Betamethasone acetate and sodium phos 6 mg/ml suspension for injection at UPMC Carlisle
361 Alexander Spring Road, Carlisle, PA · UPMC · · NPI 1689107328
$6.60
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.
$11.00
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.
$0.96 with Prime Net vs $9.62 with Cigna — 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 | $0.96 | ↓ -85% |
| Aetna | Medicare | $1.16 | ↓ -82% |
| Capital Blue Cross | Medicare Advantage | $1.40 | ↓ -79% |
| Keystone Health Plan | Medicare Advantage | $1.40 | ↓ -79% |
| Capital Blue Cross | Commercial | $2.25 | ↓ -66% |
| Capital Blue Cross | CHIP | $2.25 | ↓ -66% |
| Keystone Health Plan | Commercial | $2.25 | ↓ -66% |
| Prime Net | Legacy Commercial | $2.73 | ↓ -59% |
| Prime Net | ACO | $2.75 | ↓ -58% |
| Aetna | ACO | $2.75 | ↓ -58% |
| UPMC Work Partners | Workers Comp | $2.85 | ↓ -57% |
| Prime Net | NonGateKeeper | $3.25 | ↓ -51% |
| Prime Net | GateKeeper | $3.28 | ↓ -50% |
| Aetna | Commercial | $3.28 | ↓ -50% |
| United Healthcare | Commercial | $4.31 | ↓ -35% |
| Wellspan Population Health | PPO | $4.55 | ↓ -31% |
| Geisinger | Commercial | $4.58 | ↓ -31% |
| UPMC Health Plan | Commercial | $4.90 | ↓ -26% |
| Prime Net | FH-Medical Rental | $5.29 | ↓ -20% |
| Multiplan | PPO (Includes PHCS and Humana as Payers) | $5.95 | ↓ -10% |
| Geisinger | Medicaid/CHIP | $6.96 | ↑ +5% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $6.96 | ↑ +5% |
| PA Health & Wellness | PA Medicaid HMO | $6.96 | ↑ +5% |
| Highmark Wholecare (prev Gateway) | Medicaid | $7.10 | ↑ +8% |
| UPMC Health Plan | Managed Medicaid | $7.65 | ↑ +16% |
| Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $8.36 | ↑ +27% |
| UPMC Health Plan | CHIP | $8.56 | ↑ +30% |
| Cigna | Commercial | $9.62 | ↑ +46% |
Visitor-reported prices
Comments
Betamethasone acetate and sodium phos 6 mg/ml suspension for injection at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $26.80 | $4.39 – $26.40 |
| UPMC Bedford | Everett | $78.60 | $4.39 – $88.20 |
| UPMC Cole | Coudersport | $16.80 | $4.16 – $12.00 |
| UPMC Community Osteopathic | Harrisburg | $6.60 | $1.40 – $15.41 |
| UPMC East | Monroeville | $52.00 | $4.39 – $52.00 |
| UPMC Hamot | Erie | $122.40 | $4.39 – $18.56 |
| UPMC Northwest | Seneca | $49.20 | $4.39 – $24.03 |
| UPMC Hanover | Hanover | $6.60 | $6.96 – $9.62 |