Alprostadil for injection at UPMC Carlisle
361 Alexander Spring Road, Carlisle, PA · UPMC · · NPI 1689107328
$151.80
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.
?
What you pay up front if you don't use insurance.
$253.00
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.
?
The hospital's undiscounted list price — almost no one pays this.
$14.47 with Cigna vs $124.10 with Multiplan — same scan, same building. Share
Negotiated rates by payer
?
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 →
?
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 |
|---|---|---|---|
| Cigna | Commercial | $14.47 | ↓ -90% |
| Prime Net | Managed Medicare | $20.00 | ↓ -87% |
| Aetna | Medicare | $24.09 | ↓ -84% |
| Capital Blue Cross | Medicare Advantage | $29.20 | ↓ -81% |
| Keystone Health Plan | Medicare Advantage | $29.20 | ↓ -81% |
| Capital Blue Cross | CHIP | $46.87 | ↓ -69% |
| Capital Blue Cross | Commercial | $46.87 | ↓ -69% |
| Keystone Health Plan | Commercial | $46.87 | ↓ -69% |
| Prime Net | Legacy Commercial | $56.94 | ↓ -62% |
| Aetna | ACO | $57.38 | ↓ -62% |
| Prime Net | ACO | $57.38 | ↓ -62% |
| UPMC Work Partners | Workers Comp | $59.45 | ↓ -61% |
| Prime Net | NonGateKeeper | $67.89 | ↓ -55% |
| Aetna | Commercial | $68.33 | ↓ -55% |
| Prime Net | GateKeeper | $68.33 | ↓ -55% |
| Geisinger | Medicaid/CHIP | $80.30 | ↓ -47% |
| PA Health & Wellness | PA Medicaid HMO | $80.30 | ↓ -47% |
| United Healthcare | Commercial | $89.94 | ↓ -41% |
| Wellspan Population Health | PPO | $94.90 | ↓ -37% |
| Geisinger | Commercial | $95.60 | ↓ -37% |
| UPMC Health Plan | Commercial | $102.20 | ↓ -33% |
| UPMC Health Plan | CHIP | $102.20 | ↓ -33% |
| Prime Net | FH-Medical Rental | $110.38 | ↓ -27% |
| Multiplan | PPO (Includes PHCS and Humana as Payers) | $124.10 | ↓ -18% |
Visitor-reported prices
Comments
Alprostadil for injection at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $1,677.60 | $1.41 – $4.80 |
| UPMC Cole | Coudersport | $249.00 | $11.71 – $283.20 |
| UPMC Community Osteopathic | Harrisburg | $151.80 | $0.44 – $124.10 |
| UPMC Hamot | Erie | $199.80 | $1.20 – $9.67 |
| UPMC Hanover | Hanover | $151.80 | $14.47 – $14.47 |
| UPMC Lititz | Lititz | $151.80 | $10.48 – $14.47 |
| UPMC Magee | Pittsburgh | $282.00 | $3.23 – $11.29 |
| UPMC Memorial | York | $151.80 | $0.44 – $14.47 |