Etonogestrel implant system at UPMC Magee
300 Halket Street, Pittsburgh, PA · UPMC · · NPI 1952311508
$2,889.60
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.
$4,816.00
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.
$763.56 with Aetna vs $7,644.85 with Highmark BCBS of PA — 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 |
|---|---|---|---|
| Aetna | CHIP/Medicaid | $763.56 | ↓ -74% |
| UPMC Health Plan | CHIP | $952.90 | ↓ -67% |
| UPMC Work Partners | Workers Comp | $973.54 | ↓ -66% |
| Highmark BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage | $1,118.81 | ↓ -61% |
| Aetna | Medicare | $1,201.73 | ↓ -58% |
| UPMC Health Plan | Partners/Select | $1,384.68 | ↓ -52% |
| UPMC Health Plan | Commercial | $1,384.68 | ↓ -52% |
| UPMC Health Plan | Managed Medicare | $1,384.68 | ↓ -52% |
| Aetna | Neighborhood Network | $1,527.12 | ↓ -47% |
| Aetna | EBR FI | $1,654.38 | ↓ -43% |
| Aetna | Home Depot Employer Group | $1,662.86 | ↓ -42% |
| Aetna | EBR ASO | $1,696.80 | ↓ -41% |
| Aetna | NBR ASO/FI | $1,696.80 | ↓ -41% |
| Cigna | Commercial | $1,696.80 | ↓ -41% |
| Cigna | New Business ASO | $1,696.80 | ↓ -41% |
| Highmark Wholecare (prev Gateway) | Medicare | $2,121.00 | ↓ -27% |
| InterGroup | PPO | $2,121.00 | ↓ -27% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $2,333.10 | ↓ -19% |
| Geisinger | Medicaid/CHIP | $2,333.10 | ↓ -19% |
| Coventry/First Health | Commercial | $2,969.40 | ↑ +3% |
| Preferred Healthcare System | PPO | $3,393.60 | ↑ +17% |
| Private Health Care Systems | PPO | $3,605.70 | ↑ +25% |
| Humana | Commercial | $3,605.70 | ↑ +25% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $3,752.85 | ↑ +30% |
| Highmark BCBS of PA | Managed Care - Social Mission | $3,805.43 | ↑ +32% |
| Multiplan | PPO | $3,902.64 | ↑ +35% |
| Highmark BCBS of PA | Commercial - Indemnity | $5,025.90 | ↑ +74% |
| Highmark BCBS of PA | Managed Care | $5,096.55 | ↑ +76% |
| Highmark BCBS of PA | UPMC Emergent | $7,644.85 | ↑ +165% |
Visitor-reported prices
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Etonogestrel implant system at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Passavant-McCandless | Pittsburgh | $2,889.60 | $1,118.81 – $1,318.16 |
| UPMC Presbyterian | Pittsburgh | $2,545.20 | $955.44 – $1,384.68 |
| UPMC Western Psychiatric | Pittsburgh | $2,545.20 | $1,096.33 – $1,096.33 |
| UPMC Altoona | Altoona | $2,906.40 | $952.90 – $4,372.68 |
| UPMC Carlisle | Carlisle | $693.60 | $141.11 – $1,571.21 |
| UPMC Cole | Coudersport | $967.20 | $446.85 – $1,289.60 |
| UPMC Community Osteopathic | Harrisburg | $693.60 | $206.00 – $1,845.30 |
| UPMC Northwest | Seneca | $3,428.00 | $1,536.64 – $1,536.64 |