healthcosts.net
Etonogestrel implant system at UPMC Northwest
100 Fairfield Drive, Seneca, PA · UPMC · · NPI 1619069440
$3,428.00
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.
?
What you pay up front if you don't use insurance.
$4,285.00
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.
$1,071.25 with Aetna vs $3,642.25 with Humana — 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 | $1,071.25 | ↓ -69% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity/Managed Care - Social Mission | $1,536.64 | ↓ -55% |
| UPMC Work Partners | Workers Comp | $1,547.31 | ↓ -55% |
| Aetna | EBR ASO | $1,714.00 | ↓ -50% |
| Cigna | Commercial | $1,714.00 | ↓ -50% |
| Highmark BCBS of PA | Commercial - Indemnity/Managed Care | $1,893.25 | ↓ -45% |
| Highmark Wholecare (prev Gateway) | Medicare | $2,142.50 | ↓ -38% |
| PA Health & Wellness | PA Medicaid HMO | $2,356.75 | ↓ -31% |
| Aetna | EBR FI | $2,485.30 | ↓ -28% |
| Aetna | Neighborhood Network | $2,571.00 | ↓ -25% |
| Aetna | Home Depot Employer Group | $2,643.84 | ↓ -23% |
| Aetna | NBR ASO/FI | $2,699.55 | ↓ -21% |
| Cigna | New Business ASO | $2,699.55 | ↓ -21% |
| InterGroup | PPO | $2,785.25 | ↓ -19% |
| Coventry/First Health | Commercial | $2,999.50 | ↓ -13% |
| Health Coalition Partners | PPO | $3,085.20 | ↓ -10% |
| UPMC Health Plan | Commercial | $3,268.17 | ↓ -5% |
| Private Health Care Systems | PPO | $3,428.00 | ↑ +0% |
| Humana | Commercial | $3,642.25 | ↑ +6% |
Visitor-reported prices
Comments
Etonogestrel implant system at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Muncy | Muncy | $5,044.00 | $945.75 – $5,674.50 |
| UPMC Passavant-McCandless | Pittsburgh | $2,889.60 | $1,060.50 – $3,605.70 |
| UPMC Presbyterian | Pittsburgh | $2,545.20 | $763.56 – $3,605.70 |
| UPMC Somerset | Somerset | $693.60 | $346.80 – $1,097.04 |
| UPMC Wellsboro | Wellsboro | $5,044.00 | $1,019.14 – $5,674.50 |
| UPMC Western Psychiatric | Pittsburgh | $2,545.20 | $1,060.50 – $3,605.70 |
| UPMC Williamsport | Williamsport | $5,044.00 | $980.91 – $3,269.70 |