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Graft apligraf 3in 44sqcm-q4101-cost per sq cm at UPMC Passavant-McCandless
9100 Babcock Boulevard, Pittsburgh, PA · UPMC · · NPI 1225047699
$74.40
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.
$124.00
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.
$27.28 with Highmark Wholecare (prev Gateway) vs $433.25 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 |
|---|---|---|---|
| Highmark Wholecare (prev Gateway) | Medicaid | $27.28 | ↓ -63% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $30.23 | ↓ -59% |
| Aetna | Medicare | $31.00 | ↓ -58% |
| UPMC Health Plan | Commercial | $37.18 | ↓ -50% |
| PA Health & Wellness | PA Medicaid HMO | $40.92 | ↓ -45% |
| Cigna | New Business ASO | $42.16 | ↓ -43% |
| Cigna | Commercial | $49.60 | ↓ -33% |
| Health Plan of Upper Ohio Valley | Commercial | $51.83 | ↓ -30% |
| Highmark BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage | $58.90 | ↓ -21% |
| Highmark Wholecare (prev Gateway) | Medicare | $62.00 | ↓ -17% |
| Coventry/First Health | Commercial | $86.80 | ↑ +17% |
| InterGroup | PPO | $102.92 | ↑ +38% |
| Humana | Commercial | $105.40 | ↑ +42% |
| Multiplan | PPO (Includes Workers' Comp) | $105.40 | ↑ +42% |
| Private Health Care Systems | PPO | $105.40 | ↑ +42% |
| Highmark BCBS of PA | Managed Care - Social Mission | $161.74 | ↑ +117% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $163.49 | ↑ +120% |
| Highmark BCBS of PA | Managed Care | $216.63 | ↑ +191% |
| Highmark BCBS of PA | Commercial - Indemnity | $218.96 | ↑ +194% |
| Highmark BCBS of PA | UPMC Emergent | $433.25 | ↑ +482% |
| 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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Graft apligraf 3in 44sqcm-q4101-cost per sq cm at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC St. Margaret | Pittsburgh | $6,515.40 | $30.23 – $9,230.15 |
| UPMC Wellsboro | Wellsboro | $3,426.40 | $30.23 – $3,854.70 |
| UPMC Williamsport | Williamsport | $62.40 | $20.80 – $93.60 |