Vaccine pneumococcal conjugate 13 valent (pcv13) im at UPMC McKeesport
1500 Fifth Avenue, Mckeesport, PA · UPMC · · NPI 104370353
$144.00
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.
$240.00
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 United Healthcare Community Plan for Families vs $1,173.25 with Highmark BCBS of PA — 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 |
|---|---|---|---|
| United Healthcare Community Plan for Families | PA CHIP/PA Medicaid | $11.00 | ↓ -92% |
| UPMC Health Plan | Managed Medicaid | $11.00 | ↓ -92% |
| Highmark Wholecare (prev Gateway) | Medicaid | $14.83 | ↓ -90% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $15.61 | ↓ -89% |
| Aetna | Medicare | $60.00 | ↓ -58% |
| UPMC Work Partners | Workers Comp | $66.36 | ↓ -54% |
| Aetna | Neighborhood Network | $83.28 | ↓ -42% |
| Aetna | Home Depot Employer Group | $90.48 | ↓ -37% |
| Aetna | EBR FI | $91.20 | ↓ -37% |
| Cigna | New Business ASO | $92.40 | ↓ -36% |
| Aetna | NBR ASO/FI | $92.40 | ↓ -36% |
| Aetna | EBR ASO | $96.00 | ↓ -33% |
| Cigna | Commercial | $96.00 | ↓ -33% |
| InterGroup | PPO | $120.00 | ↓ -17% |
| Highmark Wholecare (prev Gateway) | Medicare | $120.00 | ↓ -17% |
| Cigna Behavioral Health | Commercial | $144.00 | ↑ +0% |
| Coventry/First Health | Commercial | $168.00 | ↑ +17% |
| Private Health Care Systems | PPO | $192.00 | ↑ +33% |
| SelectCare | Commercial | $192.00 | ↑ +33% |
| Humana | Commercial | $204.00 | ↑ +42% |
| Highmark BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage | $232.37 | ↑ +61% |
| Geisinger | Medicaid/CHIP | $257.99 | ↑ +79% |
| PA Health & Wellness | PA Medicaid HMO | $257.99 | ↑ +79% |
| UPMC Health Plan | CHIP | $299.36 | ↑ +108% |
| UPMC Health Plan | Commercial | $317.33 | ↑ +120% |
| Highmark BCBS of PA | Managed Care - Social Mission | $869.08 | ↑ +504% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $876.04 | ↑ +508% |
| Highmark BCBS of PA | Managed Care | $1,163.95 | ↑ +708% |
| Highmark BCBS of PA | Commercial - Indemnity | $1,173.25 | ↑ +715% |
Visitor-reported prices
Comments
Vaccine pneumococcal conjugate 13 valent (pcv13) im at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $144.00 | $10.00 – $773.97 |
| UPMC Bedford | Everett | $144.00 | $10.50 – $638.31 |
| UPMC East | Monroeville | $144.00 | $11.00 – $257.99 |
| UPMC Hamot | Erie | $144.00 | $11.00 – $702.37 |
| UPMC Northwest | Seneca | $144.00 | $11.00 – $597.39 |
| UPMC Horizon-Greenville | Greenville | $144.00 | $10.50 – $586.62 |
| UPMC Jameson | New Castle | $144.00 | $11.00 – $257.99 |
| UPMC Magee | Pittsburgh | $152.40 | $11.00 – $257.99 |