Mpsv4 vaccine subq at UPMC Presbyterian
200 Lothrop Street, Pittsburgh, PA · UPMC · · NPI 119473412
$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.
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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.
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The hospital's undiscounted list price — almost no one pays this.
$24.66 with Aetna vs $1,133.51 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 |
|---|---|---|---|
| Aetna | CHIP/Medicaid | $24.66 | ↓ -70% |
| Aetna | Medicare | $34.25 | ↓ -58% |
| UPMC Work Partners | Workers Comp | $44.77 | ↓ -46% |
| Multiplan | Worker's Compensation | $52.06 | ↓ -37% |
| UPMC Health Plan | Commercial | $64.24 | ↓ -22% |
| Highmark Wholecare (prev Gateway) | Medicare | $68.50 | ↓ -17% |
| Geisinger | Medicaid/CHIP | $75.35 | ↓ -8% |
| Preferred Healthcare System | PPO | $89.05 | ↑ +8% |
| Coventry/First Health | Commercial | $95.90 | ↑ +17% |
| Fidelis | Medicare | $102.75 | ↑ +25% |
| InterGroup | InterGroup Services Corporation | $102.75 | ↑ +25% |
| Health Coalition Partners | Intergroup | $109.60 | ↑ +33% |
| SelectCare | Commercial | $109.60 | ↑ +33% |
| Multiplan | PPO | $109.60 | ↑ +33% |
| Private Health Care Systems | PPO | $109.60 | ↑ +33% |
| InterGroup | Approved National Affiliated PPO Business | $116.45 | ↑ +42% |
| Humana | Commercial | $116.45 | ↑ +42% |
| Health Payors Organization | Commercial | $116.45 | ↑ +42% |
| Highmark BCBS of PA | Medicare Advantage | $135.13 | ↑ +64% |
| Highmark BCBS of PA | Managed Care - Social Mission | $423.17 | ↑ +415% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $435.21 | ↑ +429% |
| Highmark BCBS of PA | Managed Care | $566.75 | ↑ +589% |
| Highmark BCBS of PA | Commercial - Indemnity | $582.87 | ↑ +609% |
| Highmark BCBS of PA | UPMC Emergent | $1,133.51 | ↑ +1279% |
Visitor-reported prices
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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 Passavant-McCandless | 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 |