Abatacept (with maltose) 250 mg intravenous solution at UPMC Carlisle
361 Alexander Spring Road, Carlisle, PA · UPMC · · NPI 1689107328
$856.80
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.
$1,428.00
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.
$43.67 with Highmark BCBS of PA vs $998.75 with Multiplan — 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 |
|---|---|---|---|
| Highmark BCBS of PA | Community Blue Medicare Advantage/Complete Blue Medicare Advantage/Security Blue Medicare Advantage/Together Blue Medicare Advantage | $43.67 | ↓ -95% |
| Highmark BCBS of PA | Freedom Blue Medicare Advantage | $43.67 | ↓ -95% |
| PA Health & Wellness | PA Medicaid HMO | $44.11 | ↓ -95% |
| Humana | Medicare | $44.11 | ↓ -95% |
| Geisinger | Medicaid/CHIP | $44.11 | ↓ -95% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $44.11 | ↓ -95% |
| Highmark Wholecare (prev Gateway) | Medicaid | $44.99 | ↓ -95% |
| Aetna | Medicare | $46.01 | ↓ -95% |
| Geisinger | Medicare | $46.32 | ↓ -95% |
| Cigna | Medicare | $46.32 | ↓ -95% |
| United Healthcare | Medicare | $47.20 | ↓ -94% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $47.64 | ↓ -94% |
| UPMC Health Plan | Managed Medicaid | $48.52 | ↓ -94% |
| UPMC Health Plan | CHIP | $54.25 | ↓ -94% |
| Cigna | Commercial | $60.86 | ↓ -93% |
| Keystone Autism Services | ACAP | $70.58 | ↓ -92% |
| Highmark BCBS of PA | Community Blue PPO | $124.06 | ↓ -86% |
| Highmark BCBS of PA | CHIP - Managed Care | $129.31 | ↓ -85% |
| Highmark BCBS of PA | Commercial | $137.85 | ↓ -84% |
| Prime Net | Managed Medicare | $160.97 | ↓ -81% |
| Capital Blue Cross | Medicare Advantage | $235.00 | ↓ -73% |
| Keystone Health Plan | Medicare Advantage | $235.00 | ↓ -73% |
| United Healthcare | Commercial | $303.08 | ↓ -65% |
| Keystone Health Plan | Commercial | $377.18 | ↓ -56% |
| Capital Blue Cross | Commercial | $377.18 | ↓ -56% |
| Capital Blue Cross | CHIP | $377.18 | ↓ -56% |
| Prime Net | Legacy Commercial | $458.25 | ↓ -47% |
| Aetna | ACO | $461.77 | ↓ -46% |
| Prime Net | ACO | $461.77 | ↓ -46% |
| UPMC Work Partners | Workers Comp | $478.46 | ↓ -44% |
| Prime Net | NonGateKeeper | $546.38 | ↓ -36% |
| Aetna | Commercial | $549.90 | ↓ -36% |
| Prime Net | GateKeeper | $549.90 | ↓ -36% |
| Wellspan Population Health | PPO | $763.75 | ↓ -11% |
| Geisinger | Commercial | $769.39 | ↓ -10% |
| UPMC Health Plan | Commercial | $822.50 | ↓ -4% |
| Prime Net | FH-Medical Rental | $888.30 | ↑ +4% |
| Multiplan | PPO (Includes PHCS and Humana as Payers) | $998.75 | ↑ +17% |
| Tricare | East Region | not published by hospital | — |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
Visitor-reported prices
Comments
Abatacept (with maltose) 250 mg intravenous solution at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Bedford | Everett | $1,823.40 | $15.91 – $108.90 |
| UPMC Cole | Coudersport | $2,926.80 | $44.11 – $3,902.40 |
| UPMC Community Osteopathic | Harrisburg | $856.80 | $43.67 – $998.75 |
| UPMC East | Monroeville | $228.00 | $27.85 – $228.00 |
| UPMC Hanover | Hanover | $856.80 | $43.67 – $70.58 |
| UPMC Lititz | Lititz | $856.80 | $43.67 – $70.58 |
| UPMC Magee | Pittsburgh | $3,987.00 | $27.85 – $47.64 |
| UPMC McKeesport | Mckeesport | $212.80 | $27.85 – $48.52 |