Bortezomib 3.5 mg (2.5 mg/ml) solution for subcutaneous injection at UPMC Carlisle
361 Alexander Spring Road, Carlisle, PA · UPMC · · NPI 1689107328
$961.80
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.
$1,603.00
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.
$2.76 with Cigna vs $29.75 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 |
|---|---|---|---|
| Cigna | Commercial | $2.76 | ↓ -100% |
| PA Health & Wellness | PA Medicaid HMO | $2.79 | ↓ -100% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $2.79 | ↓ -100% |
| Geisinger | Medicaid/CHIP | $2.79 | ↓ -100% |
| Highmark Wholecare (prev Gateway) | Medicaid | $2.85 | ↓ -100% |
| UPMC Health Plan | Managed Medicaid | $3.07 | ↓ -100% |
| UPMC Health Plan | CHIP | $3.43 | ↓ -100% |
| Prime Net | Managed Medicare | $4.79 | ↓ -100% |
| Aetna | Medicare | $5.78 | ↓ -99% |
| Keystone Health Plan | Medicare Advantage | $7.00 | ↓ -99% |
| Capital Blue Cross | Medicare Advantage | $7.00 | ↓ -99% |
| Capital Blue Cross | CHIP | $11.23 | ↓ -99% |
| Keystone Health Plan | Commercial | $11.23 | ↓ -99% |
| Capital Blue Cross | Commercial | $11.23 | ↓ -99% |
| Prime Net | Legacy Commercial | $13.65 | ↓ -99% |
| United Healthcare | Commercial | $13.75 | ↓ -99% |
| Aetna | ACO | $13.76 | ↓ -99% |
| Prime Net | ACO | $13.76 | ↓ -99% |
| UPMC Work Partners | Workers Comp | $14.25 | ↓ -99% |
| Prime Net | NonGateKeeper | $16.27 | ↓ -98% |
| Prime Net | GateKeeper | $16.38 | ↓ -98% |
| Aetna | Commercial | $16.38 | ↓ -98% |
| Wellspan Population Health | PPO | $22.75 | ↓ -98% |
| Geisinger | Commercial | $22.92 | ↓ -98% |
| UPMC Health Plan | Commercial | $24.50 | ↓ -97% |
| Prime Net | FH-Medical Rental | $26.46 | ↓ -97% |
| Multiplan | PPO (Includes PHCS and Humana as Payers) | $29.75 | ↓ -97% |
| Tricare | East Region | not published by hospital | — |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
Visitor-reported prices
Comments
Bortezomib 3.5 mg (2.5 mg/ml) solution for subcutaneous injection at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $5,895.60 | $1.76 – $224.80 |
| UPMC Cole | Coudersport | $3,991.20 | $2.27 – $5,321.60 |
| UPMC Community Osteopathic | Harrisburg | $961.80 | $2.76 – $96.47 |
| UPMC East | Monroeville | $5,581.20 | $1.76 – $212.80 |
| UPMC Hamot | Erie | $5,376.60 | $1.76 – $106.25 |
| UPMC Northwest | Seneca | $241.20 | $1.76 – $105.85 |
| UPMC Hanover | Hanover | $961.80 | $2.76 – $13.75 |
| UPMC Horizon-Greenville | Greenville | $118.20 | $1.76 – $103.94 |