Drsg wnd 8.2x9cm sq bilayer theragenesis ster-74sq cm-cost per sq cm at UPMC Magee
300 Halket Street, Pittsburgh, PA · UPMC · · NPI 1952311508
$11,362.20
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.
$18,937.00
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.
$57.03 with Highmark BCBS of PA vs $9,203.68 with Multiplan — 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 | $57.03 | ↓ -99% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $191.29 | ↓ -98% |
| Highmark BCBS of PA | Managed Care - Social Mission | $193.97 | ↓ -98% |
| Highmark BCBS of PA | Commercial - Indemnity | $256.18 | ↓ -98% |
| Highmark BCBS of PA | Managed Care | $259.78 | ↓ -98% |
| Highmark BCBS of PA | UPMC Emergent | $389.67 | ↓ -97% |
| Aetna | CHIP/Medicaid | $1,800.72 | ↓ -84% |
| Highmark Wholecare (prev Gateway) | Medicaid | $2,300.92 | ↓ -80% |
| Aetna | Medicare | $2,501.00 | ↓ -78% |
| Geisinger | Medicaid/CHIP | $3,301.32 | ↓ -71% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $3,301.32 | ↓ -71% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $3,384.35 | ↓ -70% |
| UPMC Health Plan | CHIP | $3,501.40 | ↓ -69% |
| Aetna | Neighborhood Network | $3,601.44 | ↓ -68% |
| Aetna | EBR FI | $3,901.56 | ↓ -66% |
| Aetna | Home Depot Employer Group | $3,921.57 | ↓ -65% |
| Aetna | NBR ASO/FI | $4,001.60 | ↓ -65% |
| Aetna | EBR ASO | $4,001.60 | ↓ -65% |
| Cigna | New Business ASO | $4,001.60 | ↓ -65% |
| Cigna | Commercial | $4,001.60 | ↓ -65% |
| UPMC Health Plan | Commercial | $4,351.74 | ↓ -62% |
| InterGroup | PPO | $5,002.00 | ↓ -56% |
| Highmark Wholecare (prev Gateway) | Medicare | $5,002.00 | ↓ -56% |
| Coventry/First Health | Commercial | $7,002.80 | ↓ -38% |
| Preferred Healthcare System | PPO | $8,003.20 | ↓ -30% |
| Humana | Commercial | $8,503.40 | ↓ -25% |
| Private Health Care Systems | PPO | $8,503.40 | ↓ -25% |
| Multiplan | PPO | $9,203.68 | ↓ -19% |
| UPMC Work Partners | Workers Comp | not published by hospital | — |