Small bowel endoscopy at UPMC Horizon-Greenville
110 N Main St, Greenville, PA · UPMC · · NPI 1225048838
$3,080.40
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.
$5,134.00
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.
$228.25 with UPMC Health Plan vs $4,363.90 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 |
|---|---|---|---|
| UPMC Health Plan | Managed Medicaid | $228.25 | ↓ -93% |
| Aetna | Medicaid | $228.25 | ↓ -93% |
| Geisinger | Medicaid/CHIP | $288.40 | ↓ -91% |
| Highmark Wholecare (prev Gateway) | Medicaid | $307.72 | ↓ -90% |
| Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $312.91 | ↓ -90% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $323.93 | ↓ -89% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $353.62 | ↓ -89% |
| Anthem Blue Cross Blue Shield | Blue Access PPO/Blue Preferred HMO/HIC | $699.00 | ↓ -77% |
| UPMC Work Partners | Workers Comp | $960.27 | ↓ -69% |
| UPMC Health Plan | Commercial | $1,255.92 | ↓ -59% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity/Managed Care - Social Mission | $1,419.79 | ↓ -54% |
| UPMC Health Plan | Managed Medicare | $1,619.19 | ↓ -47% |
| United Healthcare | Compass Exchange | $1,694.22 | ↓ -45% |
| Highmark BCBS of PA | Commercial - Indemnity/Managed Care | $1,749.36 | ↓ -43% |
| Anthem Blue Cross Blue Shield | Traditional | $1,750.69 | ↓ -43% |
| UPMC Health Plan | EPO Partners/EPO Select Plan/HMO | $1,862.44 | ↓ -40% |
| Aetna | Medicare | $1,862.81 | ↓ -40% |
| United Healthcare Community Plan for Families | Unison MedPLUS | $1,898.98 | ↓ -38% |
| United Healthcare Community Plan for Families | Unison Kids | $1,898.98 | ↓ -38% |
| Aetna of PA | Medicare | $1,898.98 | ↓ -38% |
| Aetna | Neighborhood Network | $1,899.58 | ↓ -38% |
| United Healthcare | Medicare | $1,935.15 | ↓ -37% |
| Highmark Wholecare (prev Gateway) | Medicare | $1,953.05 | ↓ -37% |
| AmeriHealth Caritas | Medicare | $1,953.23 | ↓ -37% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $1,953.23 | ↓ -37% |
| Cigna | Medicare | $1,953.23 | ↓ -37% |
| Aetna | Home Depot Employer Group | $1,961.19 | ↓ -36% |
| Cigna | NBR ASO/FI | $2,002.26 | ↓ -35% |
| United Healthcare | All Business | $2,002.26 | ↓ -35% |
| Aetna | NBR ASO/FI | $2,002.26 | ↓ -35% |
| Cigna | New Business ASO | $2,002.26 | ↓ -35% |
| Aetna | EBR ASO | $2,053.60 | ↓ -33% |
| Cigna | Commercial | $2,053.60 | ↓ -33% |
| Cigna | EBR | $2,053.60 | ↓ -33% |
| UPMC Health Plan | CHIP | $2,315.21 | ↓ -25% |
| Aetna | EBR FI | $3,080.40 | ↑ +0% |
| InterGroup | PPO | $3,337.10 | ↑ +8% |
| Coventry/First Health | Commercial | $3,388.44 | ↑ +10% |
| Highmark BCBS of PA | Community Blue Medicare Advantage/Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage/Together Blue Medicare Advantage | $3,393.74 | ↑ +10% |
| Health Coalition Partners | PPO | $3,593.80 | ↑ +17% |
| Private Health Care Systems | PPO | $4,107.20 | ↑ +33% |
| Prime Net | Commercial | $4,209.88 | ↑ +37% |
| Humana | Commercial | $4,363.90 | ↑ +42% |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
Visitor-reported prices
Comments
Small bowel endoscopy at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $3,598.80 | $207.50 – $4,798.40 |
| UPMC Cole | Coudersport | $723.00 | $217.88 – $1,041.88 |
| UPMC East | Monroeville | $3,055.20 | $228.25 – $4,073.60 |
| UPMC Hamot | Erie | $3,123.00 | $228.25 – $2,630.42 |
| UPMC Jameson | New Castle | $3,080.40 | $228.25 – $2,441.54 |
| UPMC Magee | Pittsburgh | $5,236.20 | $228.25 – $1,953.23 |
| UPMC McKeesport | Mckeesport | $3,166.80 | $228.25 – $1,989.40 |
| UPMC Mercy | Pittsburgh | $1,843.20 | $228.25 – $1,989.40 |