Graft fish skin 16mm round marigen 2units-cost per sq cm at UPMC McKeesport
1500 Fifth Avenue, Mckeesport, PA · UPMC · · NPI 104370353
$264.60
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.
$441.00
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.
$34.21 with Highmark BCBS of PA vs $374.85 with Humana — 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 | $34.21 | ↓ -87% |
| UPMC Health Plan | Managed Medicaid | $42.48 | ↓ -84% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $67.27 | ↓ -75% |
| Aetna | Medicare | $74.75 | ↓ -72% |
| UPMC Health Plan | Commercial | $82.75 | ↓ -69% |
| Highmark Wholecare (prev Gateway) | Medicaid | $110.25 | ↓ -58% |
| Highmark BCBS of PA | Managed Care - Social Mission | $127.94 | ↓ -52% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $128.97 | ↓ -51% |
| PA Health & Wellness | PA Medicaid HMO | $145.53 | ↓ -45% |
| Aetna | Neighborhood Network | $153.03 | ↓ -42% |
| UPMC Health Plan | CHIP | $154.35 | ↓ -42% |
| Aetna | Home Depot Employer Group | $166.26 | ↓ -37% |
| Aetna | EBR FI | $167.58 | ↓ -37% |
| Cigna | New Business ASO | $169.78 | ↓ -36% |
| Aetna | NBR ASO/FI | $169.78 | ↓ -36% |
| Highmark BCBS of PA | Managed Care | $171.35 | ↓ -35% |
| Highmark BCBS of PA | Commercial - Indemnity | $172.72 | ↓ -35% |
| Aetna | EBR ASO | $176.40 | ↓ -33% |
| Cigna | Commercial | $176.40 | ↓ -33% |
| InterGroup | PPO | $220.50 | ↓ -17% |
| Highmark Wholecare (prev Gateway) | Medicare | $220.50 | ↓ -17% |
| Cigna Behavioral Health | Commercial | $264.60 | ↑ +0% |
| Coventry/First Health | Commercial | $308.70 | ↑ +17% |
| Private Health Care Systems | PPO | $352.80 | ↑ +33% |
| SelectCare | Commercial | $352.80 | ↑ +33% |
| Humana | Commercial | $374.85 | ↑ +42% |
| 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 Bedford | Everett | $1,533.00 | $42.48 – $1,571.40 |
| 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 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 |