Surgical pathology level 2 gross & microscopic examination at UPMC Horizon-Greenville
110 N Main St, Greenville, PA · UPMC · · NPI 1225048838
$142.20
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.
$237.00
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.
$9.76 with UPMC Health Plan vs $201.45 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 | Commercial | $9.76 | ↓ -93% |
| Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $11.29 | ↓ -92% |
| UPMC Health Plan | Managed Medicaid | $12.42 | ↓ -91% |
| Aetna | Medicaid | $12.42 | ↓ -91% |
| Geisinger | Medicaid/CHIP | $15.69 | ↓ -89% |
| Highmark Wholecare (prev Gateway) | Medicaid | $16.74 | ↓ -88% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $17.62 | ↓ -88% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $19.24 | ↓ -86% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity/Managed Care - Social Mission | $25.34 | ↓ -82% |
| Highmark BCBS of PA | Commercial - Indemnity/Managed Care | $31.21 | ↓ -78% |
| UPMC Health Plan | Managed Medicare | $33.50 | ↓ -76% |
| UPMC Health Plan | CHIP | $35.06 | ↓ -75% |
| Aetna | Medicare | $38.54 | ↓ -73% |
| UPMC Health Plan | EPO Partners/EPO Select Plan/HMO | $38.54 | ↓ -73% |
| United Healthcare Community Plan for Families | Unison MedPLUS | $39.29 | ↓ -72% |
| Aetna of PA | Medicare | $39.29 | ↓ -72% |
| United Healthcare Community Plan for Families | Unison Kids | $39.29 | ↓ -72% |
| United Healthcare | Medicare | $40.04 | ↓ -72% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $40.41 | ↓ -72% |
| AmeriHealth Caritas | Medicare | $40.41 | ↓ -72% |
| Cigna | Medicare | $40.41 | ↓ -72% |
| Highmark Wholecare (prev Gateway) | Medicare | $40.41 | ↓ -72% |
| UPMC Work Partners | Workers Comp | $65.94 | ↓ -54% |
| Highmark BCBS of PA | Community Blue Medicare Advantage/Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage/Together Blue Medicare Advantage | $70.22 | ↓ -51% |
| United Healthcare | Compass Exchange | $78.21 | ↓ -45% |
| Anthem Blue Cross Blue Shield | Traditional | $80.82 | ↓ -43% |
| Aetna | Neighborhood Network | $87.69 | ↓ -38% |
| Aetna | Home Depot Employer Group | $90.53 | ↓ -36% |
| Anthem Blue Cross Blue Shield | Blue Access PPO/Blue Preferred HMO/HIC | $92.19 | ↓ -35% |
| Aetna | NBR ASO/FI | $92.43 | ↓ -35% |
| Cigna | NBR ASO/FI | $92.43 | ↓ -35% |
| Cigna | New Business ASO | $92.43 | ↓ -35% |
| United Healthcare | All Business | $92.43 | ↓ -35% |
| Aetna | EBR ASO | $94.80 | ↓ -33% |
| Cigna | Commercial | $94.80 | ↓ -33% |
| Cigna | EBR | $94.80 | ↓ -33% |
| Aetna | EBR FI | $142.20 | ↑ +0% |
| InterGroup | PPO | $154.05 | ↑ +8% |
| Coventry/First Health | Commercial | $156.42 | ↑ +10% |
| Health Coalition Partners | PPO | $165.90 | ↑ +17% |
| Private Health Care Systems | PPO | $189.60 | ↑ +33% |
| Prime Net | Commercial | $194.34 | ↑ +37% |
| Humana | Commercial | $201.45 | ↑ +42% |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
Visitor-reported prices
Comments
Surgical pathology level 2 gross & microscopic examination at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $128.40 | $5.00 – $171.20 |
| UPMC Bedford | Everett | $49.80 | $9.78 – $74.70 |
| UPMC Carlisle | Carlisle | $54.60 | $6.55 – $77.35 |
| UPMC Cole | Coudersport | $110.40 | $11.85 – $147.20 |
| UPMC Community Osteopathic | Harrisburg | $54.60 | $6.55 – $77.35 |
| UPMC East | Monroeville | $121.20 | $9.64 – $161.60 |
| UPMC Hamot | Erie | $138.00 | $11.29 – $70.24 |
| UPMC Northwest | Seneca | $67.20 | $9.73 – $65.94 |