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Particle matristem matrix 1000mg micron-q4118-cost per mg at UPMC Mercy
1400 Locust Street, Pittsburgh, PA · UPMC · · NPI 163914308
$7,136.40
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.
$11,894.00
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.
$1.61 with UPMC Health Plan vs $8,919.90 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 |
|---|---|---|---|
| UPMC Health Plan | Managed Medicaid | $1.61 | ↓ -100% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $2.54 | ↓ -100% |
| UPMC Health Plan | CHIP | $2.96 | ↓ -100% |
| UPMC Health Plan | Commercial | $3.13 | ↓ -100% |
| Highmark BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage | $5.99 | ↓ -100% |
| Highmark BCBS of PA | Managed Care - Social Mission | $9.04 | ↓ -100% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $9.20 | ↓ -100% |
| Highmark BCBS of PA | Managed Care | $12.10 | ↓ -100% |
| Highmark BCBS of PA | Commercial - Indemnity | $12.32 | ↓ -100% |
| Highmark Wholecare (prev Gateway) | Medicaid | $2,378.64 | ↓ -67% |
| Aetna | Medicare | $2,477.75 | ↓ -65% |
| Aetna | Neighborhood Network | $2,765.17 | ↓ -61% |
| Aetna | Home Depot Employer Group | $3,017.90 | ↓ -58% |
| Aetna | NBR ASO/FI | $3,072.41 | ↓ -57% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $3,270.63 | ↓ -54% |
| Cigna | New Business ASO | $3,369.74 | ↓ -53% |
| Aetna | EBR FI | $3,766.18 | ↓ -47% |
| Aetna | EBR ASO | $3,964.40 | ↓ -44% |
| Cigna | Commercial | $3,964.40 | ↓ -44% |
| Coventry/First Health | Commercial | $4,360.84 | ↓ -39% |
| Highmark Wholecare (prev Gateway) | Medicare | $4,955.50 | ↓ -31% |
| InterGroup | PPO | $4,955.50 | ↓ -31% |
| Cigna Behavioral Health | Commercial | $5,946.60 | ↓ -17% |
| Private Health Care Systems | PPO | $7,433.25 | ↑ +4% |
| American Healthcare Group | Commercial | $7,928.80 | ↑ +11% |
| InterGroup | Approved National Affiliated PPO Business | $7,928.80 | ↑ +11% |
| National Provider Network | PPO | $8,127.02 | ↑ +14% |
| Health Payors Organization | Commercial | $8,919.90 | ↑ +25% |
| Multiplan | PPO (inc. Auto and Worker's Compensation) | $8,919.90 | ↑ +25% |
| UPMC Work Partners | Workers Comp | not published by hospital | — |
| Bravo | Medicare | not published by hospital | — |
Visitor-reported prices
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Particle matristem matrix 1000mg micron-q4118-cost per mg at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Passavant-McCandless | Pittsburgh | $17,505.00 | $2.54 – $3,304.80 |
| UPMC Presbyterian | Pittsburgh | $13,098.00 | $3.13 – $11,234.45 |
| UPMC St. Margaret | Pittsburgh | $7,136.40 | $2.54 – $10,109.90 |
| UPMC Muncy | Muncy | $5,607.60 | $2.80 – $7,010.10 |
| UPMC Northwest | Seneca | $1,099.20 | $1.61 – $1,557.20 |
| UPMC Wellsboro | Wellsboro | $6,781.60 | $2.54 – $6,358.50 |