healthcosts.net
Covid-19 administration immunization im inj 1st/only component at UPMC Passavant-McCandless
9100 Babcock Boulevard, Pittsburgh, PA · UPMC · · NPI 1225047699
$24.00
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.
?
What you pay up front if you don't use insurance.
$40.00
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.
?
The hospital's undiscounted list price — almost no one pays this.
$13.60 with Cigna vs $624.96 with Highmark BCBS of PA — same scan, same building. Share
Negotiated rates by payer
?
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 →
?
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 |
|---|---|---|---|
| Cigna | New Business ASO | $13.60 | ↓ -43% |
| Cigna | Commercial | $16.00 | ↓ -33% |
| UPMC Health Plan | Commercial | $16.90 | ↓ -30% |
| Health Plan of Upper Ohio Valley | Commercial | $18.48 | ↓ -23% |
| PA Health & Wellness | PA Medicaid HMO | $22.00 | ↓ -8% |
| Coventry/First Health | Commercial | $28.00 | ↑ +17% |
| InterGroup | PPO | $33.20 | ↑ +38% |
| Humana | Commercial | $34.00 | ↑ +42% |
| Multiplan | PPO (Includes Workers' Comp) | $34.00 | ↑ +42% |
| Private Health Care Systems | PPO | $34.00 | ↑ +42% |
| UPMC Health Plan | Managed Medicare | $36.78 | ↑ +53% |
| Health Plan of Upper Ohio Valley | Medicaid | $39.58 | ↑ +65% |
| Health Plan of Upper Ohio Valley | Medicare | $39.58 | ↑ +65% |
| Aetna of PA | Medicare | $41.56 | ↑ +73% |
| United Healthcare | Unison Advantage Non Special Needs | $41.56 | ↑ +73% |
| Highmark Wholecare (prev Gateway) | Medicare | $42.74 | ↑ +78% |
| AmeriHealth Caritas | Medicare | $42.75 | ↑ +78% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $42.75 | ↑ +78% |
| Aetna | Medicare | $43.54 | ↑ +81% |
| United Healthcare | Unison Advantage Special Needs | $43.54 | ↑ +81% |
| Highmark BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage | $84.97 | ↑ +254% |
| Highmark BCBS of PA | Managed Care - Social Mission | $233.31 | ↑ +872% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $235.83 | ↑ +883% |
| Highmark BCBS of PA | Managed Care | $312.48 | ↑ +1202% |
| Highmark BCBS of PA | Commercial - Indemnity | $315.85 | ↑ +1216% |
| Highmark BCBS of PA | UPMC Emergent | $624.96 | ↑ +2504% |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
| UPMC Work Partners | Workers Comp | not published by hospital | — |
| Tricare | East Region | not published by hospital | — |
| Private Health Care Systems | Workers' Comp | not published by hospital | — |
Visitor-reported prices
Comments
Covid-19 administration immunization im inj 1st/only component at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Mercy | Pittsburgh | $24.00 | $11.16 – $84.17 |
| UPMC Presbyterian | Pittsburgh | $24.00 | $7.20 – $84.97 |
| UPMC St. Margaret | Pittsburgh | $24.00 | $10.08 – $84.97 |
| UPMC Muncy | Muncy | $25.20 | $6.30 – $37.80 |
| UPMC Northwest | Seneca | $24.00 | $16.00 – $42.75 |
| UPMC Somerset | Somerset | $24.00 | $14.00 – $42.74 |
| UPMC Wellsboro | Wellsboro | $25.20 | $7.56 – $37.80 |
| UPMC Williamsport | Williamsport | $24.00 | $15.92 – $42.74 |