healthcosts.net
Guide worley csg 9fx50cm std at UPMC Presbyterian
200 Lothrop Street, Pittsburgh, PA · UPMC · · NPI 119473412
$5,545.80
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.
$9,243.00
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.
$14.04 with Aetna vs $816.06 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 | CHIP/Medicaid | $14.04 | ↓ -100% |
| Aetna | Medicare | $19.50 | ↓ -100% |
| Highmark Wholecare (prev Gateway) | Medicaid | $38.76 | ↓ -99% |
| Highmark Wholecare (prev Gateway) | Medicare | $39.00 | ↓ -99% |
| Geisinger | Medicaid/CHIP | $42.90 | ↓ -99% |
| Preferred Healthcare System | PPO | $50.70 | ↓ -99% |
| Coventry/First Health | Commercial | $54.60 | ↓ -99% |
| Highmark BCBS of PA | Medicare Advantage | $55.77 | ↓ -99% |
| Fidelis | Medicare | $58.50 | ↓ -99% |
| InterGroup | InterGroup Services Corporation | $58.50 | ↓ -99% |
| Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $61.37 | ↓ -99% |
| Health Coalition Partners | Intergroup | $62.40 | ↓ -99% |
| Multiplan | PPO | $62.40 | ↓ -99% |
| Private Health Care Systems | PPO | $62.40 | ↓ -99% |
| SelectCare | Commercial | $62.40 | ↓ -99% |
| Health Payors Organization | Commercial | $66.30 | ↓ -99% |
| Humana | Commercial | $66.30 | ↓ -99% |
| InterGroup | Approved National Affiliated PPO Business | $66.30 | ↓ -99% |
| Highmark BCBS of PA | Managed Care - Social Mission | $92.70 | ↓ -98% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $94.38 | ↓ -98% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $109.27 | ↓ -98% |
| Highmark BCBS of PA | Managed Care | $124.14 | ↓ -98% |
| Highmark BCBS of PA | Commercial - Indemnity | $126.39 | ↓ -98% |
| Aetna | First Health | $161.50 | ↓ -97% |
| Highmark BCBS of PA | UPMC Emergent | $248.27 | ↓ -96% |
| UPMC Health Plan | Commercial | $816.06 | ↓ -85% |
| UPMC Work Partners | Workers Comp | not published by hospital | — |
| Multiplan | Worker's Compensation | not published by hospital | — |
Visitor-reported prices
Comments
Guide worley csg 9fx50cm std at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Passavant-McCandless | Pittsburgh | $1,166.40 | $40.25 – $732.42 |
| UPMC St. Margaret | Pittsburgh | $325.20 | $55.77 – $619.34 |
| UPMC Mercy | Pittsburgh | $3,312.00 | $21.25 – $398.55 |
| UPMC Muncy | Muncy | $188.40 | $26.55 – $159.30 |
| UPMC Northwest | Seneca | $141.00 | $25.50 – $610.77 |
| UPMC Somerset | Somerset | $92.40 | $35.05 – $302.31 |
| UPMC Wellsboro | Wellsboro | $228.00 | $28.98 – $144.90 |
| UPMC Williamsport | Williamsport | $1,083.60 | $46.71 – $155.70 |