Bcg live 50 mg intravesical suspension at UPMC Carlisle
361 Alexander Spring Road, Carlisle, PA · UPMC · · NPI 1689107328
$97.80
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.
$163.00
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.
$3.26 with Geisinger vs $175.29 with Health Partners Plans (Jefferson 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 |
|---|---|---|---|
| Geisinger | Medicaid/CHIP | $3.26 | ↓ -97% |
| PA Health & Wellness | PA Medicaid HMO | $3.26 | ↓ -97% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $3.26 | ↓ -97% |
| Highmark Wholecare (prev Gateway) | Medicaid | $3.33 | ↓ -97% |
| UPMC Health Plan | Managed Medicaid | $3.59 | ↓ -96% |
| UPMC Health Plan | CHIP | $4.01 | ↓ -96% |
| Cigna | Commercial | $4.07 | ↓ -96% |
| Prime Net | Managed Medicare | $22.33 | ↓ -77% |
| Aetna | Medicare | $26.89 | ↓ -73% |
| Keystone Health Plan | Medicare Advantage | $32.60 | ↓ -67% |
| Capital Blue Cross | Medicare Advantage | $32.60 | ↓ -67% |
| Keystone Health Plan | Commercial | $52.32 | ↓ -47% |
| Capital Blue Cross | CHIP | $52.32 | ↓ -47% |
| Capital Blue Cross | Commercial | $52.32 | ↓ -47% |
| Prime Net | Legacy Commercial | $63.57 | ↓ -35% |
| Prime Net | ACO | $64.06 | ↓ -34% |
| Aetna | ACO | $64.06 | ↓ -34% |
| UPMC Work Partners | Workers Comp | $66.37 | ↓ -32% |
| Prime Net | NonGateKeeper | $75.80 | ↓ -22% |
| Prime Net | GateKeeper | $76.28 | ↓ -22% |
| Aetna | Commercial | $76.28 | ↓ -22% |
| United Healthcare | Commercial | $100.41 | ↑ +3% |
| Wellspan Population Health | PPO | $105.95 | ↑ +8% |
| Geisinger | Commercial | $106.73 | ↑ +9% |
| UPMC Health Plan | Commercial | $114.10 | ↑ +17% |
| Prime Net | FH-Medical Rental | $123.23 | ↑ +26% |
| Multiplan | PPO (Includes PHCS and Humana as Payers) | $138.55 | ↑ +42% |
| Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $175.29 | ↑ +79% |
Visitor-reported prices
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Bcg live 50 mg intravesical suspension at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Cole | Coudersport | $391.20 | $3.26 – $521.60 |
| UPMC Community Osteopathic | Harrisburg | $97.80 | $3.26 – $175.29 |
| UPMC Northwest | Seneca | $732.60 | $2.06 – $5.21 |
| UPMC Hanover | Hanover | $97.80 | $3.26 – $175.29 |
| UPMC Lititz | Lititz | $97.80 | $3.26 – $175.29 |
| UPMC Memorial | York | $97.80 | $1.64 – $175.29 |
| UPMC Somerset | Somerset | $97.80 | $1.99 – $3.35 |
| UPMC St. Margaret | Pittsburgh | $22.20 | $2.03 – $192.82 |