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Allograft amniotic activebarrier 200 2x2cm-q4100-cost per sheet at UPMC Passavant-McCandless
9100 Babcock Boulevard, Pittsburgh, PA · UPMC · · NPI 1225047699
$6,838.20
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.
$11,397.00
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.
$319.22 with Highmark Wholecare (prev Gateway) vs $5,230.33 with UPMC Health Plan — 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 Wholecare (prev Gateway) | Medicaid | $319.22 | ↓ -95% |
| Aetna | Medicare | $362.75 | ↓ -95% |
| PA Health & Wellness | PA Medicaid HMO | $478.83 | ↓ -93% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $490.87 | ↓ -93% |
| Cigna | New Business ASO | $493.34 | ↓ -93% |
| Highmark BCBS of PA | Commercial - Indemnity | $565.89 | ↓ -92% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $565.89 | ↓ -92% |
| Highmark BCBS of PA | Managed Care | $565.89 | ↓ -92% |
| Highmark BCBS of PA | Managed Care - Social Mission | $565.89 | ↓ -92% |
| Cigna | Commercial | $580.40 | ↓ -92% |
| Health Plan of Upper Ohio Valley | Commercial | $606.52 | ↓ -91% |
| Highmark BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage | $725.50 | ↓ -89% |
| Highmark Wholecare (prev Gateway) | Medicare | $725.50 | ↓ -89% |
| Coventry/First Health | Commercial | $1,015.70 | ↓ -85% |
| Highmark BCBS of PA | UPMC Emergent | $1,131.78 | ↓ -83% |
| InterGroup | PPO | $1,204.33 | ↓ -82% |
| Humana | Commercial | $1,233.35 | ↓ -82% |
| Multiplan | PPO (Includes Workers' Comp) | $1,233.35 | ↓ -82% |
| Private Health Care Systems | PPO | $1,233.35 | ↓ -82% |
| UPMC Health Plan | Commercial | $5,230.33 | ↓ -24% |
| UPMC Work Partners | Workers Comp | not published by hospital | — |
| Private Health Care Systems | Workers' Comp | not published by hospital | — |
Visitor-reported prices
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Allograft amniotic activebarrier 200 2x2cm-q4100-cost per sheet at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Presbyterian | Pittsburgh | $19,476.00 | $717.36 – $5,827.55 |
| UPMC St. Margaret | Pittsburgh | $4,444.20 | $1,481.40 – $6,295.95 |
| UPMC Muncy | Muncy | $2,221.80 | $555.45 – $3,332.70 |
| UPMC Wellsboro | Wellsboro | $2,929.80 | $604.62 – $3,023.10 |
| UPMC Williamsport | Williamsport | $2,982.60 | $265.00 – $1,192.50 |