Belimumab 120 mg intravenous solution at UPMC Carlisle
361 Alexander Spring Road, Carlisle, PA · UPMC · · NPI 1689107328
$1,225.80
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.
$2,043.00
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.
$55.51 with Highmark BCBS of PA vs $521.05 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 | $55.51 | ↓ -95% |
| Highmark BCBS of PA | Freedom Blue Medicare Advantage | $55.51 | ↓ -95% |
| Geisinger | Medicaid/CHIP | $56.07 | ↓ -95% |
| Humana | Medicare | $56.07 | ↓ -95% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $56.07 | ↓ -95% |
| PA Health & Wellness | PA Medicaid HMO | $56.07 | ↓ -95% |
| Highmark Wholecare (prev Gateway) | Medicaid | $57.19 | ↓ -95% |
| Aetna | Medicare | $58.48 | ↓ -95% |
| Geisinger | Medicare | $58.87 | ↓ -95% |
| Cigna | Medicare | $58.87 | ↓ -95% |
| United Healthcare | Medicare | $59.99 | ↓ -95% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $60.56 | ↓ -95% |
| UPMC Health Plan | Managed Medicaid | $61.67 | ↓ -95% |
| UPMC Health Plan | CHIP | $68.96 | ↓ -94% |
| Cigna | Commercial | $73.32 | ↓ -94% |
| Prime Net | Managed Medicare | $83.98 | ↓ -93% |
| Keystone Autism Services | ACAP | $89.71 | ↓ -93% |
| Capital Blue Cross | Medicare Advantage | $122.60 | ↓ -90% |
| Keystone Health Plan | Medicare Advantage | $122.60 | ↓ -90% |
| Highmark BCBS of PA | Community Blue PPO | $157.70 | ↓ -87% |
| Highmark BCBS of PA | CHIP - Managed Care | $164.37 | ↓ -87% |
| Highmark BCBS of PA | Commercial | $175.22 | ↓ -86% |
| Capital Blue Cross | CHIP | $196.77 | ↓ -84% |
| Keystone Health Plan | Commercial | $196.77 | ↓ -84% |
| Capital Blue Cross | Commercial | $196.77 | ↓ -84% |
| Prime Net | Legacy Commercial | $239.07 | ↓ -80% |
| Aetna | ACO | $240.91 | ↓ -80% |
| Prime Net | ACO | $240.91 | ↓ -80% |
| UPMC Work Partners | Workers Comp | $249.61 | ↓ -80% |
| Prime Net | NonGateKeeper | $285.05 | ↓ -77% |
| Aetna | Commercial | $286.88 | ↓ -77% |
| Prime Net | GateKeeper | $286.88 | ↓ -77% |
| United Healthcare | Commercial | $365.17 | ↓ -70% |
| Wellspan Population Health | PPO | $398.45 | ↓ -67% |
| Geisinger | Commercial | $401.39 | ↓ -67% |
| UPMC Health Plan | Commercial | $429.10 | ↓ -65% |
| Prime Net | FH-Medical Rental | $463.43 | ↓ -62% |
| Multiplan | PPO (Includes PHCS and Humana as Payers) | $521.05 | ↓ -57% |
| Tricare | East Region | not published by hospital | — |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
Visitor-reported prices
Comments
Belimumab 120 mg intravenous solution at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $4,270.20 | $35.40 – $141.60 |
| UPMC Cole | Coudersport | $5,268.00 | $56.07 – $2,107.20 |
| UPMC Community Osteopathic | Harrisburg | $1,225.80 | $55.51 – $521.05 |
| UPMC East | Monroeville | $6,606.00 | $33.01 – $220.80 |
| UPMC Hamot | Erie | $5,415.00 | $35.40 – $92.14 |
| UPMC Northwest | Seneca | $220.80 | $35.40 – $60.56 |
| UPMC Hanover | Hanover | $1,225.80 | $55.51 – $89.71 |
| UPMC Horizon-Greenville | Greenville | $202.40 | $35.40 – $105.22 |