Ceftazidime and avibactam at UPMC Carlisle
361 Alexander Spring Road, Carlisle, PA · UPMC · · NPI 1689107328
$237.00
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.
$395.00
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.
$54.12 with Prime Net vs $335.75 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 |
|---|---|---|---|
| Prime Net | Managed Medicare | $54.12 | ↓ -77% |
| Keystone Health Plan | Medicare Advantage | $79.00 | ↓ -67% |
| Capital Blue Cross | Medicare Advantage | $79.00 | ↓ -67% |
| Highmark BCBS of PA | Freedom Blue Medicare Advantage | $103.68 | ↓ -56% |
| Highmark BCBS of PA | Community Blue Medicare Advantage/Complete Blue Medicare Advantage/Security Blue Medicare Advantage/Together Blue Medicare Advantage | $103.68 | ↓ -56% |
| Geisinger | Medicaid/CHIP | $104.73 | ↓ -56% |
| Humana | Medicare | $104.73 | ↓ -56% |
| PA Health & Wellness | PA Medicaid HMO | $104.73 | ↓ -56% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $104.73 | ↓ -56% |
| Highmark Wholecare (prev Gateway) | Medicaid | $106.82 | ↓ -55% |
| Aetna | Medicare | $109.23 | ↓ -54% |
| Cigna | Medicare | $109.97 | ↓ -54% |
| Geisinger | Medicare | $109.97 | ↓ -54% |
| United Healthcare | Medicare | $112.06 | ↓ -53% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $113.11 | ↓ -52% |
| UPMC Health Plan | Managed Medicaid | $115.20 | ↓ -51% |
| Keystone Health Plan | Commercial | $126.80 | ↓ -46% |
| Capital Blue Cross | CHIP | $126.80 | ↓ -46% |
| Capital Blue Cross | Commercial | $126.80 | ↓ -46% |
| UPMC Health Plan | CHIP | $128.82 | ↓ -46% |
| Cigna | Commercial | $134.58 | ↓ -43% |
| Prime Net | Legacy Commercial | $154.05 | ↓ -35% |
| Aetna | ACO | $155.24 | ↓ -34% |
| Prime Net | ACO | $155.24 | ↓ -34% |
| UPMC Work Partners | Workers Comp | $160.84 | ↓ -32% |
| Keystone Autism Services | ACAP | $167.57 | ↓ -29% |
| Prime Net | NonGateKeeper | $183.68 | ↓ -22% |
| Aetna | Commercial | $184.86 | ↓ -22% |
| Prime Net | GateKeeper | $184.86 | ↓ -22% |
| United Healthcare | Commercial | $243.32 | ↑ +3% |
| Wellspan Population Health | PPO | $256.75 | ↑ +8% |
| Geisinger | Commercial | $258.65 | ↑ +9% |
| UPMC Health Plan | Commercial | $276.50 | ↑ +17% |
| Highmark BCBS of PA | Community Blue PPO | $294.56 | ↑ +24% |
| Prime Net | FH-Medical Rental | $298.62 | ↑ +26% |
| Highmark BCBS of PA | CHIP - Managed Care | $307.03 | ↑ +30% |
| Highmark BCBS of PA | Commercial | $327.29 | ↑ +38% |
| Multiplan | PPO (Includes PHCS and Humana as Payers) | $335.75 | ↑ +42% |
| Tricare | East Region | not published by hospital | — |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
Visitor-reported prices
Comments
Ceftazidime and avibactam at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $851.40 | $51.53 – $284.00 |
| UPMC Bedford | Everett | $296.00 | $37.79 – $333.00 |
| UPMC Cole | Coudersport | $450.00 | $104.73 – $600.00 |
| UPMC Community Osteopathic | Harrisburg | $237.00 | $79.00 – $335.75 |
| UPMC East | Monroeville | $935.40 | $46.52 – $311.20 |
| UPMC Hamot | Erie | $1,070.40 | $51.53 – $113.11 |
| UPMC Hanover | Hanover | $237.00 | $103.68 – $167.57 |
| UPMC Jameson | New Castle | $311.20 | $52.44 – $130.91 |