Vaccine dtap < 7 years im at UPMC Horizon-Greenville
110 N Main St, Greenville, PA · UPMC · · NPI 1225048838
$43.20
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.
$54.00
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 $95.98 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 | ↓ -76% |
| UPMC Health Plan | Managed Medicaid | $11.00 | ↓ -75% |
| Aetna | Medicaid | $11.00 | ↓ -75% |
| United Healthcare Community Plan for Families | Unison Kids | $11.50 | ↓ -73% |
| Aetna | Medicare | $13.50 | ↓ -69% |
| Geisinger | Medicaid/CHIP | $13.90 | ↓ -68% |
| Highmark Wholecare (prev Gateway) | Medicaid | $14.83 | ↓ -66% |
| Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $15.08 | ↓ -65% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $15.61 | ↓ -64% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $17.04 | ↓ -61% |
| United Healthcare | Compass Exchange | $18.36 | ↓ -58% |
| Anthem Blue Cross Blue Shield | Traditional | $18.41 | ↓ -57% |
| Aetna | Neighborhood Network | $19.98 | ↓ -54% |
| Aetna | Home Depot Employer Group | $20.63 | ↓ -52% |
| Anthem Blue Cross Blue Shield | Blue Access PPO/Blue Preferred HMO/HIC | $21.01 | ↓ -51% |
| Cigna | NBR ASO/FI | $21.06 | ↓ -51% |
| Aetna | NBR ASO/FI | $21.06 | ↓ -51% |
| Cigna | New Business ASO | $21.06 | ↓ -51% |
| Aetna | EBR ASO | $21.60 | ↓ -50% |
| United Healthcare | All Business | $21.60 | ↓ -50% |
| Cigna | Commercial | $21.60 | ↓ -50% |
| Cigna | EBR | $21.60 | ↓ -50% |
| Highmark BCBS of PA | Community Blue Medicare Advantage/Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage/Together Blue Medicare Advantage | $27.00 | ↓ -38% |
| Highmark Wholecare (prev Gateway) | Medicare | $27.00 | ↓ -38% |
| UPMC Work Partners | Workers Comp | $27.66 | ↓ -36% |
| Aetna | EBR FI | $32.40 | ↓ -25% |
| InterGroup | PPO | $35.10 | ↓ -19% |
| Coventry/First Health | Commercial | $35.64 | ↓ -18% |
| Health Coalition Partners | PPO | $37.80 | ↓ -13% |
| Private Health Care Systems | PPO | $43.20 | ↑ +0% |
| Prime Net | Commercial | $44.28 | ↑ +3% |
| Humana | Commercial | $45.90 | ↑ +6% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity/Managed Care - Social Mission | $52.21 | ↑ +21% |
| Highmark BCBS of PA | Commercial - Indemnity/Managed Care | $64.32 | ↑ +49% |
| UPMC Health Plan | CHIP | $71.62 | ↑ +66% |
| UPMC Health Plan | Commercial | $95.98 | ↑ +122% |
Visitor-reported prices
Comments
Vaccine dtap < 7 years im at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $32.40 | $10.00 – $106.14 |
| UPMC Carlisle | Carlisle | $32.40 | $7.40 – $45.90 |
| UPMC Community Osteopathic | Harrisburg | $32.40 | $10.50 – $71.62 |
| UPMC Hamot | Erie | $43.20 | $11.00 – $93.98 |
| UPMC Hanover | Hanover | $32.40 | $10.50 – $44.25 |
| UPMC Jameson | New Castle | $43.20 | $11.00 – $31.20 |
| UPMC Kane | Kane | $75.60 | $11.00 – $58.38 |
| UPMC Lititz | Lititz | $32.40 | $10.50 – $44.25 |