Guide worley csg 9fx50cm std at UPMC East
2775 Mosside Boulevard, Monroeville, PA · UPMC · · NPI 1225323983
$822.60
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.
$1,371.00
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.
$55.77 with Highmark BCBS of PA vs $612.49 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 |
|---|---|---|---|
| Highmark BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage | $55.77 | ↓ -93% |
| Aetna | Medicare | $58.75 | ↓ -93% |
| United Healthcare | Compass Exchange | $77.55 | ↓ -91% |
| Aetna | Neighborhood Network | $82.48 | ↓ -90% |
| Aetna | EBR FI | $89.30 | ↓ -89% |
| Aetna | Home Depot Employer Group | $89.77 | ↓ -89% |
| Cigna | New Business ASO | $91.65 | ↓ -89% |
| Cigna | NBR ASO/FI | $91.65 | ↓ -89% |
| Aetna | NBR ASO/FI | $91.65 | ↓ -89% |
| United Healthcare | All Business | $91.65 | ↓ -89% |
| Aetna | EBR ASO | $94.00 | ↓ -89% |
| Cigna | EBR | $94.00 | ↓ -89% |
| Cigna | Commercial | $94.00 | ↓ -89% |
| InterGroup | PPO | $117.50 | ↓ -86% |
| Highmark Wholecare (prev Gateway) | Medicare | $117.50 | ↓ -86% |
| Geisinger | Medicaid/CHIP | $129.25 | ↓ -84% |
| PA Health & Wellness | PA Medicaid HMO | $129.25 | ↓ -84% |
| Highmark BCBS of PA | Managed Care - Social Mission | $160.59 | ↓ -80% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $161.42 | ↓ -80% |
| Coventry/First Health | Commercial | $164.50 | ↓ -80% |
| Private Health Care Systems | PPO | $188.00 | ↓ -77% |
| Highmark BCBS of PA | Managed Care | $215.07 | ↓ -74% |
| Highmark BCBS of PA | Commercial - Indemnity | $216.18 | ↓ -74% |
| Highmark BCBS of PA | UPMC Emergent | $430.13 | ↓ -48% |
| UPMC Health Plan | CHIP | $504.73 | ↓ -39% |
| UPMC Health Plan | Commercial | $612.49 | ↓ -26% |
| UPMC Work Partners | Workers Comp | not published by hospital | — |
Visitor-reported prices
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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 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 |
| UPMC Lititz | Lititz | $92.40 | $0.57 – $504.73 |