healthcosts.net
Goserelin 10.8 mg subcutaneous implant at UPMC St. Margaret
815 Freeport Road, Pittsburgh, PA · UPMC · · NPI 1790795359
$392.40
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.
$3,815.05
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.
$164.81 with Aetna vs $2,811.49 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 | Neighborhood Network | $164.81 | ↓ -58% |
| UPMC Work Partners | Workers Comp | $168.93 | ↓ -57% |
| Aetna | Home Depot Employer Group | $179.20 | ↓ -54% |
| Aetna | NBR ASO/FI | $183.12 | ↓ -53% |
| Cigna | New Business ASO | $183.12 | ↓ -53% |
| Aetna | EBR FI | $248.52 | ↓ -37% |
| Aetna | EBR ASO | $261.60 | ↓ -33% |
| Cigna | Commercial | $261.60 | ↓ -33% |
| Coventry/First Health | Commercial | $457.80 | ↑ +17% |
| UPMC Health Plan | Managed Medicaid | $463.24 | ↑ +18% |
| Highmark BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage | $505.44 | ↑ +29% |
| Private Health Care Systems | PPO | $523.20 | ↑ +33% |
| SelectCare | Commercial | $523.20 | ↑ +33% |
| Humana | Commercial | $555.90 | ↑ +42% |
| UPMC Health Plan | Managed Medicare | $633.45 | ↑ +61% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $733.66 | ↑ +87% |
| PA Health & Wellness | PA Medicaid HMO | $733.66 | ↑ +87% |
| Aetna of PA | Medicare | $770.35 | ↑ +96% |
| Highmark Wholecare (prev Gateway) | Medicare | $792.29 | ↑ +102% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $792.36 | ↑ +102% |
| Aetna | Medicare | $807.04 | ↑ +106% |
| UPMC Health Plan | Commercial | $902.41 | ↑ +130% |
| Highmark BCBS of PA | Managed Care - Social Mission | $1,049.68 | ↑ +168% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $1,055.06 | ↑ +169% |
| Highmark BCBS of PA | Managed Care | $1,405.74 | ↑ +258% |
| Highmark BCBS of PA | Commercial - Indemnity | $1,413.03 | ↑ +260% |
| Highmark BCBS of PA | UPMC Emergent | $2,811.49 | ↑ +616% |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
| Tricare | East Region | not published by hospital | — |
Visitor-reported prices
Comments
Goserelin 10.8 mg subcutaneous implant at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Mercy | Pittsburgh | $777.00 | $361.03 – $1,164.60 |
| UPMC Passavant-McCandless | Pittsburgh | $1,810.80 | $463.24 – $1,926.95 |
| UPMC Presbyterian | Pittsburgh | $1,779.00 | $463.24 – $2,520.25 |
| UPMC Muncy | Muncy | $4,524.00 | $376.95 – $2,261.70 |
| UPMC Northwest | Seneca | $1,886.40 | $463.24 – $1,349.91 |
| UPMC Somerset | Somerset | $1,591.80 | $203.70 – $733.67 |
| UPMC Wellsboro | Wellsboro | $4,524.00 | $452.34 – $2,261.70 |
| UPMC Williamsport | Williamsport | $2,802.00 | $681.53 – $2,261.70 |