Vaccine covid-19 moderna >=12yrs 50mcg/0.5ml at UPMC East
2775 Mosside Boulevard, Monroeville, PA · UPMC · · NPI 1225323983
$340.00
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.
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What you pay up front if you don't use insurance.
$425.00
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.
$39.71 with UPMC Work Partners vs $2,390.76 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 |
|---|---|---|---|
| UPMC Work Partners | Workers Comp | $39.71 | ↓ -88% |
| UPMC Health Plan | Managed Medicaid | $44.00 | ↓ -87% |
| United Healthcare Community Plan for Families | Unison Kids | $46.00 | ↓ -86% |
| Geisinger | Medicaid/CHIP | $55.60 | ↓ -84% |
| Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $60.32 | ↓ -82% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $62.44 | ↓ -82% |
| Aetna | Medicare | $83.00 | ↓ -76% |
| United Healthcare | Compass Exchange | $112.88 | ↓ -67% |
| Aetna | Neighborhood Network | $116.53 | ↓ -66% |
| Aetna | EBR FI | $126.16 | ↓ -63% |
| Aetna | Home Depot Employer Group | $126.82 | ↓ -63% |
| Cigna | New Business ASO | $129.48 | ↓ -62% |
| Cigna | NBR ASO/FI | $129.48 | ↓ -62% |
| Aetna | NBR ASO/FI | $129.48 | ↓ -62% |
| Cigna | Commercial | $132.80 | ↓ -61% |
| Aetna | EBR ASO | $132.80 | ↓ -61% |
| Cigna | EBR | $132.80 | ↓ -61% |
| United Healthcare | All Business | $132.80 | ↓ -61% |
| PA Health & Wellness | PA Medicaid HMO | $161.65 | ↓ -52% |
| Highmark Wholecare (prev Gateway) | Medicaid | $161.65 | ↓ -52% |
| Highmark Wholecare (prev Gateway) | Medicare | $166.00 | ↓ -51% |
| InterGroup | PPO | $166.00 | ↓ -51% |
| UPMC Health Plan | CHIP | $169.32 | ↓ -50% |
| UPMC Health Plan | Commercial | $198.83 | ↓ -42% |
| Coventry/First Health | Commercial | $232.40 | ↓ -32% |
| Private Health Care Systems | PPO | $265.60 | ↓ -22% |
| Highmark BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage | $309.98 | ↓ -9% |
| Highmark BCBS of PA | Managed Care - Social Mission | $892.60 | ↑ +163% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $897.18 | ↑ +164% |
| Highmark BCBS of PA | Managed Care | $1,195.38 | ↑ +252% |
| Highmark BCBS of PA | Commercial - Indemnity | $1,201.58 | ↑ +253% |
| Highmark BCBS of PA | UPMC Emergent | $2,390.76 | ↑ +603% |
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 Community Osteopathic | Harrisburg | $193.20 | $42.00 – $511.26 |
| 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 |