Vaccine haemophilus influenzae type b (hib) prp-t 4 dose im at UPMC Memorial
1701 Innovation Drive, York, PA · UPMC · · NPI 1063945707
$9.00
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.
$15.00
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.
$1.98 with Prime Net vs $97.55 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 | $1.98 | ↓ -78% |
| Keystone Health Plan | Medicare Advantage | $2.40 | ↓ -73% |
| Capital Blue Cross | Medicare Advantage | $2.40 | ↓ -73% |
| UPMC Work Partners | Workers Comp | $4.31 | ↓ -52% |
| Prime Net | ACO/Legacy Commercial | $4.92 | ↓ -45% |
| Aetna | ACO | $4.96 | ↓ -45% |
| Prime Net | GateKeeper/NonGateKeeper | $5.72 | ↓ -36% |
| Aetna | Commercial | $5.76 | ↓ -36% |
| United Healthcare | Commercial | $7.39 | ↓ -18% |
| Geisinger | Commercial | $7.86 | ↓ -13% |
| Wellspan Population Health | Commercial | $8.40 | ↓ -7% |
| UPMC Health Plan | Commercial | $8.40 | ↓ -7% |
| Prime Net | FH-Medical Rental | $8.94 | ↓ -1% |
| Multiplan | PPO (Includes PHCS and Humana as Payers) | $10.20 | ↑ +13% |
| United Healthcare Community Plan for Families | PA Medicaid | $10.50 | ↑ +17% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $12.70 | ↑ +41% |
| Highmark Wholecare (prev Gateway) | Medicaid | $12.70 | ↑ +41% |
| UPMC Health Plan | Managed Medicaid | $13.00 | ↑ +44% |
| Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $13.62 | ↑ +51% |
| Aetna | Medicare | $14.05 | ↑ +56% |
| Geisinger | Medicaid/CHIP | $14.57 | ↑ +62% |
| Capital Blue Cross | Commercial | $17.21 | ↑ +91% |
| Capital Blue Cross | CHIP | $17.21 | ↑ +91% |
| Keystone Health Plan | Commercial | $17.83 | ↑ +98% |
| Cigna | Commercial | $19.66 | ↑ +118% |
| Highmark BCBS of PA | Medicare | $28.12 | ↑ +212% |
| UPMC Health Plan | CHIP | $97.55 | ↑ +984% |
Visitor-reported prices
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Vaccine haemophilus influenzae type b (hib) prp-t 4 dose im at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $31.20 | $10.00 – $46.74 |
| UPMC Carlisle | Carlisle | $9.00 | $1.64 – $19.66 |
| UPMC Community Osteopathic | Harrisburg | $9.00 | $2.40 – $97.55 |
| UPMC Northwest | Seneca | $31.20 | $11.00 – $89.54 |
| UPMC Hanover | Hanover | $9.00 | $10.50 – $19.66 |
| UPMC Kane | Kane | $51.00 | $11.00 – $25.71 |
| UPMC Lititz | Lititz | $9.00 | $10.50 – $19.66 |
| UPMC Magee | Pittsburgh | $31.20 | $11.00 – $34.83 |