Administration vaccine pneumococcal at UPMC Community Osteopathic
111 South Front Street, Harrisburg, PA · UPMC · · NPI 157809786
$72.60
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.
$121.00
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.
$7.20 with Capital Blue Cross vs $49.02 with PA Health & Wellness — 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 |
|---|---|---|---|
| Capital Blue Cross | Medicare Advantage | $7.20 | ↓ -90% |
| Keystone Health Plan | Medicare Advantage | $7.20 | ↓ -90% |
| Prime Net | Managed Medicare | $8.71 | ↓ -88% |
| Highmark BCBS of PA | Commercial | $12.53 | ↓ -83% |
| Highmark BCBS of PA | CHIP | $12.53 | ↓ -83% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $12.70 | ↓ -83% |
| United Healthcare Community Plan for Families | PA Medicaid | $13.10 | ↓ -82% |
| Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $13.62 | ↓ -81% |
| Geisinger | Medicaid/CHIP | $14.57 | ↓ -80% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $17.04 | ↓ -77% |
| Aetna | ACO | $17.68 | ↓ -76% |
| Aetna | PEBTF ACO | $18.76 | ↓ -74% |
| Capital Blue Cross | Commercial | $19.90 | ↓ -73% |
| Capital Blue Cross | CHIP | $19.90 | ↓ -73% |
| Keystone Health Plan | Commercial | $20.89 | ↓ -71% |
| Aetna | Commercial | $22.07 | ↓ -70% |
| InterGroup | PPO | $23.40 | ↓ -68% |
| Prime Net | FH-Medical Rental | $27.07 | ↓ -63% |
| Wellspan Population Health | Commercial | $30.60 | ↓ -58% |
| UPMC Health Plan | CHIP | $42.50 | ↓ -41% |
| Highmark BCBS of PA | Community Blue Medicare Advantage/Complete Blue Medicare Advantage/Security Blue Medicare Advantage/Together Blue Medicare Advantage | $44.94 | ↓ -38% |
| Highmark BCBS of PA | Freedom Blue Medicare Advantage | $45.61 | ↓ -37% |
| Humana | Medicare | $46.75 | ↓ -36% |
| Aetna | Medicare | $47.34 | ↓ -35% |
| Cigna | Medicare | $47.66 | ↓ -34% |
| United Healthcare | Medicare | $48.57 | ↓ -33% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $49.02 | ↓ -32% |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
| Tricare | Tricare | not published by hospital | — |
| UPMC Work Partners | Workers Comp | not published by hospital | — |
Visitor-reported prices
Comments
Administration vaccine pneumococcal at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $12.00 | $7.53 – $17.04 |
| UPMC Bedford | Everett | $12.00 | $8.00 – $20.88 |
| UPMC Carlisle | Carlisle | $72.60 | $12.70 – $102.85 |
| UPMC Cole | Coudersport | $86.40 | $9.70 – $28.00 |
| UPMC East | Monroeville | $12.00 | $6.60 – $46.19 |
| UPMC Hamot | Erie | $12.00 | $4.05 – $54.83 |
| UPMC Northwest | Seneca | $12.00 | $11.00 – $46.19 |
| UPMC Hanover | Hanover | $72.60 | $12.70 – $70.53 |