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Vaccine influenza quadrivalent (riv4) rdna antibiotic/preservative free im at UPMC Northwest
100 Fairfield Drive, Seneca, PA · UPMC · · NPI 1619069440
not published by hospital
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.
$149.23
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 $126.85 with Humana — 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 | — |
| United Healthcare Community Plan for Families | Unison Kids | $11.50 | — |
| Aetna | Medicaid | $12.00 | — |
| Highmark Wholecare (prev Gateway) | Medicaid | $14.83 | — |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $15.61 | — |
| PA Health & Wellness | PA Medicaid HMO | $17.04 | — |
| Aetna | Medicare | $37.31 | — |
| UPMC Work Partners | Workers Comp | $57.27 | — |
| Aetna | EBR ASO | $59.69 | — |
| Cigna | Commercial | $59.69 | — |
| Highmark Wholecare (prev Gateway) | Medicare | $74.61 | — |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity/Managed Care - Social Mission | $76.22 | — |
| Aetna | EBR FI | $86.55 | — |
| Aetna | Neighborhood Network | $89.54 | — |
| Aetna | Home Depot Employer Group | $92.07 | — |
| Highmark BCBS of PA | Commercial - Indemnity/Managed Care | $93.91 | — |
| Aetna | NBR ASO/FI | $94.01 | — |
| Cigna | New Business ASO | $94.01 | — |
| InterGroup | PPO | $97.00 | — |
| Coventry/First Health | Commercial | $104.46 | — |
| Health Coalition Partners | PPO | $107.45 | — |
| UPMC Health Plan | Commercial | $113.82 | — |
| Private Health Care Systems | PPO | $119.38 | — |
| Humana | Commercial | $126.85 | — |
Visitor-reported prices
Comments
Vaccine influenza quadrivalent (riv4) rdna antibiotic/preservative free im at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Muncy | Muncy | $54.00 | $11.00 – $72.00 |
| UPMC Passavant-McCandless | Pittsburgh | $57.00 | $11.00 – $76.50 |
| UPMC Somerset | Somerset | $76.20 | $11.00 – $90.75 |
| UPMC Wellsboro | Wellsboro | $54.00 | $11.00 – $81.00 |
| UPMC Mercy | Pittsburgh | not published | $11.00 – $134.31 |
| UPMC St. Margaret | Pittsburgh | not published | $11.00 – $126.85 |