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Device intraute mirena at UPMC Presbyterian
200 Lothrop Street, Pittsburgh, PA · UPMC · · NPI 119473412
$2,943.00
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.
$4,905.00
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.
$651.82 with Highmark BCBS of PA vs $5,467.79 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 | Medicare Advantage | $651.82 | ↓ -78% |
| Aetna | CHIP/Medicaid | $686.88 | ↓ -77% |
| Aetna | Medicare | $954.00 | ↓ -68% |
| United Healthcare Community Plan for Families | PA CHIP/PA Medicaid | $1,062.96 | ↓ -64% |
| UPMC Work Partners | Workers Comp | $1,247.07 | ↓ -58% |
| UPMC Health Plan | Commercial | $1,384.68 | ↓ -53% |
| Multiplan | Worker's Compensation | $1,450.08 | ↓ -51% |
| Highmark Wholecare (prev Gateway) | Medicare | $1,908.00 | ↓ -35% |
| Highmark BCBS of PA | Managed Care - Social Mission | $2,041.30 | ↓ -31% |
| Geisinger | Medicaid/CHIP | $2,098.80 | ↓ -29% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $2,099.34 | ↓ -29% |
| Preferred Healthcare System | PPO | $2,480.40 | ↓ -16% |
| Coventry/First Health | Commercial | $2,671.20 | ↓ -9% |
| Highmark BCBS of PA | Managed Care | $2,733.90 | ↓ -7% |
| Highmark BCBS of PA | Commercial - Indemnity | $2,811.64 | ↓ -4% |
| Fidelis | Medicare | $2,862.00 | ↓ -3% |
| InterGroup | InterGroup Services Corporation | $2,862.00 | ↓ -3% |
| Health Coalition Partners | Intergroup | $3,052.80 | ↑ +4% |
| Multiplan | PPO | $3,052.80 | ↑ +4% |
| Private Health Care Systems | PPO | $3,052.80 | ↑ +4% |
| SelectCare | Commercial | $3,052.80 | ↑ +4% |
| Health Payors Organization | Commercial | $3,243.60 | ↑ +10% |
| Humana | Commercial | $3,243.60 | ↑ +10% |
| InterGroup | Approved National Affiliated PPO Business | $3,243.60 | ↑ +10% |
| Highmark BCBS of PA | UPMC Emergent | $5,467.79 | ↑ +86% |
Visitor-reported prices
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Device intraute mirena at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Mercy | Pittsburgh | $3,052.80 | $645.67 – $3,279.60 |
| UPMC Passavant-McCandless | Pittsburgh | $2,427.00 | $651.82 – $3,126.30 |
| UPMC St. Margaret | Pittsburgh | $2,289.60 | $651.82 – $3,243.60 |
| UPMC Western Psychiatric | Pittsburgh | $2,289.60 | $638.73 – $3,243.60 |
| UPMC Muncy | Muncy | $4,133.60 | $546.60 – $3,279.60 |
| UPMC Northwest | Seneca | $3,052.80 | $911.00 – $3,097.40 |
| UPMC Somerset | Somerset | $693.60 | $389.23 – $1,018.67 |
| UPMC Wellsboro | Wellsboro | $4,133.60 | $930.06 – $4,650.30 |