 | ↓ -68% |
| Highmark BCBS of PA | Commercial - Indemnity/Managed Care | $1,507.55 | ↓ -62% |
| Highmark BCBS of PA | Community Blue Medicare Advantage/Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage/Together Blue Medicare Advantage | $1,820.13 | ↓ -54% |
| United Healthcare | Compass Exchange | $2,192.52 | ↓ -45% |
| Anthem Blue Cross Blue Shield | Traditional | $2,265.60 | ↓ -43% |
| Aetna | Neighborhood Network | $2,458.28 | ↓ -38% |
| Aetna | Home Depot Employer Group | $2,538.01 | ↓ -36% |
| Anthem Blue Cross Blue Shield | Blue Access PPO/Blue Preferred HMO/HIC | $2,584.52 | ↓ -35% |
| Cigna | NBR ASO/FI | $2,591.16 | ↓ -35% |
| Aetna | NBR ASO/FI | $2,591.16 | ↓ -35% |
| Cigna | New Business ASO | $2,591.16 | ↓ -35% |
| United Healthcare | All Business | $2,591.16 | ↓ -35% |
| Cigna | EBR | $2,657.60 | ↓ -33% |
| Cigna | Commercial | $2,657.60 | ↓ -33% |
| Aetna | EBR ASO | $2,657.60 | ↓ -33% |
| Aetna | EBR FI | $3,986.40 | ↑ +0% |
| InterGroup | PPO | $4,318.60 | ↑ +8% |
| Coventry/First Health | Commercial | $4,385.04 | ↑ +10% |
| Health Coalition Partners | PPO | $4,650.80 | ↑ +17% |
| Private Health Care Systems | PPO | $5,315.20 | ↑ +33% |
| Prime Net | Commercial | $5,448.08 | ↑ +37% |
| Humana | Commercial | $5,647.40 | ↑ +42% |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
Visitor-reported prices
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Sleep Study (Polysomnography) at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Passavant-McCandless | Pittsburgh | $8,373.60 | $381.22 – $11,862.60 |
| UPMC Hamot | Erie | $2,098.80 | $281.14 – $2,448.60 |
| UPMC Carlisle | Carlisle | $4,279.20 | $354.12 – $5,320.15 |
| UPMC Altoona | Altoona | $2,265.00 | $270.32 – $3,020.00 |
| UPMC Bedford | Everett | $3,163.20 | $349.96 – $4,744.80 |
| UPMC Hanover | Hanover | $4,279.20 | $354.12 – $5,445.33 |
| UPMC Lititz | Lititz | $4,279.20 | $354.12 – $5,320.15 |
| UPMC Magee | Pittsburgh | $8,373.60 | $381.22 – $12,839.52 |