Drsg wnd mesh bovine bilayer 4x10in matrix-q4104-cost per sq cm at UPMC Hamot
201 State Street, Erie, PA · UPMC · · NPI 1487647590
$33,291.60
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.
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What you pay up front if you don't use insurance.
$55,486.00
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.
$22.06 with Highmark BCBS of PA vs $9,564.00 with InterGroup — 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 | Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage | $22.06 | ↓ -100% |
| UPMC Health Plan | Managed Medicaid | $32.20 | ↓ -100% |
| Highmark BCBS of PA | Commercial - Indemnity/Commercial - Social Mission Indemnity/Managed Care/Managed Care - Social Mission | $66.67 | ↓ -100% |
| BCBS of Western NY | Commercial | $75.02 | ↓ -100% |
| Highmark BCBS of PA | UPMC Emergent | $106.67 | ↓ -100% |
| Univera | Univera_Medicare_Hamot_2024 | $1,793.25 | ↓ -95% |
| Highmark Wholecare (prev Gateway) | Medicaid | $1,912.80 | ↓ -94% |
| Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $2,271.45 | ↓ -93% |
| Aetna | Commercial | $2,988.75 | ↓ -91% |
| Cigna | NBR ASO/FI | $3,586.50 | ↓ -89% |
| Cigna | New Business ASO | $3,586.50 | ↓ -89% |
| Univera | Commercial | $3,945.15 | ↓ -88% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $3,945.15 | ↓ -88% |
| Geisinger | Medicaid/CHIP | $3,945.15 | ↓ -88% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $4,044.38 | ↓ -88% |
| UPMC Health Plan | Commercial | $4,399.44 | ↓ -87% |
| Cigna | EBR | $4,782.00 | ↓ -86% |
| Aetna | Medicare | $4,782.00 | ↓ -86% |
| Cigna | Commercial | $4,782.00 | ↓ -86% |
| United Healthcare | Commercial | $5,433.55 | ↓ -84% |
| Highmark Wholecare (prev Gateway) | Medicare | $5,977.50 | ↓ -82% |
| InterGroup | Health Coalition Partners/PPO | $7,770.75 | ↓ -77% |
| Multiplan | PPO (Includes PHCS as a Payer) | $8,368.50 | ↓ -75% |
| Aetna | AXA/MMO | $8,368.50 | ↓ -75% |
| Multiplan | Complimentary Network Rate (Includes Multiplan as Payer) | $9,564.00 | ↓ -71% |
| InterGroup | Beech Street | $9,564.00 | ↓ -71% |
| UPMC Work Partners | Workers Comp | not published by hospital | — |
Visitor-reported prices
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Drsg wnd mesh bovine bilayer 4x10in matrix-q4104-cost per sq cm at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $14,389.80 | $22.06 – $5,552.80 |
| UPMC Cole | Coudersport | $3,286.80 | $56.10 – $4,382.40 |
| UPMC East | Monroeville | $22,306.80 | $22.27 – $7,009.60 |
| UPMC Horizon-Greenville | Greenville | $5,257.20 | $32.20 – $56.23 |
| UPMC Jameson | New Castle | $10,660.80 | $22.45 – $51.51 |
| UPMC Magee | Pittsburgh | $6,688.20 | $22.27 – $54.40 |
| UPMC Mercy | Pittsburgh | $36,884.40 | $22.06 – $51.00 |
| UPMC Muncy | Muncy | $29,534.40 | $56.10 – $56.10 |