Skyla, 13.5 mg at UPMC Magee
300 Halket Street, Pittsburgh, PA · UPMC · · NPI 1952311508
$2,484.00
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.
$4,140.00
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.
$552.05 with Highmark BCBS of PA vs $3,772.16 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 |
|---|---|---|---|
| Highmark BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage | $552.05 | ↓ -78% |
| Aetna | CHIP/Medicaid | $703.08 | ↓ -72% |
| UPMC Work Partners | Workers Comp | $896.43 | ↓ -64% |
| Aetna | Medicare | $1,009.09 | ↓ -59% |
| UPMC Health Plan | Commercial | $1,152.98 | ↓ -54% |
| UPMC Health Plan | Managed Medicare | $1,152.98 | ↓ -54% |
| UPMC Health Plan | Partners/Select | $1,152.98 | ↓ -54% |
| UPMC Health Plan | CHIP | $1,367.10 | ↓ -45% |
| Aetna | Neighborhood Network | $1,406.16 | ↓ -43% |
| Aetna | EBR FI | $1,523.34 | ↓ -39% |
| Aetna | Home Depot Employer Group | $1,531.15 | ↓ -38% |
| Cigna | Commercial | $1,562.40 | ↓ -37% |
| Aetna | NBR ASO/FI | $1,562.40 | ↓ -37% |
| Aetna | EBR ASO | $1,562.40 | ↓ -37% |
| Cigna | New Business ASO | $1,562.40 | ↓ -37% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $1,851.75 | ↓ -25% |
| Highmark BCBS of PA | Managed Care - Social Mission | $1,877.70 | ↓ -24% |
| InterGroup | PPO | $1,953.00 | ↓ -21% |
| Highmark Wholecare (prev Gateway) | Medicare | $1,953.00 | ↓ -21% |
| Geisinger | Medicaid/CHIP | $2,148.30 | ↓ -14% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $2,148.30 | ↓ -14% |
| Highmark BCBS of PA | Commercial - Indemnity | $2,479.90 | ↓ -0% |
| Highmark BCBS of PA | Managed Care | $2,514.77 | ↑ +1% |
| Coventry/First Health | Commercial | $2,734.20 | ↑ +10% |
| Preferred Healthcare System | PPO | $3,124.80 | ↑ +26% |
| Private Health Care Systems | PPO | $3,320.10 | ↑ +34% |
| Humana | Commercial | $3,320.10 | ↑ +34% |
| Multiplan | PPO | $3,593.52 | ↑ +45% |
| Highmark BCBS of PA | UPMC Emergent | $3,772.16 | ↑ +52% |
Visitor-reported prices
Comments
Skyla, 13.5 mg at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Passavant-McCandless | Pittsburgh | $2,343.60 | $552.05 – $1,098.07 |
| UPMC Presbyterian | Pittsburgh | $3,186.00 | $552.05 – $1,152.98 |
| UPMC Altoona | Altoona | $2,325.00 | $546.84 – $3,467.58 |
| UPMC Northwest | Seneca | $1,426.80 | $1,419.26 – $1,419.26 |
| UPMC Horizon-Greenville | Greenville | $1,260.00 | $1,155.86 – $1,393.67 |
| UPMC Kane | Kane | $1,143.00 | $1,152.98 – $1,907.17 |
| UPMC Wellsboro | Wellsboro | $2,325.00 | $944.09 – $944.09 |
| UPMC Williamsport | Williamsport | $532.80 | $944.09 – $944.09 |