Calcitonin (salmon) 200 unit/ml injection solution at UPMC Carlisle
361 Alexander Spring Road, Carlisle, PA · UPMC · · NPI 1689107328
$939.60
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.
$1,566.00
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.
$96.72 with Prime Net vs $1,515.58 with Highmark BCBS of PA — 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 | $96.72 | ↓ -90% |
| Capital Blue Cross | Medicare Advantage | $141.20 | ↓ -85% |
| Keystone Health Plan | Medicare Advantage | $141.20 | ↓ -85% |
| Keystone Health Plan | Commercial | $226.63 | ↓ -76% |
| Capital Blue Cross | CHIP | $226.63 | ↓ -76% |
| Capital Blue Cross | Commercial | $226.63 | ↓ -76% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $266.73 | ↓ -72% |
| Prime Net | Legacy Commercial | $275.34 | ↓ -71% |
| Aetna | ACO | $277.46 | ↓ -70% |
| Prime Net | ACO | $277.46 | ↓ -70% |
| UPMC Work Partners | Workers Comp | $287.48 | ↓ -69% |
| Prime Net | NonGateKeeper | $328.29 | ↓ -65% |
| Prime Net | GateKeeper | $330.41 | ↓ -65% |
| Aetna | Commercial | $330.41 | ↓ -65% |
| PA Health & Wellness | PA Medicaid HMO | $388.30 | ↓ -59% |
| Geisinger | Medicaid/CHIP | $388.30 | ↓ -59% |
| United Healthcare | Commercial | $434.90 | ↓ -54% |
| Wellspan Population Health | PPO | $458.90 | ↓ -51% |
| Geisinger | Commercial | $462.29 | ↓ -51% |
| Highmark BCBS of PA | Community Blue Medicare Advantage/Complete Blue Medicare Advantage/Security Blue Medicare Advantage/Together Blue Medicare Advantage | $480.12 | ↓ -49% |
| Highmark BCBS of PA | Freedom Blue Medicare Advantage | $480.12 | ↓ -49% |
| Humana | Medicare | $484.97 | ↓ -48% |
| UPMC Health Plan | Commercial | $494.20 | ↓ -47% |
| Aetna | Medicare | $505.82 | ↓ -46% |
| Geisinger | Medicare | $509.22 | ↓ -46% |
| Cigna | Medicare | $509.22 | ↓ -46% |
| United Healthcare | Medicare | $518.92 | ↓ -45% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $523.77 | ↓ -44% |
| Prime Net | FH-Medical Rental | $533.74 | ↓ -43% |
| Multiplan | PPO (Includes PHCS and Humana as Payers) | $600.10 | ↓ -36% |
| Keystone Autism Services | ACAP | $775.95 | ↓ -17% |
| UPMC Health Plan | CHIP | $1,241.02 | ↑ +32% |
| Highmark BCBS of PA | Community Blue PPO | $1,364.03 | ↑ +45% |
| Highmark BCBS of PA | CHIP - Managed Care | $1,421.74 | ↑ +51% |
| Cigna | Commercial | $1,507.99 | ↑ +60% |
| Highmark BCBS of PA | Commercial | $1,515.58 | ↑ +61% |
| Tricare | East Region | not published by hospital | — |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
Visitor-reported prices
Comments
Calcitonin (salmon) 200 unit/ml injection solution at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $8,582.40 | $82.85 – $8,582.40 |
| UPMC Bedford | Everett | $9,437.60 | $174.98 – $10,617.30 |
| UPMC Cole | Coudersport | $4,067.40 | $59.60 – $172.00 |
| UPMC Community Osteopathic | Harrisburg | $939.60 | $137.94 – $1,241.02 |
| UPMC East | Monroeville | $9,437.60 | $83.64 – $9,437.60 |
| UPMC Hamot | Erie | $10,588.80 | $82.85 – $1,748.83 |
| UPMC Northwest | Seneca | $9,437.60 | $215.02 – $523.77 |
| UPMC Hanover | Hanover | $939.60 | $480.12 – $1,241.02 |