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Device intraute mirena at UPMC Northwest
100 Fairfield Drive, Seneca, PA · UPMC · · NPI 1619069440
$3,052.80
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.
$3,816.00
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.
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The hospital's undiscounted list price — almost no one pays this.
$911.00 with Aetna vs $3,097.40 with Humana — 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 | Medicare | $911.00 | ↓ -70% |
| UPMC Work Partners | Workers Comp | $1,315.85 | ↓ -57% |
| Aetna | EBR ASO | $1,457.60 | ↓ -52% |
| Cigna | Commercial | $1,457.60 | ↓ -52% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity/Managed Care - Social Mission | $1,675.77 | ↓ -45% |
| Highmark Wholecare (prev Gateway) | Medicare | $1,822.00 | ↓ -40% |
| PA Health & Wellness | PA Medicaid HMO | $2,004.20 | ↓ -34% |
| Highmark BCBS of PA | Commercial - Indemnity/Managed Care | $2,064.67 | ↓ -32% |
| Aetna | EBR FI | $2,113.52 | ↓ -31% |
| Aetna | Neighborhood Network | $2,186.40 | ↓ -28% |
| Aetna | Home Depot Employer Group | $2,248.35 | ↓ -26% |
| Aetna | NBR ASO/FI | $2,295.72 | ↓ -25% |
| Cigna | New Business ASO | $2,295.72 | ↓ -25% |
| InterGroup | PPO | $2,368.60 | ↓ -22% |
| Coventry/First Health | Commercial | $2,550.80 | ↓ -16% |
| Health Coalition Partners | PPO | $2,623.68 | ↓ -14% |
| UPMC Health Plan | Commercial | $2,779.28 | ↓ -9% |
| Private Health Care Systems | PPO | $2,915.20 | ↓ -5% |
| Humana | Commercial | $3,097.40 | ↑ +1% |
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 Muncy | Muncy | $4,133.60 | $546.60 – $3,279.60 |
| UPMC Passavant-McCandless | Pittsburgh | $2,427.00 | $651.82 – $3,126.30 |
| UPMC Presbyterian | Pittsburgh | $2,943.00 | $651.82 – $3,243.60 |
| UPMC Somerset | Somerset | $693.60 | $389.23 – $1,018.67 |
| UPMC St. Margaret | Pittsburgh | $2,289.60 | $651.82 – $3,243.60 |
| UPMC Wellsboro | Wellsboro | $4,133.60 | $930.06 – $4,650.30 |
| UPMC Western Psychiatric | Pittsburgh | $2,289.60 | $638.73 – $3,243.60 |