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Vaccine pneumococcal conjugate 13 valent (pcv13) im at UPMC Williamsport
700 High Street, Williamsport, PA · UPMC · · NPI 164974648
$144.00
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.
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What you pay up front if you don't use insurance.
$240.00
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 Geisinger vs $283.79 with UPMC Health Plan — 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 |
|---|---|---|---|
| Geisinger | Medicaid/CHIP | $11.00 | ↓ -92% |
| UPMC Health Plan | Managed Medicaid | $11.00 | ↓ -92% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $11.28 | ↓ -92% |
| United Healthcare Community Plan for Families | PA Medicaid | $12.80 | ↓ -91% |
| Aetna | Medicare | $55.08 | ↓ -62% |
| UPMC Work Partners | Workers Comp | $55.32 | ↓ -62% |
| Multiplan | Worker's Compensation | $61.12 | ↓ -58% |
| Highmark BCBS of PA | Managed Care - Social Mission | $81.17 | ↓ -44% |
| Aetna | PEBTF Custom Network | $82.72 | ↓ -43% |
| UPMC Health Plan | Commercial | $88.94 | ↓ -38% |
| Highmark BCBS of PA | Bluecare HMO/FPLIC PPO/Traditional Products | $95.59 | ↓ -34% |
| Aetna | Commercial | $97.31 | ↓ -32% |
| Coventry/First Health | Commercial | $102.20 | ↓ -29% |
| Wirerope Works | Commercial | $113.42 | ↓ -21% |
| Aetna | First Health | $134.64 | ↓ -7% |
| Geisinger | Commercial | $136.68 | ↓ -5% |
| Coventry/First Health | FH-Medical Rental | $137.29 | ↓ -5% |
| United Healthcare | Commercial | $139.54 | ↓ -3% |
| Cigna | Commercial | $139.74 | ↓ -3% |
| Multiplan | Auto | $159.12 | ↑ +11% |
| Multiplan | PPO (Includes PHCS as a Payer) | $159.12 | ↑ +11% |
| America's Choice | PPO | $163.20 | ↑ +13% |
| InterGroup | PPO | $163.20 | ↑ +13% |
| Three Rivers Provider Network | All | $183.60 | ↑ +28% |
| Highmark Wholecare (prev Gateway) | Medicaid | $257.99 | ↑ +79% |
| PA Health & Wellness | PA Medicaid HMO | $257.99 | ↑ +79% |
| Highmark Wholecare (prev Gateway) | Medicare | $265.34 | ↑ +84% |
| UPMC Health Plan | CHIP | $283.79 | ↑ +97% |
Visitor-reported prices
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Vaccine pneumococcal conjugate 13 valent (pcv13) im at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Mercy | Pittsburgh | $144.00 | $11.00 – $257.99 |
| UPMC Muncy | Muncy | $144.00 | $11.00 – $216.00 |
| UPMC Northwest | Seneca | $144.00 | $11.00 – $597.39 |
| UPMC Passavant-McCandless | Pittsburgh | $144.00 | $11.00 – $257.99 |
| UPMC Presbyterian | Pittsburgh | $144.00 | $11.00 – $257.99 |
| UPMC St. Margaret | Pittsburgh | $144.00 | $11.00 – $257.99 |
| UPMC Wellsboro | Wellsboro | $144.00 | $11.00 – $216.00 |