System pcmkr dual chamber leadless micra av2 intrdcr cath at UPMC Horizon-Greenville
110 N Main St, Greenville, PA · UPMC · · NPI 1225048838
$6,763.80
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.
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What you pay up front if you don't use insurance.
$11,273.00
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.
$2,141.87 with Health Partners Plans (Jefferson Health Plan) vs $24,748.34 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 |
|---|---|---|---|
| Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $2,141.87 | ↓ -68% |
| Aetna | Medicare | $2,818.25 | ↓ -58% |
| Highmark Wholecare (prev Gateway) | Medicaid | $3,381.90 | ↓ -50% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $3,720.09 | ↓ -45% |
| United Healthcare | Compass Exchange | $3,720.09 | ↓ -45% |
| Geisinger | Medicaid/CHIP | $3,720.09 | ↓ -45% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $3,813.66 | ↓ -44% |
| Anthem Blue Cross Blue Shield | Traditional | $3,844.09 | ↓ -43% |
| Aetna | Neighborhood Network | $4,171.01 | ↓ -38% |
| Aetna | Home Depot Employer Group | $4,306.29 | ↓ -36% |
| Anthem Blue Cross Blue Shield | Blue Access PPO/Blue Preferred HMO/HIC | $4,385.20 | ↓ -35% |
| Aetna | NBR ASO/FI | $4,396.47 | ↓ -35% |
| Cigna | NBR ASO/FI | $4,396.47 | ↓ -35% |
| Cigna | New Business ASO | $4,396.47 | ↓ -35% |
| United Healthcare | All Business | $4,396.47 | ↓ -35% |
| Cigna | EBR | $4,509.20 | ↓ -33% |
| Cigna | Commercial | $4,509.20 | ↓ -33% |
| Aetna | EBR ASO | $4,509.20 | ↓ -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 | $5,636.50 | ↓ -17% |
| Highmark Wholecare (prev Gateway) | Medicare | $5,636.50 | ↓ -17% |
| Aetna | EBR FI | $6,763.80 | ↑ +0% |
| InterGroup | PPO | $7,327.45 | ↑ +8% |
| Coventry/First Health | Commercial | $7,440.18 | ↑ +10% |
| Health Coalition Partners | PPO | $7,891.10 | ↑ +17% |
| Private Health Care Systems | PPO | $9,018.40 | ↑ +33% |
| Prime Net | Commercial | $9,243.86 | ↑ +37% |
| Humana | Commercial | $9,582.05 | ↑ +42% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity/Managed Care - Social Mission | $11,165.53 | ↑ +65% |
| Highmark BCBS of PA | Commercial - Indemnity/Managed Care | $13,755.81 | ↑ +103% |
| UPMC Health Plan | CHIP | $18,468.91 | ↑ +173% |
| UPMC Health Plan | Commercial | $24,748.34 | ↑ +266% |
| UPMC Work Partners | Workers Comp | not published by hospital | — |
Visitor-reported prices
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System pcmkr dual chamber leadless micra av2 intrdcr cath at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $11,250.00 | $0.19 – $18,468.91 |
| UPMC Bedford | Everett | $9,612.00 | $1,998.99 – $18,468.91 |
| UPMC Cole | Coudersport | $6,752.40 | $2,138.26 – $9,003.20 |
| UPMC Community Osteopathic | Harrisburg | $9,256.80 | $3,085.60 – $23,061.01 |
| UPMC East | Monroeville | $25,932.00 | $4,422.80 – $21,512.80 |
| UPMC Hamot | Erie | $24,756.60 | $4,381.08 – $4,381.08 |
| UPMC Northwest | Seneca | $7,169.40 | $11,370.59 – $22,349.03 |
| UPMC Jameson | New Castle | $7,450.20 | $275.42 – $18,468.91 |