Influenza virus vaccine, inact hemagglutinin tiv pf inj at UPMC Memorial
1701 Innovation Drive, York, PA · UPMC · · NPI 1063945707
$93.60
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.
$156.00
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.
$8.25 with Prime Net vs $120.74 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 |
|---|---|---|---|
| Prime Net | Managed Medicare | $8.25 | ↓ -91% |
| Keystone Health Plan | Medicare Advantage | $10.00 | ↓ -89% |
| Capital Blue Cross | Medicare Advantage | $10.00 | ↓ -89% |
| Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $13.62 | ↓ -85% |
| Geisinger | Medicaid/CHIP | $14.57 | ↓ -84% |
| UPMC Work Partners | Workers Comp | $19.07 | ↓ -80% |
| Prime Net | ACO/Legacy Commercial | $20.50 | ↓ -78% |
| Aetna | ACO | $20.65 | ↓ -78% |
| Highmark BCBS of PA | Medicare | $22.36 | ↓ -76% |
| Prime Net | GateKeeper/NonGateKeeper | $23.85 | ↓ -75% |
| Aetna | Commercial | $24.00 | ↓ -74% |
| United Healthcare | Commercial | $30.80 | ↓ -67% |
| Geisinger | Commercial | $32.74 | ↓ -65% |
| Wellspan Population Health | Commercial | $35.00 | ↓ -63% |
| UPMC Health Plan | Commercial | $35.00 | ↓ -63% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $35.48 | ↓ -62% |
| Prime Net | FH-Medical Rental | $37.25 | ↓ -60% |
| Multiplan | PPO (Includes PHCS and Humana as Payers) | $42.50 | ↓ -55% |
| Cigna | Commercial | $56.46 | ↓ -40% |
| Aetna | Medicare | $98.16 | ↑ +5% |
| Highmark Wholecare (prev Gateway) | Medicaid | $100.12 | ↑ +7% |
| Keystone Health Plan | Commercial | $100.59 | ↑ +7% |
| UPMC Health Plan | Managed Medicaid | $107.98 | ↑ +15% |
| Capital Blue Cross | CHIP | $112.63 | ↑ +20% |
| Capital Blue Cross | Commercial | $112.63 | ↑ +20% |
| UPMC Health Plan | CHIP | $120.74 | ↑ +29% |
Visitor-reported prices
Comments
Influenza virus vaccine, inact hemagglutinin tiv pf inj at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $40.00 | $10.00 – $250.47 |
| UPMC Bedford | Everett | $40.00 | $10.50 – $98.16 |
| UPMC Carlisle | Carlisle | $93.60 | $6.85 – $100.12 |
| UPMC Community Osteopathic | Harrisburg | $93.60 | $10.00 – $120.74 |
| UPMC East | Monroeville | $40.00 | $5.98 – $98.16 |
| UPMC Hamot | Erie | $40.00 | $11.00 – $98.16 |
| UPMC Northwest | Seneca | $40.00 | $11.00 – $98.16 |
| UPMC Hanover | Hanover | $93.60 | $13.62 – $107.98 |