Ultrasound dx ophth b-scan at UPMC Horizon-Greenville
110 N Main St, Greenville, PA · UPMC · · NPI 1225048838
$514.80
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.
$858.00
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.
$90.77 with UPMC Health Plan vs $729.30 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 Medicare | $90.77 | ↓ -82% |
| UPMC Health Plan | EPO Partners/EPO Select Plan/HMO | $104.40 | ↓ -80% |
| Aetna | Medicare | $104.42 | ↓ -80% |
| United Healthcare Community Plan for Families | Unison Kids | $106.45 | ↓ -79% |
| United Healthcare Community Plan for Families | Unison MedPLUS | $106.45 | ↓ -79% |
| Aetna of PA | Medicare | $106.45 | ↓ -79% |
| United Healthcare | Medicare | $108.48 | ↓ -79% |
| Highmark Wholecare (prev Gateway) | Medicare | $109.48 | ↓ -79% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $109.49 | ↓ -79% |
| AmeriHealth Caritas | Medicare | $109.49 | ↓ -79% |
| Cigna | Medicare | $109.49 | ↓ -79% |
| UPMC Health Plan | Commercial | $159.96 | ↓ -69% |
| Highmark BCBS of PA | Community Blue Medicare Advantage/Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage/Together Blue Medicare Advantage | $190.24 | ↓ -63% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity/Managed Care - Social Mission | $207.79 | ↓ -60% |
| UPMC Work Partners | Workers Comp | $223.16 | ↓ -57% |
| Highmark BCBS of PA | Commercial - Indemnity/Managed Care | $256.02 | ↓ -50% |
| United Healthcare | Compass Exchange | $283.14 | ↓ -45% |
| Anthem Blue Cross Blue Shield | Traditional | $292.58 | ↓ -43% |
| Aetna | Neighborhood Network | $317.46 | ↓ -38% |
| Aetna | Home Depot Employer Group | $327.76 | ↓ -36% |
| Anthem Blue Cross Blue Shield | Blue Access PPO/Blue Preferred HMO/HIC | $333.76 | ↓ -35% |
| United Healthcare | All Business | $334.62 | ↓ -35% |
| Cigna | New Business ASO | $334.62 | ↓ -35% |
| Cigna | NBR ASO/FI | $334.62 | ↓ -35% |
| Aetna | NBR ASO/FI | $334.62 | ↓ -35% |
| Aetna | EBR ASO | $343.20 | ↓ -33% |
| Cigna | EBR | $343.20 | ↓ -33% |
| Cigna | Commercial | $343.20 | ↓ -33% |
| UPMC Health Plan | CHIP | $344.51 | ↓ -33% |
| Geisinger | Medicaid/CHIP | $471.90 | ↓ -8% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $471.90 | ↓ -8% |
| Aetna | EBR FI | $514.80 | ↑ +0% |
| InterGroup | PPO | $557.70 | ↑ +8% |
| Coventry/First Health | Commercial | $566.28 | ↑ +10% |
| Health Coalition Partners | PPO | $600.60 | ↑ +17% |
| Private Health Care Systems | PPO | $686.40 | ↑ +33% |
| Prime Net | Commercial | $703.56 | ↑ +37% |
| Humana | Commercial | $729.30 | ↑ +42% |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
Visitor-reported prices
Comments
Ultrasound dx ophth b-scan at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC East | Monroeville | $552.00 | $101.65 – $736.00 |
| UPMC Hamot | Erie | $616.20 | $106.81 – $235.36 |
| UPMC Jameson | New Castle | $527.40 | $42.00 – $223.16 |
| UPMC Magee | Pittsburgh | $468.00 | $94.88 – $235.36 |
| UPMC McKeesport | Mckeesport | $549.60 | $93.97 – $235.36 |
| UPMC Mercy | Pittsburgh | $438.00 | $84.51 – $236.43 |
| UPMC Passavant-McCandless | Pittsburgh | $600.60 | $94.21 – $273.67 |
| UPMC Presbyterian | Pittsburgh | $500.40 | $43.82 – $274.92 |