Membrane collgn porcine maci w/autologous cult chondrocytes at UPMC Magee
300 Halket Street, Pittsburgh, PA · UPMC · · NPI 1952311508
$47,214.60
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.
$78,691.00
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.
$9,796.50 with Aetna vs $208,808.24 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 |
|---|---|---|---|
| Aetna | CHIP/Medicaid | $9,796.50 | ↓ -79% |
| Highmark Wholecare (prev Gateway) | Medicaid | $12,517.75 | ↓ -73% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $17,960.25 | ↓ -62% |
| Geisinger | Medicaid/CHIP | $17,960.25 | ↓ -62% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $18,411.98 | ↓ -61% |
| UPMC Health Plan | CHIP | $19,048.75 | ↓ -60% |
| Aetna | Neighborhood Network | $19,593.00 | ↓ -59% |
| Aetna | EBR FI | $21,225.75 | ↓ -55% |
| Aetna | Home Depot Employer Group | $21,334.60 | ↓ -55% |
| Cigna | Commercial | $21,770.00 | ↓ -54% |
| Aetna | EBR ASO | $21,770.00 | ↓ -54% |
| Aetna | NBR ASO/FI | $21,770.00 | ↓ -54% |
| Cigna | New Business ASO | $21,770.00 | ↓ -54% |
| UPMC Health Plan | Commercial | $23,674.88 | ↓ -50% |
| InterGroup | PPO | $27,212.50 | ↓ -42% |
| Highmark Wholecare (prev Gateway) | Medicare | $27,212.50 | ↓ -42% |
| Highmark BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage | $30,558.61 | ↓ -35% |
| Coventry/First Health | Commercial | $38,097.50 | ↓ -19% |
| Preferred Healthcare System | PPO | $43,540.00 | ↓ -8% |
| Private Health Care Systems | PPO | $46,261.25 | ↓ -2% |
| Humana | Commercial | $46,261.25 | ↓ -2% |
| Multiplan | PPO | $50,071.00 | ↑ +6% |
| Aetna | Medicare | $58,626.74 | ↑ +24% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $102,503.67 | ↑ +117% |
| Highmark BCBS of PA | Managed Care - Social Mission | $103,940.00 | ↑ +120% |
| Highmark BCBS of PA | Commercial - Indemnity | $137,275.19 | ↑ +191% |
| Highmark BCBS of PA | Managed Care | $139,204.95 | ↑ +195% |
| Highmark BCBS of PA | UPMC Emergent | $208,808.24 | ↑ +342% |
| UPMC Work Partners | Workers Comp | not published by hospital | — |
Visitor-reported prices
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Membrane collgn porcine maci w/autologous cult chondrocytes at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Passavant-McCandless | Pittsburgh | $50,047.20 | $30,558.61 – $30,558.61 |
| UPMC Presbyterian | Pittsburgh | $308,663.40 | $30,558.61 – $30,558.61 |
| UPMC St. Margaret | Pittsburgh | $77,166.00 | $30,558.61 – $30,558.61 |
| UPMC East | Monroeville | $77,166.00 | $7,690.88 – $51,444.00 |
| UPMC Hamot | Erie | $77,166.00 | $30,270.37 – $183,510.66 |
| UPMC Williamsport | Williamsport | $114,657.00 | $17,198.46 – $57,328.20 |