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Particle matristem matrix 1000mg micron-q4118-cost per mg at UPMC Presbyterian
200 Lothrop Street, Pittsburgh, PA · UPMC · · NPI 119473412
$13,098.00
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.
$21,830.00
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.
$3.13 with UPMC Health Plan vs $11,234.45 with InterGroup — 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 | Commercial | $3.13 | ↓ -100% |
| Highmark BCBS of PA | Medicare Advantage | $6.04 | ↓ -100% |
| Highmark BCBS of PA | Managed Care - Social Mission | $10.04 | ↓ -100% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $10.23 | ↓ -100% |
| Highmark BCBS of PA | Managed Care | $13.45 | ↓ -100% |
| Highmark BCBS of PA | Commercial - Indemnity | $13.69 | ↓ -100% |
| Highmark BCBS of PA | UPMC Emergent | $26.90 | ↓ -100% |
| Highmark Wholecare (prev Gateway) | Medicaid | $1,586.04 | ↓ -88% |
| Aetna | CHIP/Medicaid | $2,379.06 | ↓ -82% |
| Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $2,511.23 | ↓ -81% |
| Aetna | Medicare | $3,304.25 | ↓ -75% |
| Geisinger | Medicaid/CHIP | $4,361.61 | ↓ -67% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $4,471.31 | ↓ -66% |
| Aetna | First Health | $6,608.50 | ↓ -50% |
| Highmark Wholecare (prev Gateway) | Medicare | $6,608.50 | ↓ -50% |
| Preferred Healthcare System | PPO | $8,591.05 | ↓ -34% |
| Coventry/First Health | Commercial | $9,251.90 | ↓ -29% |
| Fidelis | Medicare | $9,912.75 | ↓ -24% |
| InterGroup | InterGroup Services Corporation | $9,912.75 | ↓ -24% |
| Health Coalition Partners | Intergroup | $10,573.60 | ↓ -19% |
| Multiplan | PPO | $10,573.60 | ↓ -19% |
| Private Health Care Systems | PPO | $10,573.60 | ↓ -19% |
| SelectCare | Commercial | $10,573.60 | ↓ -19% |
| Health Payors Organization | Commercial | $11,234.45 | ↓ -14% |
| Humana | Commercial | $11,234.45 | ↓ -14% |
| InterGroup | Approved National Affiliated PPO Business | $11,234.45 | ↓ -14% |
| UPMC Work Partners | Workers Comp | not published by hospital | — |
| Multiplan | Worker's Compensation | 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 Mercy | Pittsburgh | $7,136.40 | $1.61 – $8,919.90 |
| UPMC Passavant-McCandless | Pittsburgh | $17,505.00 | $2.54 – $3,304.80 |
| 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 |