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Copper intrauterine device at UPMC Presbyterian
200 Lothrop Street, Pittsburgh, PA · UPMC · · NPI 119473412
$2,011.20
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.
$3,352.00
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.
$347.94 with Aetna vs $5,396.64 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 | $347.94 | ↓ -83% |
| Aetna | Medicare | $483.25 | ↓ -76% |
| UPMC Work Partners | Workers Comp | $631.70 | ↓ -69% |
| Highmark BCBS of PA | Medicare Advantage | $643.34 | ↓ -68% |
| Multiplan | Worker's Compensation | $734.54 | ↓ -63% |
| United Healthcare Community Plan for Families | PA CHIP/PA Medicaid | $915.18 | ↓ -54% |
| Highmark Wholecare (prev Gateway) | Medicare | $966.50 | ↓ -52% |
| Geisinger | Medicaid/CHIP | $1,063.15 | ↓ -47% |
| Preferred Healthcare System | PPO | $1,256.45 | ↓ -38% |
| UPMC Health Plan | Commercial | $1,298.46 | ↓ -35% |
| Coventry/First Health | Commercial | $1,353.10 | ↓ -33% |
| Fidelis | Medicare | $1,449.75 | ↓ -28% |
| InterGroup | InterGroup Services Corporation | $1,449.75 | ↓ -28% |
| Health Coalition Partners | Intergroup | $1,546.40 | ↓ -23% |
| Multiplan | PPO | $1,546.40 | ↓ -23% |
| Private Health Care Systems | PPO | $1,546.40 | ↓ -23% |
| SelectCare | Commercial | $1,546.40 | ↓ -23% |
| Health Payors Organization | Commercial | $1,643.05 | ↓ -18% |
| Humana | Commercial | $1,643.05 | ↓ -18% |
| InterGroup | Approved National Affiliated PPO Business | $1,643.05 | ↓ -18% |
| Highmark BCBS of PA | Managed Care - Social Mission | $2,014.73 | ↑ +0% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $2,072.02 | ↑ +3% |
| Highmark BCBS of PA | Managed Care | $2,698.32 | ↑ +34% |
| Highmark BCBS of PA | Commercial - Indemnity | $2,775.05 | ↑ +38% |
| Highmark BCBS of PA | UPMC Emergent | $5,396.64 | ↑ +168% |
Visitor-reported prices
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Copper intrauterine device at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Passavant-McCandless | Pittsburgh | $2,011.20 | $643.34 – $2,849.20 |
| UPMC Muncy | Muncy | $2,606.40 | $488.70 – $2,932.20 |
| UPMC Northwest | Seneca | $3,515.20 | $1,098.50 – $3,734.90 |
| UPMC Somerset | Somerset | $651.00 | $365.32 – $877.05 |
| UPMC Wellsboro | Wellsboro | $2,606.40 | $564.30 – $2,821.50 |
| UPMC Williamsport | Williamsport | $2,606.40 | $879.66 – $2,932.20 |