Graft wnd mtrx grfx core 1.5x2cm-q4132-cost per sq cm at UPMC Magee
300 Halket Street, Pittsburgh, PA · UPMC · · NPI 1952311508
$243.00
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.
$405.00
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.
$67.37 with UPMC Health Plan vs $717.66 with Highmark BCBS of PA — 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 | $67.37 | ↓ -72% |
| Aetna | CHIP/Medicaid | $72.90 | ↓ -70% |
| Highmark Wholecare (prev Gateway) | Medicaid | $93.15 | ↓ -62% |
| Highmark BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage | $105.03 | ↓ -57% |
| UPMC Health Plan | Commercial | $131.24 | ↓ -46% |
| Geisinger | Medicaid/CHIP | $133.65 | ↓ -45% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $133.65 | ↓ -45% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $137.01 | ↓ -44% |
| Aetna | Neighborhood Network | $145.80 | ↓ -40% |
| Aetna | EBR FI | $157.95 | ↓ -35% |
| Aetna | Home Depot Employer Group | $158.76 | ↓ -35% |
| Cigna | New Business ASO | $162.00 | ↓ -33% |
| Aetna | NBR ASO/FI | $162.00 | ↓ -33% |
| Aetna | EBR ASO | $162.00 | ↓ -33% |
| Cigna | Commercial | $162.00 | ↓ -33% |
| UPMC Health Plan | CHIP | $183.61 | ↓ -24% |
| InterGroup | PPO | $202.50 | ↓ -17% |
| Highmark Wholecare (prev Gateway) | Medicare | $202.50 | ↓ -17% |
| Coventry/First Health | Commercial | $283.50 | ↑ +17% |
| Aetna | Medicare | $317.46 | ↑ +31% |
| Preferred Healthcare System | PPO | $324.00 | ↑ +33% |
| Humana | Commercial | $344.25 | ↑ +42% |
| Private Health Care Systems | PPO | $344.25 | ↑ +42% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $352.30 | ↑ +45% |
| Highmark BCBS of PA | Managed Care - Social Mission | $357.23 | ↑ +47% |
| Multiplan | PPO | $372.60 | ↑ +53% |
| Highmark BCBS of PA | Commercial - Indemnity | $471.80 | ↑ +94% |
| Highmark BCBS of PA | Managed Care | $478.44 | ↑ +97% |
| Highmark BCBS of PA | UPMC Emergent | $717.66 | ↑ +195% |
| UPMC Work Partners | Workers Comp | not published by hospital | — |
Visitor-reported prices
Comments
Graft wnd mtrx grfx core 1.5x2cm-q4132-cost per sq cm at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Mercy | Pittsburgh | $384.00 | $67.37 – $106.70 |
| UPMC Passavant-McCandless | Pittsburgh | $3,681.60 | $105.03 – $131.24 |
| UPMC Jameson | New Castle | $558.00 | $67.37 – $107.77 |
| Uniontown Hospital | Uniontown | $143.50 | $126.52 – $294.79 |