Whfo nontorsion joint prefab at UPMC Horizon-Greenville
110 N Main St, Greenville, PA · UPMC · · NPI 1225048838
$339.60
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.
$566.00
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.
$107.54 with Health Partners Plans (Jefferson Health Plan) vs $1,078.47 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 | $107.54 | ↓ -68% |
| Aetna | Medicare | $141.50 | ↓ -58% |
| Highmark Wholecare (prev Gateway) | Medicaid | $169.80 | ↓ -50% |
| United Healthcare | Compass Exchange | $186.78 | ↓ -45% |
| Geisinger | Medicaid/CHIP | $186.78 | ↓ -45% |
| Anthem Blue Cross Blue Shield | Traditional | $193.01 | ↓ -43% |
| Aetna | Neighborhood Network | $209.42 | ↓ -38% |
| Aetna | Home Depot Employer Group | $216.21 | ↓ -36% |
| Anthem Blue Cross Blue Shield | Blue Access PPO/Blue Preferred HMO/HIC | $220.17 | ↓ -35% |
| Cigna | NBR ASO/FI | $220.74 | ↓ -35% |
| United Healthcare | All Business | $220.74 | ↓ -35% |
| Aetna | NBR ASO/FI | $220.74 | ↓ -35% |
| Cigna | New Business ASO | $220.74 | ↓ -35% |
| Cigna | Commercial | $226.40 | ↓ -33% |
| Aetna | EBR ASO | $226.40 | ↓ -33% |
| Cigna | EBR | $226.40 | ↓ -33% |
| UPMC Work Partners | Workers Comp | $233.39 | ↓ -31% |
| Highmark BCBS of PA | Community Blue Medicare Advantage/Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage/Together Blue Medicare Advantage | $283.00 | ↓ -17% |
| Highmark Wholecare (prev Gateway) | Medicare | $283.00 | ↓ -17% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $311.30 | ↓ -8% |
| Aetna | EBR FI | $339.60 | ↑ +0% |
| InterGroup | PPO | $367.90 | ↑ +8% |
| Coventry/First Health | Commercial | $373.56 | ↑ +10% |
| Health Coalition Partners | PPO | $396.20 | ↑ +17% |
| Private Health Care Systems | PPO | $452.80 | ↑ +33% |
| Prime Net | Commercial | $464.12 | ↑ +37% |
| Humana | Commercial | $481.10 | ↑ +42% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity/Managed Care - Social Mission | $681.60 | ↑ +101% |
| UPMC Health Plan | CHIP | $804.83 | ↑ +137% |
| Highmark BCBS of PA | Commercial - Indemnity/Managed Care | $839.73 | ↑ +147% |
| UPMC Health Plan | Commercial | $1,078.47 | ↑ +218% |
Visitor-reported prices
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Whfo nontorsion joint prefab at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $159.00 | $50.35 – $804.83 |
| UPMC Bedford | Everett | $585.60 | $180.12 – $853.20 |
| UPMC Cole | Coudersport | $670.80 | $212.42 – $894.40 |
| UPMC East | Monroeville | $201.60 | $16.72 – $804.83 |
| UPMC Hamot | Erie | $537.00 | $233.39 – $267.44 |
| UPMC Northwest | Seneca | $547.20 | $233.39 – $973.92 |
| UPMC Jameson | New Castle | $106.20 | $96.81 – $804.83 |
| UPMC Magee | Pittsburgh | $165.60 | $106.49 – $804.83 |