Vaccine pneumonococcal conjugate 20 valent (pcv20) im at UPMC Community Osteopathic
111 South Front Street, Harrisburg, PA · UPMC · · NPI 157809786
$322.80
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.
$538.00
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 $442.85 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 →
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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 | $10.50 | ↓ -97% |
| Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $13.62 | ↓ -96% |
| Geisinger | Medicaid/CHIP | $14.57 | ↓ -95% |
| Keystone Health Plan | Medicare Advantage | $104.20 | ↓ -68% |
| Capital Blue Cross | Medicare Advantage | $104.20 | ↓ -68% |
| Prime Net | Managed Medicare | $126.08 | ↓ -61% |
| Aetna | Medicare | $130.77 | ↓ -59% |
| Aetna | ACO | $177.66 | ↓ -45% |
| Highmark BCBS of PA | CHIP | $187.40 | ↓ -42% |
| Highmark BCBS of PA | Commercial | $187.40 | ↓ -42% |
| Aetna | PEBTF ACO | $188.60 | ↓ -42% |
| Aetna | Commercial | $221.95 | ↓ -31% |
| UPMC Work Partners | Workers Comp | $222.94 | ↓ -31% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $283.72 | ↓ -12% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $312.90 | ↓ -3% |
| InterGroup | PPO | $338.65 | ↑ +5% |
| Capital Blue Cross | Commercial | $359.01 | ↑ +11% |
| Capital Blue Cross | CHIP | $359.01 | ↑ +11% |
| Keystone Health Plan | Commercial | $359.05 | ↑ +11% |
| UPMC Health Plan | CHIP | $384.87 | ↑ +19% |
| Prime Net | FH-Medical Rental | $391.79 | ↑ +21% |
| Wellspan Population Health | Commercial | $442.85 | ↑ +37% |
Visitor-reported prices
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Vaccine pneumonococcal conjugate 20 valent (pcv20) im at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $192.00 | $10.00 – $894.12 |
| UPMC Bedford | Everett | $192.00 | $10.50 – $312.90 |
| UPMC Carlisle | Carlisle | $322.80 | $10.50 – $442.85 |
| UPMC East | Monroeville | $192.00 | $11.00 – $312.90 |
| UPMC Hamot | Erie | $192.00 | $11.00 – $785.88 |
| UPMC Northwest | Seneca | $192.00 | $11.00 – $312.90 |
| UPMC Hanover | Hanover | $322.80 | $10.50 – $2,027.12 |
| UPMC Horizon-Greenville | Greenville | $192.00 | $10.50 – $312.90 |