Tgsap so/hl 51/< rna alys at UPMC Horizon-Greenville
110 N Main St, Greenville, PA · UPMC · · NPI 1225048838
$8,138.40
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.
?
What you pay up front if you don't use insurance.
$13,564.00
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.
?
The hospital's undiscounted list price — almost no one pays this.
$1,186.68 with United Healthcare vs $5,478.63 with Highmark BCBS of PA — same scan, same building. Share
Negotiated rates by payer
?
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 →
?
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 | Compass Exchange | $1,186.68 | ↓ -85% |
| Anthem Blue Cross Blue Shield | Traditional | $1,226.24 | ↓ -85% |
| UPMC Health Plan | CHIP | $1,258.60 | ↓ -85% |
| Aetna | Neighborhood Network | $1,330.52 | ↓ -84% |
| Aetna | Home Depot Employer Group | $1,373.67 | ↓ -83% |
| Anthem Blue Cross Blue Shield | Blue Access PPO/Blue Preferred HMO/HIC | $1,398.84 | ↓ -83% |
| United Healthcare | All Business | $1,402.44 | ↓ -83% |
| Cigna | New Business ASO | $1,402.44 | ↓ -83% |
| Cigna | NBR ASO/FI | $1,402.44 | ↓ -83% |
| Aetna | NBR ASO/FI | $1,402.44 | ↓ -83% |
| Cigna | EBR | $1,438.40 | ↓ -82% |
| Cigna | Commercial | $1,438.40 | ↓ -82% |
| Aetna | EBR ASO | $1,438.40 | ↓ -82% |
| UPMC Health Plan | Commercial | $1,763.84 | ↓ -78% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity/Managed Care - Social Mission | $1,881.63 | ↓ -77% |
| Aetna | EBR FI | $2,157.60 | ↓ -73% |
| Highmark BCBS of PA | Commercial - Indemnity/Managed Care | $2,318.10 | ↓ -72% |
| Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $2,335.68 | ↓ -71% |
| InterGroup | PPO | $2,337.40 | ↓ -71% |
| Coventry/First Health | Commercial | $2,373.36 | ↓ -71% |
| Health Coalition Partners | PPO | $2,517.20 | ↓ -69% |
| UPMC Health Plan | Managed Medicaid | $2,569.25 | ↓ -68% |
| Aetna | Medicaid | $2,569.25 | ↓ -68% |
| UPMC Health Plan | Managed Medicare | $2,613.92 | ↓ -68% |
| Private Health Care Systems | PPO | $2,876.80 | ↓ -65% |
| UPMC Work Partners | Workers Comp | $2,885.51 | ↓ -65% |
| Prime Net | Commercial | $2,948.72 | ↓ -64% |
| UPMC Health Plan | EPO Partners/EPO Select Plan/HMO | $3,006.60 | ↓ -63% |
| Aetna | Medicare | $3,007.19 | ↓ -63% |
| Humana | Commercial | $3,056.60 | ↓ -62% |
| United Healthcare Community Plan for Families | Unison Kids | $3,065.58 | ↓ -62% |
| United Healthcare Community Plan for Families | Unison MedPLUS | $3,065.58 | ↓ -62% |
| Aetna of PA | Medicare | $3,065.58 | ↓ -62% |
| United Healthcare | Medicare | $3,123.97 | ↓ -62% |
| Highmark Wholecare (prev Gateway) | Medicare | $3,152.88 | ↓ -61% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $3,153.17 | ↓ -61% |
| AmeriHealth Caritas | Medicare | $3,153.17 | ↓ -61% |
| Cigna | Medicare | $3,153.17 | ↓ -61% |
| Geisinger | Medicaid/CHIP | $3,246.36 | ↓ -60% |
| Highmark Wholecare (prev Gateway) | Medicaid | $3,463.81 | ↓ -57% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $3,646.23 | ↓ -55% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $3,980.47 | ↓ -51% |
| Highmark BCBS of PA | Community Blue Medicare Advantage/Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage/Together Blue Medicare Advantage | $5,478.63 | ↓ -33% |
Visitor-reported prices
Comments
Tgsap so/hl 51/< rna alys at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $2,116.80 | $1,163.68 – $3,153.17 |
| UPMC Bedford | Everett | $2,157.60 | $1,053.39 – $3,246.36 |
| UPMC East | Monroeville | $8,626.80 | $1,174.76 – $3,246.36 |
| UPMC Hamot | Erie | $2,157.60 | $1,163.68 – $3,246.36 |
| UPMC Jameson | New Castle | $2,157.60 | $1,184.22 – $3,153.17 |
| UPMC Magee | Pittsburgh | $8,626.80 | $1,174.76 – $3,980.47 |
| UPMC McKeesport | Mckeesport | $2,287.20 | $1,174.76 – $3,211.56 |
| UPMC Mercy | Pittsburgh | $2,157.60 | $1,163.68 – $3,211.56 |