Vaccine covid-19 moderna 6mos-11yrs 25mcg/0.25ml at UPMC Magee
300 Halket Street, Pittsburgh, PA · UPMC · · NPI 1952311508
$193.20
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.
$322.00
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.
$44.00 with UPMC Health Plan vs $2,118.10 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 Health Plan | Managed Medicaid | $44.00 | ↓ -77% |
| United Healthcare Community Plan for Families | PA CHIP/PA Medicaid | $44.00 | ↓ -77% |
| Aetna | CHIP/Medicaid | $52.00 | ↓ -73% |
| Geisinger | Medicaid/CHIP | $62.27 | ↓ -68% |
| UPMC Work Partners | Workers Comp | $73.90 | ↓ -62% |
| Aetna | Medicare | $80.50 | ↓ -58% |
| Aetna | Neighborhood Network | $115.92 | ↓ -40% |
| Aetna | EBR FI | $125.58 | ↓ -35% |
| Aetna | Home Depot Employer Group | $126.22 | ↓ -35% |
| Cigna | New Business ASO | $128.80 | ↓ -33% |
| Aetna | EBR ASO | $128.80 | ↓ -33% |
| Aetna | NBR ASO/FI | $128.80 | ↓ -33% |
| Cigna | Commercial | $128.80 | ↓ -33% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $147.06 | ↓ -24% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $147.06 | ↓ -24% |
| Highmark Wholecare (prev Gateway) | Medicaid | $147.06 | ↓ -24% |
| InterGroup | PPO | $161.00 | ↓ -17% |
| Highmark Wholecare (prev Gateway) | Medicare | $161.00 | ↓ -17% |
| UPMC Health Plan | CHIP | $169.32 | ↓ -12% |
| UPMC Health Plan | Commercial | $180.88 | ↓ -6% |
| Coventry/First Health | Commercial | $225.40 | ↑ +17% |
| Preferred Healthcare System | PPO | $257.60 | ↑ +33% |
| Private Health Care Systems | PPO | $273.70 | ↑ +42% |
| Humana | Commercial | $273.70 | ↑ +42% |
| Multiplan | PPO | $296.24 | ↑ +53% |
| Highmark BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage | $309.98 | ↑ +60% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $1,039.77 | ↑ +438% |
| Highmark BCBS of PA | Managed Care - Social Mission | $1,054.34 | ↑ +446% |
| Highmark BCBS of PA | Commercial - Indemnity | $1,392.49 | ↑ +621% |
| Highmark BCBS of PA | Managed Care | $1,412.06 | ↑ +631% |
| Highmark BCBS of PA | UPMC Emergent | $2,118.10 | ↑ +996% |
Visitor-reported prices
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Vaccine covid-19 moderna 6mos-11yrs 25mcg/0.25ml at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Carlisle | Carlisle | $193.20 | $42.00 – $273.70 |
| UPMC Community Osteopathic | Harrisburg | $193.20 | $42.00 – $511.26 |
| UPMC Hanover | Hanover | $193.20 | $42.00 – $1,024.73 |
| UPMC Lititz | Lititz | $193.20 | $42.00 – $1,024.73 |
| UPMC Memorial | York | $193.20 | $42.00 – $1,024.73 |
| UPMC Muncy | Muncy | $209.40 | $44.00 – $147.06 |
| UPMC Somerset | Somerset | $193.20 | $44.00 – $303.95 |
| UPMC Wellsboro | Wellsboro | $209.40 | $44.00 – $147.06 |