Cciiv4 vac no prsv 0.5 ml im at UPMC Hanover

300 Highland Avenue, Hanover, PA · UPMC · · NPI 1730158981

Source: hospital's published price file ↗ · Published Mar 6, 2026 · Ingested Aug 13, 2026

$34.80

Cash price

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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.

Full explanation →

What you pay up front if you don't use insurance.

$58.00

Gross charge

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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.

Full explanation →

The hospital's undiscounted list price — almost no one pays this.

$10.50 with United Healthcare Community Plan for Families vs $50.46 with Wellspan Population Health — 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 →

Payer
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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
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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 PA Medicaid $10.50 ↓ -70%
Capital Blue Cross Medicare Advantage $11.02 ↓ -68%
Keystone Health Plan Medicare Advantage $11.02 ↓ -68%
Highmark Wholecare (prev Gateway) Medicaid $12.70 ↓ -64%
UPMC Health Plan Managed Medicaid $13.00 ↓ -63%
Health Partners Plans (Jefferson Health Plan) Medicaid/CHIP $13.62 ↓ -61%
Prime Net Managed Medicare $14.04 ↓ -60%
Geisinger Medicaid/CHIP $14.57 ↓ -58%
PA Health & Wellness PA Medicaid HMO $17.04 ↓ -51%
Aetna Medicare $20.53 ↓ -41%
UPMC Work Partners Workers Comp $28.84 ↓ -17%
AmeriHealth Caritas Community HealthChoices (CHC)/Medicaid $29.94 ↓ -14%
Aetna ACO $32.94 ↓ -5%
United Healthcare Commercial $35.73 ↑ +3%
Geisinger Commercial $37.98 ↑ +9%
Capital Blue Cross CHIP $39.42 ↑ +13%
Keystone Health Plan Commercial $39.42 ↑ +13%
Capital Blue Cross Commercial $39.42 ↑ +13%
UPMC Health Plan CHIP $39.65 ↑ +14%
UPMC Health Plan Commercial $40.60 ↑ +17%
Aetna Commercial $42.22 ↑ +21%
Cigna Commercial $47.53 ↑ +37%
Multiplan PPO (Includes PHCS and Humana as Payers) $49.30 ↑ +42%
CareFirst Commercial $49.30 ↑ +42%
Wellspan Population Health Commercial $50.46 ↑ +45%

Visitor-reported prices

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Cciiv4 vac no prsv 0.5 ml im at other Pennsylvania hospitals

Hospital City Cash price Negotiated range
UPMC Altoona Altoona $21.00 $10.00 – $28.00
UPMC Bedford Everett $21.00 $8.75 – $41.24
UPMC Carlisle Carlisle $34.80 $7.95 – $49.30
UPMC Community Osteopathic Harrisburg $34.80 $10.50 – $49.30
UPMC East Monroeville $21.00 $4.19 – $28.00
UPMC Hamot Erie $21.00 $11.00 – $93.03
UPMC Northwest Seneca $21.00 $11.00 – $38.59
UPMC Horizon-Greenville Greenville $21.00 $10.50 – $37.90

All Pennsylvania hospitals for this procedure →