healthcosts.net
Etonogestrel implant system at UPMC Somerset
225 South Center Avenue, Somerset, PA · UPMC · · NPI 1912900168
$693.60
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.
$1,156.00
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.
$346.80 with UPMC Work Partners vs $1,097.04 with Highmark BCBS of PA — 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 |
|---|---|---|---|
| UPMC Work Partners | Workers Comp | $346.80 | ↓ -50% |
| Geisinger | Commercial | $405.61 | ↓ -42% |
| Aetna of PA | TPA/Carrier | $412.00 | ↓ -41% |
| Highmark Wholecare (prev Gateway) | Medicare | $515.00 | ↓ -26% |
| Multiplan | PPO (Includes PHCS as a Payer) | $515.00 | ↓ -26% |
| Geisinger | Medicaid | $566.50 | ↓ -18% |
| UPMC Health Plan | Commercial | $570.75 | ↓ -18% |
| Galaxy Health Plan | Commercial | $669.50 | ↓ -3% |
| Humana | Commercial | $772.50 | ↑ +11% |
| United Healthcare Community Plan for Families | PA Medicaid | $915.63 | ↑ +32% |
| UPMC Health Plan | CHIP | $952.90 | ↑ +37% |
| Highmark BCBS of PA | Medicare Advantage | $1,097.04 | ↑ +58% |
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 Northwest | Seneca | $3,428.00 | $1,071.25 – $3,642.25 |
| 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 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 |