Antihemophilic factor-vwf 250 unit-600 unit intravenous solution at UPMC Carlisle
361 Alexander Spring Road, Carlisle, PA · UPMC · · NPI 1689107328
$1,152.00
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.
$1,920.00
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.
$1.48 with Highmark BCBS of PA vs $816.00 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 | $1.48 | ↓ -100% |
| Highmark BCBS of PA | Freedom Blue Medicare Advantage | $1.48 | ↓ -100% |
| Humana | Medicare | $1.49 | ↓ -100% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $1.49 | ↓ -100% |
| PA Health & Wellness | PA Medicaid HMO | $1.49 | ↓ -100% |
| Geisinger | Medicaid/CHIP | $1.49 | ↓ -100% |
| Highmark Wholecare (prev Gateway) | Medicaid | $1.52 | ↓ -100% |
| Aetna | Medicare | $1.55 | ↓ -100% |
| Cigna | Medicare | $1.56 | ↓ -100% |
| Geisinger | Medicare | $1.56 | ↓ -100% |
| United Healthcare | Medicare | $1.59 | ↓ -100% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $1.61 | ↓ -100% |
| UPMC Health Plan | Managed Medicaid | $1.64 | ↓ -100% |
| UPMC Health Plan | CHIP | $1.83 | ↓ -100% |
| Cigna | Commercial | $1.90 | ↓ -100% |
| Keystone Autism Services | ACAP | $2.38 | ↓ -100% |
| Highmark BCBS of PA | Community Blue PPO | $4.19 | ↓ -100% |
| Highmark BCBS of PA | CHIP - Managed Care | $4.37 | ↓ -100% |
| Highmark BCBS of PA | Commercial | $4.66 | ↓ -100% |
| United Healthcare | Commercial | $9.49 | ↓ -99% |
| Prime Net | Managed Medicare | $131.52 | ↓ -89% |
| Keystone Health Plan | Medicare Advantage | $192.00 | ↓ -83% |
| Capital Blue Cross | Medicare Advantage | $192.00 | ↓ -83% |
| Capital Blue Cross | Commercial | $308.16 | ↓ -73% |
| Keystone Health Plan | Commercial | $308.16 | ↓ -73% |
| Capital Blue Cross | CHIP | $308.16 | ↓ -73% |
| Prime Net | Legacy Commercial | $374.40 | ↓ -68% |
| Aetna | ACO | $377.28 | ↓ -67% |
| Prime Net | ACO | $377.28 | ↓ -67% |
| UPMC Work Partners | Workers Comp | $390.91 | ↓ -66% |
| Prime Net | NonGateKeeper | $446.40 | ↓ -61% |
| Aetna | Commercial | $449.28 | ↓ -61% |
| Prime Net | GateKeeper | $449.28 | ↓ -61% |
| Wellspan Population Health | PPO | $624.00 | ↓ -46% |
| Geisinger | Commercial | $628.61 | ↓ -45% |
| UPMC Health Plan | Commercial | $672.00 | ↓ -42% |
| Prime Net | FH-Medical Rental | $725.76 | ↓ -37% |
| Multiplan | PPO (Includes PHCS and Humana as Payers) | $816.00 | ↓ -29% |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
| Tricare | East Region | not published by hospital | — |
Visitor-reported prices
Comments
Antihemophilic factor-vwf 250 unit-600 unit intravenous solution at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $4.60 | $0.94 – $4.00 |
| UPMC East | Monroeville | $12.00 | $0.94 – $12.00 |
| UPMC Hamot | Erie | $7.00 | $0.94 – $1.77 |
| UPMC Northwest | Seneca | $15.20 | $0.94 – $1.61 |
| UPMC Horizon-Greenville | Greenville | $12.00 | $0.94 – $2.80 |
| UPMC Jameson | New Castle | $12.00 | $0.94 – $1.86 |
| UPMC Magee | Pittsburgh | $30.60 | $0.94 – $1.78 |
| UPMC Mercy | Pittsburgh | $15.20 | $0.94 – $1.77 |