Buprenorphine hydrochloride at UPMC Carlisle
361 Alexander Spring Road, Carlisle, PA · UPMC · · NPI 1689107328
$9.00
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.
$15.00
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.
$1.78 with Prime Net vs $11.05 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 |
|---|---|---|---|
| Prime Net | Managed Medicare | $1.78 | ↓ -80% |
| Aetna | Medicare | $2.15 | ↓ -76% |
| Keystone Health Plan | Medicare Advantage | $2.60 | ↓ -71% |
| Capital Blue Cross | Medicare Advantage | $2.60 | ↓ -71% |
| Capital Blue Cross | CHIP | $4.17 | ↓ -54% |
| Capital Blue Cross | Commercial | $4.17 | ↓ -54% |
| Keystone Health Plan | Commercial | $4.17 | ↓ -54% |
| PA Health & Wellness | PA Medicaid HMO | $4.17 | ↓ -54% |
| Geisinger | Medicaid/CHIP | $4.17 | ↓ -54% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $4.17 | ↓ -54% |
| Highmark Wholecare (prev Gateway) | Medicaid | $4.25 | ↓ -53% |
| UPMC Health Plan | Managed Medicaid | $4.58 | ↓ -49% |
| Prime Net | Legacy Commercial | $5.07 | ↓ -44% |
| Aetna | ACO | $5.11 | ↓ -43% |
| Prime Net | ACO | $5.11 | ↓ -43% |
| UPMC Health Plan | CHIP | $5.12 | ↓ -43% |
| UPMC Work Partners | Workers Comp | $5.29 | ↓ -41% |
| Cigna | Commercial | $5.82 | ↓ -35% |
| Prime Net | NonGateKeeper | $6.04 | ↓ -33% |
| Prime Net | GateKeeper | $6.08 | ↓ -32% |
| Aetna | Commercial | $6.08 | ↓ -32% |
| United Healthcare | Commercial | $8.01 | ↓ -11% |
| Wellspan Population Health | PPO | $8.45 | ↓ -6% |
| Geisinger | Commercial | $8.51 | ↓ -5% |
| UPMC Health Plan | Commercial | $9.10 | ↑ +1% |
| Prime Net | FH-Medical Rental | $9.83 | ↑ +9% |
| Multiplan | PPO (Includes PHCS and Humana as Payers) | $11.05 | ↑ +23% |
Visitor-reported prices
Comments
Buprenorphine hydrochloride at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $16.40 | $1.78 – $16.00 |
| UPMC Cole | Coudersport | $20.40 | $4.17 – $27.20 |
| UPMC Community Osteopathic | Harrisburg | $9.00 | $2.60 – $11.05 |
| UPMC Hanover | Hanover | $9.00 | $4.17 – $5.82 |
| UPMC Lititz | Lititz | $9.00 | $4.17 – $5.82 |
| UPMC Magee | Pittsburgh | $36.00 | $1.80 – $4.51 |
| UPMC Memorial | York | $9.00 | $1.45 – $5.82 |
| UPMC Mercy | Pittsburgh | $14.40 | $1.78 – $4.17 |