Graft fish skin 16mm round marigen 2units-cost per sq cm at UPMC Bedford
10455 Lincoln Highway, Everett, PA · UPMC · · NPI 1295724193
$1,533.00
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.
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What you pay up front if you don't use insurance.
$2,555.00
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.
$42.48 with UPMC Health Plan vs $1,571.40 with Private Health Care Systems — 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 |
|---|---|---|---|
| UPMC Health Plan | Managed Medicaid | $42.48 | ↓ -97% |
| UPMC Health Plan | Commercial | $82.75 | ↓ -95% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity/Managed Care - Social Mission | $93.97 | ↓ -94% |
| Highmark BCBS of PA | Commercial - Indemnity/Managed Care | $115.76 | ↓ -92% |
| Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $331.74 | ↓ -78% |
| Aetna | Medicare | $436.50 | ↓ -72% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $576.18 | ↓ -62% |
| Geisinger | Medicaid/CHIP | $576.18 | ↓ -62% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $590.67 | ↓ -61% |
| UPMC Health Plan | CHIP | $611.10 | ↓ -60% |
| Aetna | EBR ASO | $698.40 | ↓ -54% |
| Cigna | EBR | $698.40 | ↓ -54% |
| Cigna | Commercial | $698.40 | ↓ -54% |
| Aetna | EBR FI | $855.54 | ↓ -44% |
| Highmark Wholecare (prev Gateway) | Medicare | $873.00 | ↓ -43% |
| Highmark Wholecare (prev Gateway) | Medicaid | $942.84 | ↓ -38% |
| United Healthcare | Compass Exchange | $960.30 | ↓ -37% |
| Aetna | Neighborhood Network | $1,082.52 | ↓ -29% |
| Aetna | Home Depot Employer Group | $1,112.20 | ↓ -27% |
| Cigna | NBR ASO/FI | $1,134.90 | ↓ -26% |
| United Healthcare | All Business | $1,134.90 | ↓ -26% |
| Aetna | NBR ASO/FI | $1,134.90 | ↓ -26% |
| Cigna | New Business ASO | $1,134.90 | ↓ -26% |
| InterGroup | PPO | $1,134.90 | ↓ -26% |
| Coventry/First Health | Commercial | $1,222.20 | ↓ -20% |
| Preferred Healthcare System | PPO | $1,396.80 | ↓ -9% |
| Humana | Commercial | $1,571.40 | ↑ +3% |
| Health Coalition Partners | Intergroup | $1,571.40 | ↑ +3% |
| SelectCare | Commercial | $1,571.40 | ↑ +3% |
| Private Health Care Systems | PPO | $1,571.40 | ↑ +3% |
| UPMC Work Partners | Workers Comp | not published by hospital | — |
Visitor-reported prices
Comments
Graft fish skin 16mm round marigen 2units-cost per sq cm at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $256.80 | $33.89 – $342.40 |
| UPMC Hamot | Erie | $264.60 | $33.89 – $42.48 |
| UPMC Jameson | New Castle | $9,400.80 | $34.48 – $67.95 |
| UPMC Magee | Pittsburgh | $3,267.00 | $34.21 – $191.68 |
| UPMC McKeesport | Mckeesport | $264.60 | $34.21 – $74.75 |
| UPMC Passavant-McCandless | Pittsburgh | $3,463.20 | $34.21 – $67.27 |
| UPMC Williamsport | Williamsport | $256.80 | $67.27 – $74.00 |
| Uniontown Hospital | Uniontown | $143.50 | $126.52 – $294.79 |