healthcosts.net
Vaccine hepatitis a (hepa) adult im at UPMC Northwest
100 Fairfield Drive, Seneca, PA · UPMC · · NPI 1619069440
$81.00
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.
$135.00
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.
$11.00 with UPMC Health Plan vs $353.36 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 |
|---|---|---|---|
| UPMC Health Plan | Managed Medicaid | $11.00 | ↓ -86% |
| United Healthcare Community Plan for Families | Unison Kids | $11.50 | ↓ -86% |
| Aetna | Medicaid | $12.00 | ↓ -85% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $15.61 | ↓ -81% |
| Aetna | Medicare | $33.75 | ↓ -58% |
| UPMC Work Partners | Workers Comp | $48.75 | ↓ -40% |
| Aetna | EBR ASO | $54.00 | ↓ -33% |
| Cigna | Commercial | $54.00 | ↓ -33% |
| Highmark Wholecare (prev Gateway) | Medicare | $67.50 | ↓ -17% |
| Geisinger | Medicaid/CHIP | $73.79 | ↓ -9% |
| Highmark Wholecare (prev Gateway) | Medicaid | $73.79 | ↓ -9% |
| PA Health & Wellness | PA Medicaid HMO | $73.79 | ↓ -9% |
| Aetna | EBR FI | $78.30 | ↓ -3% |
| Aetna | Neighborhood Network | $81.00 | ↑ +0% |
| Aetna | Home Depot Employer Group | $83.30 | ↑ +3% |
| Aetna | NBR ASO/FI | $85.05 | ↑ +5% |
| Cigna | New Business ASO | $85.05 | ↑ +5% |
| InterGroup | PPO | $87.75 | ↑ +8% |
| UPMC Health Plan | Commercial | $90.77 | ↑ +12% |
| Coventry/First Health | Commercial | $94.50 | ↑ +17% |
| Health Coalition Partners | PPO | $97.20 | ↑ +20% |
| Private Health Care Systems | PPO | $108.00 | ↑ +33% |
| Humana | Commercial | $114.75 | ↑ +42% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity/Managed Care - Social Mission | $286.80 | ↑ +254% |
| Highmark BCBS of PA | Commercial - Indemnity/Managed Care | $353.36 | ↑ +336% |
Visitor-reported prices
Comments
Vaccine hepatitis a (hepa) adult im at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Mercy | Pittsburgh | $108.00 | $11.00 – $121.50 |
| UPMC Muncy | Muncy | $108.00 | $11.00 – $121.50 |
| UPMC Passavant-McCandless | Pittsburgh | $91.20 | $11.00 – $111.56 |
| UPMC Presbyterian | Pittsburgh | $81.00 | $11.00 – $114.75 |
| UPMC Somerset | Somerset | $46.80 | $11.00 – $109.39 |
| UPMC St. Margaret | Pittsburgh | $108.00 | $11.00 – $114.75 |
| UPMC Wellsboro | Wellsboro | $108.00 | $11.00 – $121.50 |
| UPMC Western Psychiatric | Pittsburgh | $81.00 | $33.75 – $114.75 |