Mpsv4 vaccine subq at UPMC Passavant-McCandless
9100 Babcock Boulevard, Pittsburgh, PA · UPMC · · NPI 1225047699
$82.20
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.
?
What you pay up front if you don't use insurance.
$137.00
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.
$34.25 with Aetna vs $993.90 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 |
|---|---|---|---|
| Aetna | Medicare | $34.25 | ↓ -58% |
| Cigna | New Business ASO | $46.58 | ↓ -43% |
| UPMC Work Partners | Workers Comp | $49.31 | ↓ -40% |
| Cigna | Commercial | $54.80 | ↓ -33% |
| Private Health Care Systems | Workers' Comp | $57.33 | ↓ -30% |
| UPMC Health Plan | Commercial | $57.87 | ↓ -30% |
| Health Plan of Upper Ohio Valley | Commercial | $63.29 | ↓ -23% |
| Highmark Wholecare (prev Gateway) | Medicare | $68.50 | ↓ -17% |
| PA Health & Wellness | PA Medicaid HMO | $75.35 | ↓ -8% |
| Coventry/First Health | Commercial | $95.90 | ↑ +17% |
| InterGroup | PPO | $113.71 | ↑ +38% |
| Multiplan | PPO (Includes Workers' Comp) | $116.45 | ↑ +42% |
| Humana | Commercial | $116.45 | ↑ +42% |
| Private Health Care Systems | PPO | $116.45 | ↑ +42% |
| Highmark BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage | $135.13 | ↑ +64% |
| Highmark BCBS of PA | Managed Care - Social Mission | $371.05 | ↑ +351% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $375.05 | ↑ +356% |
| Highmark BCBS of PA | Managed Care | $496.95 | ↑ +505% |
| Highmark BCBS of PA | Commercial - Indemnity | $502.30 | ↑ +511% |
| Highmark BCBS of PA | UPMC Emergent | $993.90 | ↑ +1109% |
Visitor-reported prices
Comments
Mpsv4 vaccine subq at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Magee | Pittsburgh | $97.80 | $123.57 – $138.05 |
| UPMC Mercy | Pittsburgh | $82.20 | $123.57 – $133.85 |
| UPMC Presbyterian | Pittsburgh | $82.20 | $135.13 – $135.13 |
| UPMC St. Margaret | Pittsburgh | $82.20 | $135.13 – $135.13 |
| UPMC Altoona | Altoona | $82.20 | $50.94 – $249.39 |
| UPMC Bedford | Everett | $82.20 | $34.25 – $371.19 |
| UPMC East | Monroeville | $82.20 | $16.39 – $135.13 |
| UPMC Hamot | Erie | $82.20 | $133.63 – $345.55 |