healthcosts.net
Etonogestrel implant system at UPMC Passavant-McCandless
9100 Babcock Boulevard, Pittsburgh, PA · UPMC · · NPI 1225047699
$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.
?
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.
?
The hospital's undiscounted list price — almost no one pays this.
$1,060.50 with Aetna vs $4,396.28 with Highmark BCBS of PA — 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 | $1,060.50 | ↓ -63% |
| Highmark BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage | $1,118.81 | ↓ -61% |
| UPMC Health Plan | Partners/Select | $1,318.16 | ↓ -54% |
| UPMC Health Plan | Commercial | $1,384.68 | ↓ -52% |
| Cigna | New Business ASO | $1,442.28 | ↓ -50% |
| UPMC Work Partners | Workers Comp | $1,526.70 | ↓ -47% |
| Highmark BCBS of PA | Managed Care - Social Mission | $1,641.24 | ↓ -43% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $1,658.95 | ↓ -43% |
| Cigna | Commercial | $1,696.80 | ↓ -41% |
| Private Health Care Systems | Workers' Comp | $1,775.28 | ↓ -39% |
| Health Plan of Upper Ohio Valley | Commercial | $1,959.80 | ↓ -32% |
| Highmark Wholecare (prev Gateway) | Medicare | $2,121.00 | ↓ -27% |
| Highmark BCBS of PA | Managed Care | $2,198.14 | ↓ -24% |
| Highmark BCBS of PA | Commercial - Indemnity | $2,221.80 | ↓ -23% |
| PA Health & Wellness | PA Medicaid HMO | $2,333.10 | ↓ -19% |
| Coventry/First Health | Commercial | $2,969.40 | ↑ +3% |
| InterGroup | PPO | $3,520.86 | ↑ +22% |
| Humana | Commercial | $3,605.70 | ↑ +25% |
| Multiplan | PPO (Includes Workers' Comp) | $3,605.70 | ↑ +25% |
| Private Health Care Systems | PPO | $3,605.70 | ↑ +25% |
| Highmark BCBS of PA | UPMC Emergent | $4,396.28 | ↑ +52% |
Visitor-reported prices
Comments
Etonogestrel implant system at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Presbyterian | Pittsburgh | $2,545.20 | $763.56 – $3,605.70 |
| UPMC Western Psychiatric | Pittsburgh | $2,545.20 | $1,060.50 – $3,605.70 |
| UPMC Muncy | Muncy | $5,044.00 | $945.75 – $5,674.50 |
| UPMC Northwest | Seneca | $3,428.00 | $1,071.25 – $3,642.25 |
| UPMC Somerset | Somerset | $693.60 | $346.80 – $1,097.04 |
| UPMC Wellsboro | Wellsboro | $5,044.00 | $1,019.14 – $5,674.50 |
| UPMC Williamsport | Williamsport | $5,044.00 | $980.91 – $3,269.70 |