Particle matristem matrix 1000mg micron-q4118-cost per mg at UPMC Hamot
201 State Street, Erie, PA · UPMC · · NPI 1487647590
$4,746.60
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.
$7,911.00
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.
$1.61 with UPMC Health Plan vs $3,796.00 with InterGroup — 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 Health Plan | Managed Medicaid | $1.61 | ↓ -100% |
| Highmark BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage | $5.99 | ↓ -100% |
| Highmark BCBS of PA | Commercial - Indemnity/Commercial - Social Mission Indemnity/Managed Care/Managed Care - Social Mission | $18.09 | ↓ -100% |
| Highmark BCBS of PA | UPMC Emergent | $28.94 | ↓ -99% |
| Univera | Univera_Medicare_Hamot_2024 | $711.75 | ↓ -85% |
| Highmark Wholecare (prev Gateway) | Medicaid | $759.20 | ↓ -84% |
| Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $901.55 | ↓ -81% |
| Aetna | Commercial | $1,186.25 | ↓ -75% |
| Cigna | NBR ASO/FI | $1,423.50 | ↓ -70% |
| Cigna | New Business ASO | $1,423.50 | ↓ -70% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $1,565.85 | ↓ -67% |
| Univera | Commercial | $1,565.85 | ↓ -67% |
| Geisinger | Medicaid/CHIP | $1,565.85 | ↓ -67% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $1,605.23 | ↓ -66% |
| BCBS of Western NY | Commercial | $1,660.75 | ↓ -65% |
| UPMC Health Plan | Commercial | $1,746.16 | ↓ -63% |
| Cigna | EBR | $1,898.00 | ↓ -60% |
| Aetna | Medicare | $1,898.00 | ↓ -60% |
| Cigna | Commercial | $1,898.00 | ↓ -60% |
| United Healthcare | Commercial | $2,156.60 | ↓ -55% |
| Highmark Wholecare (prev Gateway) | Medicare | $2,372.50 | ↓ -50% |
| InterGroup | Health Coalition Partners/PPO | $3,084.25 | ↓ -35% |
| Multiplan | PPO (Includes PHCS as a Payer) | $3,321.50 | ↓ -30% |
| Aetna | AXA/MMO | $3,321.50 | ↓ -30% |
| Multiplan | Complimentary Network Rate (Includes Multiplan as Payer) | $3,796.00 | ↓ -20% |
| InterGroup | Beech Street | $3,796.00 | ↓ -20% |
| UPMC Work Partners | Workers Comp | not published by hospital | — |
Visitor-reported prices
Comments
Particle matristem matrix 1000mg micron-q4118-cost per mg at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Northwest | Seneca | $1,099.20 | $1.61 – $15.53 |
| UPMC Jameson | New Castle | $6,732.60 | $1.61 – $6.09 |
| UPMC Mercy | Pittsburgh | $7,136.40 | $1.61 – $5.99 |
| UPMC Muncy | Muncy | $5,607.60 | $2.80 – $2.80 |
| UPMC Passavant-McCandless | Pittsburgh | $17,505.00 | $2.54 – $6.04 |
| UPMC Presbyterian | Pittsburgh | $13,098.00 | $3.13 – $6.04 |
| UPMC St. Margaret | Pittsburgh | $7,136.40 | $2.54 – $6.04 |
| UPMC Wellsboro | Wellsboro | $6,781.60 | $2.54 – $2.80 |