Pcv21 vaccine im at UPMC Hanover
300 Highland Avenue, Hanover, PA · UPMC · · NPI 1730158981
$162.00
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.
$270.00
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.
$12.70 with AmeriHealth Caritas 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 |
|---|---|---|---|
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $12.70 | ↓ -92% |
| Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $13.62 | ↓ -92% |
| Geisinger | Medicaid/CHIP | $14.57 | ↓ -91% |
| Capital Blue Cross | Medicare Advantage | $51.30 | ↓ -68% |
| Keystone Health Plan | Medicare Advantage | $51.30 | ↓ -68% |
| Prime Net | Managed Medicare | $65.34 | ↓ -60% |
| Aetna | Medicare | $95.58 | ↓ -41% |
| UPMC Work Partners | Workers Comp | $134.27 | ↓ -17% |
| Aetna | ACO | $153.36 | ↓ -5% |
| United Healthcare | Commercial | $166.32 | ↑ +3% |
| Geisinger | Commercial | $176.80 | ↑ +9% |
| Keystone Health Plan | Commercial | $183.49 | ↑ +13% |
| Capital Blue Cross | CHIP | $183.49 | ↑ +13% |
| Capital Blue Cross | Commercial | $183.49 | ↑ +13% |
| UPMC Health Plan | Commercial | $189.00 | ↑ +17% |
| Aetna | Commercial | $196.56 | ↑ +21% |
| Cigna | Commercial | $210.60 | ↑ +30% |
| CareFirst | Commercial | $229.50 | ↑ +42% |
| Multiplan | PPO (Includes PHCS and Humana as Payers) | $229.50 | ↑ +42% |
| Wellspan Population Health | Commercial | $234.90 | ↑ +45% |
| PA Health & Wellness | PA Medicaid HMO | $327.89 | ↑ +102% |
| Highmark Wholecare (prev Gateway) | Medicaid | $334.45 | ↑ +106% |
| UPMC Health Plan | Managed Medicaid | $360.68 | ↑ +123% |
| UPMC Health Plan | CHIP | $403.31 | ↑ +149% |
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 Bedford | Everett | $252.80 | $10.50 – $327.89 |
| 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 |