Guide worley csg 9fx50cm std at UPMC McKeesport
1500 Fifth Avenue, Mckeesport, PA · UPMC · · NPI 104370353
$149.40
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.
?
What you pay up front if you don't use insurance.
$249.00
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.
?
The hospital's undiscounted list price — almost no one pays this.
$0.63 with Aetna vs $1,039.55 with UPMC Health Plan — same scan, same building. Share
Negotiated rates by payer
?
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 →
?
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 |
|---|---|---|---|
| Aetna | Medicare | $0.63 | ↓ -100% |
| Highmark BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage | $55.77 | ↓ -63% |
| Aetna | Neighborhood Network | $69.75 | ↓ -53% |
| Aetna | Home Depot Employer Group | $75.78 | ↓ -49% |
| Aetna | EBR FI | $76.38 | ↓ -49% |
| Cigna | New Business ASO | $77.39 | ↓ -48% |
| Aetna | NBR ASO/FI | $77.39 | ↓ -48% |
| Aetna | EBR ASO | $80.40 | ↓ -46% |
| Cigna | Commercial | $80.40 | ↓ -46% |
| Highmark Wholecare (prev Gateway) | Medicare | $100.50 | ↓ -33% |
| InterGroup | PPO | $100.50 | ↓ -33% |
| PA Health & Wellness | PA Medicaid HMO | $110.55 | ↓ -26% |
| Cigna Behavioral Health | Commercial | $120.60 | ↓ -19% |
| Coventry/First Health | Commercial | $140.70 | ↓ -6% |
| Private Health Care Systems | PPO | $160.80 | ↑ +8% |
| SelectCare | Commercial | $160.80 | ↑ +8% |
| Humana | Commercial | $170.85 | ↑ +14% |
| Highmark BCBS of PA | Managed Care - Social Mission | $208.58 | ↑ +40% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $210.25 | ↑ +41% |
| Highmark BCBS of PA | Managed Care | $279.36 | ↑ +87% |
| Highmark BCBS of PA | Commercial - Indemnity | $281.59 | ↑ +88% |
| UPMC Health Plan | CHIP | $504.73 | ↑ +238% |
| UPMC Health Plan | Commercial | $1,039.55 | ↑ +596% |
| UPMC Work Partners | Workers Comp | not published by hospital | — |
Visitor-reported prices
Comments
Guide worley csg 9fx50cm std at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $255.00 | $55.24 – $504.73 |
| UPMC Carlisle | Carlisle | $92.40 | $12.19 – $75.65 |
| UPMC Community Osteopathic | Harrisburg | $92.40 | $17.80 – $504.73 |
| UPMC East | Monroeville | $822.60 | $55.77 – $504.73 |
| UPMC Hamot | Erie | $1,106.40 | $55.24 – $55.24 |
| UPMC Northwest | Seneca | $141.00 | $143.38 – $610.77 |
| UPMC Hanover | Hanover | $75.00 | $504.73 – $504.73 |
| UPMC Jameson | New Castle | $366.00 | $0.57 – $504.73 |