Avelumab 20 mg/ml intravenous solution at UPMC Carlisle
361 Alexander Spring Road, Carlisle, PA · UPMC · · NPI 1689107328
$112.20
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.
$187.00
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.
$25.62 with Prime Net vs $312.79 with Highmark BCBS of PA — 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 | $25.62 | ↓ -77% |
| Keystone Health Plan | Medicare Advantage | $37.40 | ↓ -67% |
| Capital Blue Cross | Medicare Advantage | $37.40 | ↓ -67% |
| Keystone Health Plan | Commercial | $60.03 | ↓ -46% |
| Capital Blue Cross | CHIP | $60.03 | ↓ -46% |
| Capital Blue Cross | Commercial | $60.03 | ↓ -46% |
| Prime Net | Legacy Commercial | $72.93 | ↓ -35% |
| Aetna | ACO | $73.49 | ↓ -35% |
| Prime Net | ACO | $73.49 | ↓ -35% |
| UPMC Work Partners | Workers Comp | $76.15 | ↓ -32% |
| Prime Net | NonGateKeeper | $86.95 | ↓ -23% |
| Prime Net | GateKeeper | $87.52 | ↓ -22% |
| Aetna | Commercial | $87.52 | ↓ -22% |
| Highmark BCBS of PA | Community Blue Medicare Advantage/Complete Blue Medicare Advantage/Security Blue Medicare Advantage/Together Blue Medicare Advantage | $99.09 | ↓ -12% |
| Highmark BCBS of PA | Freedom Blue Medicare Advantage | $99.09 | ↓ -12% |
| PA Health & Wellness | PA Medicaid HMO | $100.09 | ↓ -11% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $100.09 | ↓ -11% |
| Humana | Medicare | $100.09 | ↓ -11% |
| Geisinger | Medicaid/CHIP | $100.09 | ↓ -11% |
| Highmark Wholecare (prev Gateway) | Medicaid | $102.09 | ↓ -9% |
| Aetna | Medicare | $104.39 | ↓ -7% |
| Cigna | Medicare | $105.09 | ↓ -6% |
| Geisinger | Medicare | $105.09 | ↓ -6% |
| United Healthcare | Medicare | $107.10 | ↓ -5% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $108.10 | ↓ -4% |
| UPMC Health Plan | Managed Medicaid | $110.10 | ↓ -2% |
| United Healthcare | Commercial | $115.19 | ↑ +3% |
| Wellspan Population Health | PPO | $121.55 | ↑ +8% |
| Geisinger | Commercial | $122.45 | ↑ +9% |
| UPMC Health Plan | CHIP | $123.11 | ↑ +10% |
| Cigna | Commercial | $130.24 | ↑ +16% |
| UPMC Health Plan | Commercial | $130.90 | ↑ +17% |
| Prime Net | FH-Medical Rental | $141.37 | ↑ +26% |
| Multiplan | PPO (Includes PHCS and Humana as Payers) | $158.95 | ↑ +42% |
| Keystone Autism Services | ACAP | $160.14 | ↑ +43% |
| Highmark BCBS of PA | Community Blue PPO | $281.51 | ↑ +151% |
| Highmark BCBS of PA | CHIP - Managed Care | $293.42 | ↑ +162% |
| Highmark BCBS of PA | Commercial | $312.79 | ↑ +179% |
| Tricare | East Region | not published by hospital | — |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
Visitor-reported prices
Comments
Avelumab 20 mg/ml intravenous solution at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $199.80 | $55.19 – $266.40 |
| UPMC Bedford | Everett | $231.00 | $36.11 – $346.50 |
| UPMC Cole | Coudersport | $5,013.60 | $100.09 – $6,684.80 |
| UPMC East | Monroeville | $231.00 | $46.05 – $308.00 |
| UPMC Hamot | Erie | $249.60 | $55.19 – $108.10 |
| UPMC Northwest | Seneca | $231.00 | $63.19 – $108.10 |
| UPMC Horizon-Greenville | Greenville | $231.00 | $63.19 – $140.65 |
| UPMC Jameson | New Castle | $231.00 | $56.16 – $125.11 |