Vaccine influenza quadrivalent (riv4) rdna antibiotic/preservative free im at UPMC Magee
300 Halket Street, Pittsburgh, PA · UPMC · · NPI 1952311508
$57.00
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.
$95.00
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.
$11.00 with United Healthcare Community Plan for Families vs $202.59 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 |
|---|---|---|---|
| United Healthcare Community Plan for Families | PA CHIP/PA Medicaid | $11.00 | ↓ -81% |
| UPMC Health Plan | Managed Medicaid | $11.00 | ↓ -81% |
| Aetna | CHIP/Medicaid | $13.00 | ↓ -77% |
| Highmark Wholecare (prev Gateway) | Medicaid | $14.83 | ↓ -74% |
| Geisinger | Medicaid/CHIP | $15.57 | ↓ -73% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $15.82 | ↓ -72% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $17.04 | ↓ -70% |
| UPMC Work Partners | Workers Comp | $22.00 | ↓ -61% |
| Highmark BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage | $29.65 | ↓ -48% |
| Aetna | Neighborhood Network | $32.40 | ↓ -43% |
| Aetna | EBR FI | $35.10 | ↓ -38% |
| Aetna | Home Depot Employer Group | $35.28 | ↓ -38% |
| Aetna | NBR ASO/FI | $36.00 | ↓ -37% |
| Aetna | EBR ASO | $36.00 | ↓ -37% |
| Cigna | Commercial | $36.00 | ↓ -37% |
| Cigna | New Business ASO | $36.00 | ↓ -37% |
| UPMC Health Plan | Commercial | $39.15 | ↓ -31% |
| InterGroup | PPO | $45.00 | ↓ -21% |
| Highmark Wholecare (prev Gateway) | Medicare | $45.00 | ↓ -21% |
| Coventry/First Health | Commercial | $63.00 | ↑ +11% |
| Preferred Healthcare System | PPO | $72.00 | ↑ +26% |
| Humana | Commercial | $76.50 | ↑ +34% |
| Private Health Care Systems | PPO | $76.50 | ↑ +34% |
| Aetna | Medicare | $76.93 | ↑ +35% |
| Multiplan | PPO | $82.80 | ↑ +45% |
| UPMC Health Plan | CHIP | $85.18 | ↑ +49% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $99.45 | ↑ +74% |
| Highmark BCBS of PA | Managed Care - Social Mission | $100.85 | ↑ +77% |
| Highmark BCBS of PA | Commercial - Indemnity | $133.19 | ↑ +134% |
| Highmark BCBS of PA | Managed Care | $135.06 | ↑ +137% |
| Highmark BCBS of PA | UPMC Emergent | $202.59 | ↑ +255% |
Visitor-reported prices
Comments
Vaccine influenza quadrivalent (riv4) rdna antibiotic/preservative free im at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Passavant-McCandless | Pittsburgh | $57.00 | $11.00 – $68.80 |
| UPMC Mercy | Pittsburgh | not published | $11.00 – $59.17 |
| UPMC St. Margaret | Pittsburgh | not published | $11.00 – $59.17 |
| UPMC Carlisle | Carlisle | $76.20 | $12.70 – $102.85 |
| UPMC Cole | Coudersport | $31.20 | $10.50 – $41.60 |
| UPMC Community Osteopathic | Harrisburg | $76.20 | $13.62 – $102.85 |
| UPMC Hanover | Hanover | $76.20 | $12.70 – $515.45 |
| UPMC Kane | Kane | $25.80 | $11.00 – $73.40 |