healthcosts.net
Vaccine mengingoccocal serogroup b 2 dose im at UPMC St. Margaret
815 Freeport Road, Pittsburgh, PA · UPMC · · NPI 1790795359
$109.60
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.
$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.
$11.00 with UPMC Health Plan vs $996.31 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 |
|---|---|---|---|
| UPMC Health Plan | Managed Medicaid | $11.00 | ↓ -90% |
| United Healthcare Community Plan for Families | PA CHIP/PA Medicaid | $11.00 | ↓ -90% |
| Highmark Wholecare (prev Gateway) | Medicaid | $14.83 | ↓ -86% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $15.61 | ↓ -86% |
| PA Health & Wellness | PA Medicaid HMO | $17.04 | ↓ -84% |
| Aetna | Medicare | $34.25 | ↓ -69% |
| Aetna | Neighborhood Network | $34.52 | ↓ -69% |
| UPMC Work Partners | Workers Comp | $35.39 | ↓ -68% |
| Aetna | Home Depot Employer Group | $37.54 | ↓ -66% |
| Aetna | NBR ASO/FI | $38.36 | ↓ -65% |
| Cigna | New Business ASO | $38.36 | ↓ -65% |
| Aetna | EBR FI | $52.06 | ↓ -53% |
| Aetna | EBR ASO | $54.80 | ↓ -50% |
| Cigna | Commercial | $54.80 | ↓ -50% |
| Highmark Wholecare (prev Gateway) | Medicare | $68.50 | ↓ -38% |
| Coventry/First Health | Commercial | $95.90 | ↓ -13% |
| Private Health Care Systems | PPO | $109.60 | ↑ +0% |
| SelectCare | Commercial | $109.60 | ↑ +0% |
| Humana | Commercial | $116.45 | ↑ +6% |
| Highmark BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage | $129.18 | ↑ +18% |
| UPMC Health Plan | Commercial | $268.13 | ↑ +145% |
| Highmark BCBS of PA | Managed Care - Social Mission | $371.98 | ↑ +239% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $373.88 | ↑ +241% |
| Highmark BCBS of PA | Managed Care | $498.15 | ↑ +355% |
| Highmark BCBS of PA | Commercial - Indemnity | $500.74 | ↑ +357% |
| Highmark BCBS of PA | UPMC Emergent | $996.31 | ↑ +809% |
Visitor-reported prices
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Vaccine mengingoccocal serogroup b 2 dose im at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Mercy | Pittsburgh | $109.60 | $11.00 – $127.96 |
| UPMC Passavant-McCandless | Pittsburgh | $82.20 | $11.00 – $129.18 |
| UPMC Presbyterian | Pittsburgh | $82.20 | $11.00 – $129.18 |
| UPMC Western Psychiatric | Pittsburgh | $82.20 | $34.25 – $126.58 |
| UPMC Muncy | Muncy | $109.60 | $11.00 – $123.30 |
| UPMC Northwest | Seneca | $109.60 | $11.00 – $332.10 |
| UPMC Somerset | Somerset | $267.00 | $11.00 – $240.00 |
| UPMC Wellsboro | Wellsboro | $111.60 | $11.00 – $123.30 |