Administration immunization intranasal/oral route 1 vaccine at UPMC Magee
300 Halket Street, Pittsburgh, PA · UPMC · · NPI 1952311508
$14.40
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.
$24.00
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.
$4.32 with Aetna vs $152.31 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 |
|---|---|---|---|
| Aetna | CHIP/Medicaid | $4.32 | ↓ -70% |
| Aetna | Neighborhood Network | $8.64 | ↓ -40% |
| Aetna | EBR FI | $9.36 | ↓ -35% |
| Aetna | Home Depot Employer Group | $9.41 | ↓ -35% |
| Aetna | NBR ASO/FI | $9.60 | ↓ -33% |
| Aetna | EBR ASO | $9.60 | ↓ -33% |
| Cigna | Commercial | $9.60 | ↓ -33% |
| Cigna | New Business ASO | $9.60 | ↓ -33% |
| InterGroup | PPO | $12.00 | ↓ -17% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $13.20 | ↓ -8% |
| Geisinger | Medicaid/CHIP | $13.20 | ↓ -8% |
| Coventry/First Health | Commercial | $16.80 | ↑ +17% |
| Preferred Healthcare System | PPO | $19.20 | ↑ +33% |
| Humana | Commercial | $20.40 | ↑ +42% |
| Private Health Care Systems | PPO | $20.40 | ↑ +42% |
| Multiplan | PPO | $22.08 | ↑ +53% |
| Highmark BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage | $24.84 | ↑ +73% |
| UPMC Health Plan | CHIP | $29.68 | ↑ +106% |
| UPMC Health Plan | Commercial | $45.85 | ↑ +218% |
| UPMC Health Plan | Managed Medicare | $63.50 | ↑ +341% |
| UPMC Health Plan | Partners/Select | $69.60 | ↑ +383% |
| Aetna of PA | Medicare | $71.24 | ↑ +395% |
| Highmark Wholecare (prev Gateway) | Medicare | $73.27 | ↑ +409% |
| United Healthcare | Medicare | $73.28 | ↑ +409% |
| AmeriHealth Caritas | Medicare | $73.28 | ↑ +409% |
| Aetna | Medicare | $74.64 | ↑ +418% |
| Highmark BCBS of PA | Managed Care - Social Mission | $75.82 | ↑ +427% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $83.34 | ↑ +479% |
| Highmark BCBS of PA | Managed Care | $101.54 | ↑ +605% |
| Highmark BCBS of PA | Commercial - Indemnity | $111.61 | ↑ +675% |
| Highmark BCBS of PA | UPMC Emergent | $152.31 | ↑ +958% |
| UPMC Work Partners | Workers Comp | not published by hospital | — |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
Visitor-reported prices
Comments
Administration immunization intranasal/oral route 1 vaccine at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $12.00 | $10.00 – $73.28 |
| UPMC Wellsboro | Wellsboro | $18.40 | $52.68 – $52.68 |
| UPMC Williamsport | Williamsport | $12.00 | $52.68 – $73.28 |
| Uniontown Hospital | Uniontown | $37.00 | $11.83 – $144.95 |