healthcosts.net
Drsg wnd mesh bovine bilayer 4x10in matrix-q4104-cost per sq cm at UPMC Passavant-McCandless
9100 Babcock Boulevard, Pittsburgh, PA · UPMC · · NPI 1225047699
$34,796.40
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.
?
What you pay up front if you don't use insurance.
$57,994.00
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.
?
The hospital's undiscounted list price — almost no one pays this.
$22.27 with Highmark BCBS of PA vs $24,270.49 with Private Health Care Systems — same scan, same building. Share
Negotiated rates by payer
?
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 →
?
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 | $22.27 | ↓ -100% |
| UPMC Health Plan | Managed Medicaid | $32.20 | ↓ -100% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $51.00 | ↓ -100% |
| Highmark Wholecare (prev Gateway) | Medicaid | $51.00 | ↓ -100% |
| PA Health & Wellness | PA Medicaid HMO | $51.00 | ↓ -100% |
| Highmark BCBS of PA | Managed Care - Social Mission | $61.16 | ↓ -100% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $61.82 | ↓ -100% |
| UPMC Health Plan | Commercial | $62.73 | ↓ -100% |
| Highmark BCBS of PA | Managed Care | $81.92 | ↓ -100% |
| Highmark BCBS of PA | Commercial - Indemnity | $82.80 | ↓ -100% |
| Highmark BCBS of PA | UPMC Emergent | $163.83 | ↓ -100% |
| Aetna | Medicare | $3,333.00 | ↓ -90% |
| Cigna | New Business ASO | $4,532.88 | ↓ -87% |
| Cigna | Commercial | $5,332.80 | ↓ -85% |
| Health Plan of Upper Ohio Valley | Commercial | $5,572.78 | ↓ -84% |
| Highmark Wholecare (prev Gateway) | Medicare | $6,666.00 | ↓ -81% |
| Coventry/First Health | Commercial | $9,332.40 | ↓ -73% |
| InterGroup | PPO | $11,065.56 | ↓ -68% |
| Humana | Commercial | $11,332.20 | ↓ -67% |
| Multiplan | PPO (Includes Workers' Comp) | $11,332.20 | ↓ -67% |
| Private Health Care Systems | PPO | $11,332.20 | ↓ -67% |
| UPMC Work Partners | Workers Comp | $20,872.04 | ↓ -40% |
| Private Health Care Systems | Workers' Comp | $24,270.49 | ↓ -30% |
Visitor-reported prices
Comments
Drsg wnd mesh bovine bilayer 4x10in matrix-q4104-cost per sq cm at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Mercy | Pittsburgh | $36,884.40 | $22.06 – $8,919.90 |
| UPMC Presbyterian | Pittsburgh | $49,180.20 | $22.27 – $14,807.00 |
| UPMC St. Margaret | Pittsburgh | $6,919.80 | $22.27 – $4,682.65 |
| UPMC Muncy | Muncy | $29,534.40 | $56.10 – $10,044.00 |
| UPMC Williamsport | Williamsport | $28,128.00 | $51.00 – $8,371.80 |