Most, if not all, servers with PHP 4 + 5 have PHP 5.2.x. When you click the "upgrade" button, it will put a line or two of code in your
.htaccess file, to tell the server to use PHP 5. Note that your cPanel (if that's what your server is using) will still claim it's PHP 4 -- run the following:
<?php phpinfo(); ?>
to confirm that it's actually running PHP 5.2. If the server is still at 5.0.x or 5.1.x, open a support ticket to either get the server upgraded or be moved to another server with 5.2.
Most new shared server accounts are on servers running LPCP, LP's home-brew control panel. Other accounts use the commercial cPanel, which is being phased out at LP. If you have cPanel, that's fine -- no need to change anything. On cPanel, use "Fantastico" to install applications.
I have no idea what's involved going to a VPS or Dedicated server. You have more input (and responsibility) about what levels of PHP, etc. are running on your system.