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Upper Back (Thoracic Spine) MRI (with and without contrast) at UPMC Horizon-Greenville
110 N Main St, Greenville, PA · UPMC · · NPI 1225048838
$3,601.80
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.
$6,003.00
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.
$304.83 with UPMC Health Plan vs $5,102.55 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 | $304.83 | ↓ -92% |
| UPMC Health Plan | EPO Partners/EPO Select Plan/HMO | $350.63 | ↓ -90% |
| Aetna | Medicare | $350.69 | ↓ -90% |
| United Healthcare Community Plan for Families | Unison Kids | $357.50 | ↓ -90% |
| United Healthcare Community Plan for Families | Unison MedPLUS | $357.50 | ↓ -90% |
| Aetna of PA | Medicare | $357.50 | ↓ -90% |
| United Healthcare | Medicare | $364.31 | ↓ -90% |
| Highmark Wholecare (prev Gateway) | Medicare | $367.68 | ↓ -90% |
| AmeriHealth Caritas | Medicare | $367.72 | ↓ -90% |
| Cigna | Medicare | $367.72 | ↓ -90% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $367.72 | ↓ -90% |
| UPMC Health Plan | Managed Medicaid | $372.90 | ↓ -90% |
| Aetna | Medicaid | $372.90 | ↓ -90% |
| Geisinger | Medicaid/CHIP | $471.18 | ↓ -87% |
| Highmark Wholecare (prev Gateway) | Medicaid | $502.74 | ↓ -86% |
| Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $511.21 | ↓ -86% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $529.21 | ↓ -85% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $577.72 | ↓ -84% |
| Anthem Blue Cross Blue Shield | Blue Access PPO/Blue Preferred HMO/HIC | $608.00 | ↓ -83% |
| Highmark BCBS of PA | Community Blue Medicare Advantage/Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage/Together Blue Medicare Advantage | $638.91 | ↓ -82% |
| UPMC Health Plan | Commercial | $1,067.73 | ↓ -70% |
| United Healthcare | Compass Exchange | $1,980.99 | ↓ -45% |
| Anthem Blue Cross Blue Shield | Traditional | $2,047.02 | ↓ -43% |
| Aetna | Neighborhood Network | $2,221.11 | ↓ -38% |
| Aetna | Home Depot Employer Group | $2,293.15 | ↓ -36% |
| Cigna | NBR ASO/FI | $2,341.17 | ↓ -35% |
| Aetna | NBR ASO/FI | $2,341.17 | ↓ -35% |
| Cigna | New Business ASO | $2,341.17 | ↓ -35% |
| United Healthcare | All Business | $2,341.17 | ↓ -35% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity/Managed Care - Social Mission | $2,363.77 | ↓ -34% |
| Cigna | EBR | $2,401.20 | ↓ -33% |
| Cigna | Commercial | $2,401.20 | ↓ -33% |
| Aetna | EBR ASO | $2,401.20 | ↓ -33% |
| UPMC Work Partners | Workers Comp | $2,442.59 | ↓ -32% |
| Highmark BCBS of PA | Commercial - Indemnity/Managed Care | $2,912.45 | ↓ -19% |
| Aetna | EBR FI | $3,601.80 | ↑ +0% |
| UPMC Health Plan | CHIP | $3,833.37 | ↑ +6% |
| InterGroup | PPO | $3,901.95 | ↑ +8% |
| Coventry/First Health | Commercial | $3,961.98 | ↑ +10% |
| Health Coalition Partners | PPO | $4,202.10 | ↑ +17% |
| Private Health Care Systems | PPO | $4,802.40 | ↑ +33% |
| Prime Net | Commercial | $4,922.46 | ↑ +37% |
| Humana | Commercial | $5,102.55 | ↑ +42% |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
Visitor-reported prices
Comments
Upper Back (Thoracic Spine) MRI (with and without contrast) at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Passavant-McCandless | Pittsburgh | $5,999.40 | $316.41 – $8,499.15 |
| UPMC East | Monroeville | $6,218.40 | $341.40 – $8,291.20 |
| UPMC Hamot | Erie | $2,562.60 | $281.64 – $2,989.70 |
| UPMC Jameson | New Castle | $2,946.00 | $309.35 – $4,320.80 |
| UPMC McKeesport | Mckeesport | $6,049.20 | $315.59 – $8,569.70 |
| UPMC Carlisle | Carlisle | $2,713.80 | $338.22 – $3,844.55 |
| UPMC Bedford | Everett | $2,916.00 | $122.85 – $4,374.00 |
| UPMC Altoona | Altoona | $2,604.00 | $269.00 – $3,472.00 |