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Drsg wnd mesh bovine bilayer 4x10in matrix-q4104-cost per sq cm at UPMC St. Margaret
815 Freeport Road, Pittsburgh, PA · UPMC · · NPI 1790795359
$6,919.80
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.
$11,533.00
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.
$22.27 with Highmark BCBS of PA vs $4,682.65 with Humana — 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 | $22.27 | ↓ -100% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $51.00 | ↓ -99% |
| UPMC Health Plan | Commercial | $62.73 | ↓ -99% |
| Highmark BCBS of PA | Managed Care - Social Mission | $64.14 | ↓ -99% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $64.47 | ↓ -99% |
| Highmark BCBS of PA | Managed Care | $85.90 | ↓ -99% |
| Highmark BCBS of PA | Commercial - Indemnity | $86.34 | ↓ -99% |
| Highmark BCBS of PA | UPMC Emergent | $171.79 | ↓ -98% |
| Highmark Wholecare (prev Gateway) | Medicaid | $1,101.80 | ↓ -84% |
| Aetna | Medicare | $1,377.25 | ↓ -80% |
| Aetna | Neighborhood Network | $1,388.27 | ↓ -80% |
| Aetna | Home Depot Employer Group | $1,509.47 | ↓ -78% |
| Aetna | NBR ASO/FI | $1,542.52 | ↓ -78% |
| Cigna | New Business ASO | $1,542.52 | ↓ -78% |
| PA Health & Wellness | PA Medicaid HMO | $1,817.97 | ↓ -74% |
| Aetna | EBR FI | $2,093.42 | ↓ -70% |
| Aetna | EBR ASO | $2,203.60 | ↓ -68% |
| Cigna | Commercial | $2,203.60 | ↓ -68% |
| Highmark Wholecare (prev Gateway) | Medicare | $2,754.50 | ↓ -60% |
| Coventry/First Health | Commercial | $3,856.30 | ↓ -44% |
| Private Health Care Systems | PPO | $4,407.20 | ↓ -36% |
| SelectCare | Commercial | $4,407.20 | ↓ -36% |
| Humana | Commercial | $4,682.65 | ↓ -32% |
| UPMC Work Partners | Workers Comp | not published by hospital | — |
Visitor-reported prices
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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 Passavant-McCandless | Pittsburgh | $34,796.40 | $22.27 – $20,872.04 |
| UPMC Presbyterian | Pittsburgh | $49,180.20 | $22.27 – $14,807.00 |
| UPMC Muncy | Muncy | $29,534.40 | $56.10 – $10,044.00 |
| UPMC Williamsport | Williamsport | $28,128.00 | $51.00 – $8,371.80 |