Pcv21 vaccine im at UPMC Kane
4372 Route 6, Kane, PA · UPMC · · NPI 146763537
$414.00
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.
?
What you pay up front if you don't use insurance.
$690.00
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.
?
The hospital's undiscounted list price — almost no one pays this.
$11.00 with UPMC Health Plan vs $15,533.28 with Cigna — same scan, same building. Share
Negotiated rates by payer
?
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 →
?
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 |
|---|---|---|---|
| UPMC Health Plan | Managed Medicaid | $11.00 | ↓ -97% |
| Aetna | CHIP/Medicaid | $11.00 | ↓ -97% |
| United Healthcare Community Plan for Families | Unison Kids | $11.50 | ↓ -97% |
| Geisinger | Medicaid/CHIP | $13.90 | ↓ -97% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $15.61 | ↓ -96% |
| UPMC Health Plan | CHIP | $241.50 | ↓ -42% |
| Highmark BCBS of PA | Community Blue Medicare Advantage/Complete Blue Medicare Advantage | $255.30 | ↓ -38% |
| UPMC Health Plan | Managed Medicare | $255.30 | ↓ -38% |
| Highmark BCBS of PA | Together Blue Medicare Advantage | $255.30 | ↓ -38% |
| Highmark BCBS of PA | Security Blue Medicare Advantage | $255.30 | ↓ -38% |
| Highmark BCBS of PA | Freedom Blue Medicare Advantage | $255.30 | ↓ -38% |
| Highmark Wholecare (prev Gateway) | Medicare | $262.55 | ↓ -37% |
| Aetna of PA | Medicare | $265.51 | ↓ -36% |
| United Healthcare | Unison Advantage Non Special Needs | $268.06 | ↓ -35% |
| AmeriHealth Caritas | Medicare | $275.72 | ↓ -33% |
| United Healthcare | Unison Advantage Special Needs | $280.83 | ↓ -32% |
| UPMC Health Plan | Partners/Select | $301.25 | ↓ -27% |
| Highmark BCBS of PA | Managed Care | $327.89 | ↓ -21% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $327.89 | ↓ -21% |
| Highmark BCBS of PA | Commercial - Indemnity | $327.89 | ↓ -21% |
| Highmark BCBS of PA | Managed Care - Social Mission | $327.89 | ↓ -21% |
| Highmark Wholecare (prev Gateway) | Medicaid | $327.89 | ↓ -21% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $327.89 | ↓ -21% |
| UPMC Work Partners | Workers Comp | $366.11 | ↓ -12% |
| UPMC Health Plan | Commercial | $403.31 | ↓ -3% |
| Focus Healthcare | Workers Compensation | $404.41 | ↓ -2% |
| Cigna | Commercial | $483.00 | ↑ +17% |
| Horizon Health Plan | Commercial | $483.00 | ↑ +17% |
| Multiplan | Auto/PPO/Worker's Compensation | $517.50 | ↑ +25% |
| United Healthcare | Commercial | $541.02 | ↑ +31% |
| Health Coalition Partners | PPO | $552.00 | ↑ +33% |
| InterGroup | Commercial | $552.00 | ↑ +33% |
| Focus Healthcare | Disability/PPO/Auto | $655.50 | ↑ +58% |
| Cigna | Medicare | $15,533.28 | ↑ +3652% |
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 |