Pcv21 vaccine im at UPMC Bedford
10455 Lincoln Highway, Everett, PA · UPMC · · NPI 1295724193
$252.80
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.
$316.00
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.
$10.50 with United Healthcare Community Plan for Families vs $403.31 with UPMC Health Plan — 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 |
|---|---|---|---|
| United Healthcare Community Plan for Families | Unison MedPLUS | $10.50 | ↓ -96% |
| UPMC Health Plan | Managed Medicaid | $11.00 | ↓ -96% |
| United Healthcare Community Plan for Families | Unison Kids | $11.50 | ↓ -95% |
| Aetna | Medicaid | $12.50 | ↓ -95% |
| Geisinger | Medicaid/CHIP | $13.90 | ↓ -95% |
| Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $15.08 | ↓ -94% |
| Aetna | Medicare | $79.00 | ↓ -69% |
| UPMC Work Partners | Workers Comp | $91.77 | ↓ -64% |
| UPMC Health Plan | CHIP | $110.60 | ↓ -56% |
| Aetna | EBR ASO | $126.40 | ↓ -50% |
| Cigna | EBR | $126.40 | ↓ -50% |
| Cigna | Commercial | $126.40 | ↓ -50% |
| Aetna | EBR FI | $154.84 | ↓ -39% |
| Highmark Wholecare (prev Gateway) | Medicare | $158.00 | ↓ -38% |
| United Healthcare | Compass Exchange | $180.12 | ↓ -29% |
| Aetna | Neighborhood Network | $195.92 | ↓ -23% |
| Aetna | Home Depot Employer Group | $201.29 | ↓ -20% |
| Cigna | NBR ASO/FI | $205.40 | ↓ -19% |
| Aetna | NBR ASO/FI | $205.40 | ↓ -19% |
| Cigna | New Business ASO | $205.40 | ↓ -19% |
| InterGroup | PPO | $205.40 | ↓ -19% |
| United Healthcare | All Business | $211.72 | ↓ -16% |
| Coventry/First Health | Commercial | $221.20 | ↓ -13% |
| Preferred Healthcare System | PPO | $252.80 | ↑ +0% |
| SelectCare | Commercial | $284.40 | ↑ +13% |
| Health Coalition Partners | Intergroup | $284.40 | ↑ +13% |
| Humana | Commercial | $284.40 | ↑ +13% |
| Private Health Care Systems | PPO | $284.40 | ↑ +13% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity/Managed Care - Social Mission | $319.95 | ↑ +27% |
| Highmark Wholecare (prev Gateway) | Medicaid | $327.89 | ↑ +30% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $327.89 | ↑ +30% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $327.89 | ↑ +30% |
| Highmark BCBS of PA | Commercial - Indemnity/Managed Care | $394.15 | ↑ +56% |
| UPMC Health Plan | Commercial | $403.31 | ↑ +60% |
Visitor-reported prices
Comments
Pcv21 vaccine im at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $252.80 | $10.00 – $983.67 |
| UPMC Carlisle | Carlisle | $162.00 | $12.70 – $334.45 |
| UPMC Cole | Coudersport | $360.00 | $10.50 – $480.00 |
| UPMC Community Osteopathic | Harrisburg | $162.00 | $12.70 – $403.31 |
| UPMC East | Monroeville | $252.80 | $11.00 – $327.89 |
| UPMC Hamot | Erie | $252.80 | $11.00 – $327.89 |
| UPMC Northwest | Seneca | $252.80 | $11.00 – $327.89 |
| UPMC Hanover | Hanover | $162.00 | $12.70 – $360.68 |