Vaccine covid-19 moderna >=12yrs 50mcg/0.5ml at UPMC Community Osteopathic
111 South Front Street, Harrisburg, PA · UPMC · · NPI 157809786
$193.20
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.
$322.00
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.
$42.00 with United Healthcare Community Plan for Families vs $511.26 with Highmark BCBS of PA — 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 | PA Medicaid | $42.00 | ↓ -78% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $50.80 | ↓ -74% |
| Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $54.48 | ↓ -72% |
| Geisinger | Medicaid/CHIP | $58.26 | ↓ -70% |
| Keystone Health Plan | Medicare Advantage | $64.40 | ↓ -67% |
| Capital Blue Cross | Medicare Advantage | $64.40 | ↓ -67% |
| Prime Net | Managed Medicare | $77.92 | ↓ -60% |
| Aetna | Medicare | $80.82 | ↓ -58% |
| Aetna | ACO | $109.80 | ↓ -43% |
| Aetna | PEBTF ACO | $116.56 | ↓ -40% |
| Aetna | Commercial | $137.17 | ↓ -29% |
| UPMC Work Partners | Workers Comp | $137.78 | ↓ -29% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $161.65 | ↓ -16% |
| Capital Blue Cross | Commercial | $185.47 | ↓ -4% |
| Capital Blue Cross | CHIP | $185.47 | ↓ -4% |
| Keystone Health Plan | Commercial | $194.75 | ↑ +1% |
| UPMC Health Plan | CHIP | $198.83 | ↑ +3% |
| InterGroup | PPO | $209.30 | ↑ +8% |
| Prime Net | FH-Medical Rental | $242.14 | ↑ +25% |
| Wellspan Population Health | Commercial | $273.70 | ↑ +42% |
| Highmark BCBS of PA | CHIP | $511.26 | ↑ +165% |
| Highmark BCBS of PA | Commercial | $511.26 | ↑ +165% |
Visitor-reported prices
Comments
Vaccine covid-19 moderna >=12yrs 50mcg/0.5ml at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $340.00 | $40.00 – $484.95 |
| UPMC Bedford | Everett | $340.00 | $42.00 – $851.50 |
| UPMC Carlisle | Carlisle | $193.20 | $42.00 – $273.70 |
| UPMC East | Monroeville | $340.00 | $39.71 – $309.98 |
| UPMC Hamot | Erie | $340.00 | $44.00 – $397.27 |
| UPMC Northwest | Seneca | $340.00 | $44.00 – $796.93 |
| UPMC Hanover | Hanover | $193.20 | $42.00 – $1,024.73 |
| UPMC Jameson | New Castle | $340.00 | $44.00 – $312.47 |