Tomosynthesis breast diagnostic left at UPMC Horizon-Greenville
110 N Main St, Greenville, PA · UPMC · · NPI 1225048838
$123.00
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.
$205.00
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.
$31.50 with Highmark BCBS of PA vs $131.75 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 |
|---|---|---|---|
| Highmark BCBS of PA | Commercial - Social Mission Indemnity/Managed Care - Social Mission | $31.50 | ↓ -74% |
| Aetna | Medicare | $38.75 | ↓ -68% |
| Highmark BCBS of PA | Commercial - Indemnity/Managed Care | $38.81 | ↓ -68% |
| United Healthcare Community Plan for Families | Unison MedPLUS | $45.69 | ↓ -63% |
| UPMC Health Plan | Managed Medicaid | $47.86 | ↓ -61% |
| Aetna | Medicaid | $47.86 | ↓ -61% |
| Anthem Blue Cross Blue Shield | Blue Access PPO/Blue Preferred HMO/HIC | $49.00 | ↓ -60% |
| United Healthcare Community Plan for Families | Unison Kids | $50.04 | ↓ -59% |
| United Healthcare | Compass Exchange | $51.15 | ↓ -58% |
| Anthem Blue Cross Blue Shield | Traditional | $52.85 | ↓ -57% |
| UPMC Health Plan | CHIP | $54.25 | ↓ -56% |
| Aetna | Neighborhood Network | $57.35 | ↓ -53% |
| Aetna | Home Depot Employer Group | $59.21 | ↓ -52% |
| Cigna | NBR ASO/FI | $60.45 | ↓ -51% |
| United Healthcare | All Business | $60.45 | ↓ -51% |
| Aetna | NBR ASO/FI | $60.45 | ↓ -51% |
| Cigna | New Business ASO | $60.45 | ↓ -51% |
| Geisinger | Medicaid/CHIP | $60.47 | ↓ -51% |
| Cigna | EBR | $62.00 | ↓ -50% |
| Cigna | Commercial | $62.00 | ↓ -50% |
| Aetna | EBR ASO | $62.00 | ↓ -50% |
| Highmark Wholecare (prev Gateway) | Medicaid | $64.53 | ↓ -48% |
| Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $65.61 | ↓ -47% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $67.92 | ↓ -45% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $74.15 | ↓ -40% |
| UPMC Health Plan | Commercial | $76.03 | ↓ -38% |
| Highmark BCBS of PA | Community Blue Medicare Advantage/Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage/Together Blue Medicare Advantage | $77.50 | ↓ -37% |
| Highmark Wholecare (prev Gateway) | Medicare | $77.50 | ↓ -37% |
| Aetna | EBR FI | $93.00 | ↓ -24% |
| InterGroup | PPO | $100.75 | ↓ -18% |
| Coventry/First Health | Commercial | $102.30 | ↓ -17% |
| Health Coalition Partners | PPO | $108.50 | ↓ -12% |
| Private Health Care Systems | PPO | $124.00 | ↑ +1% |
| Prime Net | Commercial | $127.10 | ↑ +3% |
| Humana | Commercial | $131.75 | ↑ +7% |
| UPMC Work Partners | Workers Comp | not published by hospital | — |
Visitor-reported prices
Comments
Tomosynthesis breast diagnostic left at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $123.00 | $16.19 – $124.00 |
| UPMC Bedford | Everett | $123.00 | $38.75 – $139.50 |
| UPMC Carlisle | Carlisle | $65.40 | $14.93 – $92.65 |
| UPMC Community Osteopathic | Harrisburg | $65.40 | $21.80 – $92.65 |
| UPMC Hamot | Erie | $123.00 | $16.19 – $74.15 |
| UPMC Northwest | Seneca | $123.00 | $42.02 – $74.15 |
| UPMC Hanover | Hanover | $65.40 | $25.22 – $74.15 |
| UPMC Jameson | New Castle | $123.00 | $16.48 – $74.15 |