Vaccine rotavirus pentavalent (rv5) live 3 dose oral at UPMC Magee
300 Halket Street, Pittsburgh, PA · UPMC · · NPI 1952311508
$57.60
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.
$96.00
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 $609.05 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 | ↓ -73% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $17.04 | ↓ -70% |
| UPMC Work Partners | Workers Comp | $22.03 | ↓ -62% |
| Aetna | Neighborhood Network | $34.56 | ↓ -40% |
| Aetna | EBR FI | $37.44 | ↓ -35% |
| Aetna | Home Depot Employer Group | $37.63 | ↓ -35% |
| Aetna | EBR ASO | $38.40 | ↓ -33% |
| Cigna | Commercial | $38.40 | ↓ -33% |
| Aetna | NBR ASO/FI | $38.40 | ↓ -33% |
| Cigna | New Business ASO | $38.40 | ↓ -33% |
| InterGroup | PPO | $48.00 | ↓ -17% |
| Highmark Wholecare (prev Gateway) | Medicare | $48.00 | ↓ -17% |
| Coventry/First Health | Commercial | $67.20 | ↑ +17% |
| Preferred Healthcare System | PPO | $76.80 | ↑ +33% |
| Humana | Commercial | $81.60 | ↑ +42% |
| Private Health Care Systems | PPO | $81.60 | ↑ +42% |
| Multiplan | PPO | $88.32 | ↑ +53% |
| Highmark BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage | $89.13 | ↑ +55% |
| Aetna | Medicare | $101.40 | ↑ +76% |
| UPMC Health Plan | CHIP | $263.03 | ↑ +357% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $298.98 | ↑ +419% |
| Highmark BCBS of PA | Managed Care - Social Mission | $303.17 | ↑ +426% |
| Highmark BCBS of PA | Commercial - Indemnity | $400.41 | ↑ +595% |
| Highmark BCBS of PA | Managed Care | $406.03 | ↑ +605% |
| UPMC Health Plan | Commercial | $406.34 | ↑ +605% |
| Highmark BCBS of PA | UPMC Emergent | $609.05 | ↑ +957% |
Visitor-reported prices
Comments
Vaccine rotavirus pentavalent (rv5) live 3 dose oral at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $57.60 | $10.00 – $355.29 |
| UPMC Hamot | Erie | $76.80 | $11.00 – $313.09 |
| UPMC Kane | Kane | $126.60 | $11.00 – $195.41 |
| UPMC Wellsboro | Wellsboro | $60.60 | $11.00 – $17.04 |
| Uniontown Hospital | Uniontown | $84.50 | $11.00 – $169.00 |