X-ray knee ap standing bilateral at UPMC Horizon-Greenville
110 N Main St, Greenville, PA · UPMC · · NPI 1225048838
$173.40
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.
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What you pay up front if you don't use insurance.
$289.00
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.
$24.75 with UPMC Health Plan vs $245.65 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 | Commercial | $24.75 | ↓ -86% |
| United Healthcare Community Plan for Families | Unison MedPLUS | $26.67 | ↓ -85% |
| Aetna | Medicaid | $27.94 | ↓ -84% |
| UPMC Health Plan | Managed Medicaid | $27.94 | ↓ -84% |
| United Healthcare Community Plan for Families | Unison Kids | $29.21 | ↓ -83% |
| Geisinger | Medicaid/CHIP | $35.30 | ↓ -80% |
| Highmark Wholecare (prev Gateway) | Medicaid | $37.67 | ↓ -78% |
| Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $38.30 | ↓ -78% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $39.65 | ↓ -77% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $43.29 | ↓ -75% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity/Managed Care - Social Mission | $61.08 | ↓ -65% |
| UPMC Work Partners | Workers Comp | $63.41 | ↓ -63% |
| Aetna | Medicare | $72.25 | ↓ -58% |
| UPMC Health Plan | Managed Medicare | $75.16 | ↓ -57% |
| Highmark BCBS of PA | Commercial - Indemnity/Managed Care | $75.26 | ↓ -57% |
| UPMC Health Plan | EPO Partners/EPO Select Plan/HMO | $86.45 | ↓ -50% |
| Aetna of PA | Medicare | $88.15 | ↓ -49% |
| UPMC Health Plan | CHIP | $88.87 | ↓ -49% |
| United Healthcare | Medicare | $89.83 | ↓ -48% |
| Highmark Wholecare (prev Gateway) | Medicare | $90.66 | ↓ -48% |
| AmeriHealth Caritas | Medicare | $90.67 | ↓ -48% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $90.67 | ↓ -48% |
| Cigna | Medicare | $90.67 | ↓ -48% |
| United Healthcare | Compass Exchange | $95.37 | ↓ -45% |
| Anthem Blue Cross Blue Shield | Traditional | $98.55 | ↓ -43% |
| Aetna | Neighborhood Network | $106.93 | ↓ -38% |
| Aetna | Home Depot Employer Group | $110.40 | ↓ -36% |
| Anthem Blue Cross Blue Shield | Blue Access PPO/Blue Preferred HMO/HIC | $112.42 | ↓ -35% |
| Cigna | NBR ASO/FI | $112.71 | ↓ -35% |
| United Healthcare | All Business | $112.71 | ↓ -35% |
| Aetna | NBR ASO/FI | $112.71 | ↓ -35% |
| Cigna | New Business ASO | $112.71 | ↓ -35% |
| Cigna | EBR | $115.60 | ↓ -33% |
| Aetna | EBR ASO | $115.60 | ↓ -33% |
| Cigna | Commercial | $115.60 | ↓ -33% |
| Highmark BCBS of PA | Community Blue Medicare Advantage/Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage/Together Blue Medicare Advantage | $144.50 | ↓ -17% |
| Aetna | EBR FI | $173.40 | ↑ +0% |
| InterGroup | PPO | $187.85 | ↑ +8% |
| Coventry/First Health | Commercial | $190.74 | ↑ +10% |
| Health Coalition Partners | PPO | $202.30 | ↑ +17% |
| Private Health Care Systems | PPO | $231.20 | ↑ +33% |
| Prime Net | Commercial | $236.98 | ↑ +37% |
| Humana | Commercial | $245.65 | ↑ +42% |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
Visitor-reported prices
Comments
X-ray knee ap standing bilateral at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $143.40 | $17.36 – $191.20 |
| UPMC Carlisle | Carlisle | $188.40 | $22.74 – $266.90 |
| UPMC Cole | Coudersport | $107.40 | $26.67 – $143.20 |
| UPMC Community Osteopathic | Harrisburg | $188.40 | $22.74 – $266.90 |
| UPMC East | Monroeville | $436.20 | $24.45 – $581.60 |
| UPMC Hamot | Erie | $192.00 | $20.18 – $118.50 |
| UPMC Northwest | Seneca | $136.20 | $24.67 – $88.15 |
| UPMC Hanover | Hanover | $188.40 | $22.74 – $134.58 |