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Drsg wnd 8.2x9cm sq bilayer theragenesis ster-74sq cm-cost per sq cm at UPMC Passavant-McCandless
9100 Babcock Boulevard, Pittsburgh, PA · UPMC · · NPI 1225047699
$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 $3,784.20 with Private Health Care Systems — 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 | Managed Care - Social Mission | $156.59 | ↓ -99% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $158.28 | ↓ -99% |
| Highmark BCBS of PA | Managed Care | $209.72 | ↓ -98% |
| Highmark BCBS of PA | Commercial - Indemnity | $211.98 | ↓ -98% |
| Highmark BCBS of PA | UPMC Emergent | $419.45 | ↓ -96% |
| Highmark Wholecare (prev Gateway) | Medicaid | $979.44 | ↓ -91% |
| Aetna | Medicare | $1,113.00 | ↓ -90% |
| PA Health & Wellness | PA Medicaid HMO | $1,469.16 | ↓ -87% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $1,506.11 | ↓ -87% |
| Cigna | New Business ASO | $1,513.68 | ↓ -87% |
| Cigna | Commercial | $1,780.80 | ↓ -84% |
| Health Plan of Upper Ohio Valley | Commercial | $1,860.94 | ↓ -84% |
| UPMC Health Plan | Commercial | $1,880.52 | ↓ -83% |
| Highmark Wholecare (prev Gateway) | Medicare | $2,226.00 | ↓ -80% |
| Coventry/First Health | Commercial | $3,116.40 | ↓ -73% |
| InterGroup | PPO | $3,695.16 | ↓ -67% |
| Humana | Commercial | $3,784.20 | ↓ -67% |
| Multiplan | PPO (Includes Workers' Comp) | $3,784.20 | ↓ -67% |
| Private Health Care Systems | PPO | $3,784.20 | ↓ -67% |
| UPMC Work Partners | Workers Comp | not published by hospital | — |
| Private Health Care Systems | Workers' Comp | not published by hospital | — |
Visitor-reported prices
Comments
Drsg wnd 8.2x9cm sq bilayer theragenesis ster-74sq cm-cost per sq cm at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Mercy | Pittsburgh | $18,066.00 | $56.49 – $4,771.80 |
| UPMC Presbyterian | Pittsburgh | $25,533.00 | $57.03 – $6,369.90 |
| UPMC Williamsport | Williamsport | $10,017.00 | $4,507.65 – $15,025.50 |