Cidofovir injection at UPMC Carlisle
361 Alexander Spring Road, Carlisle, PA · UPMC · · NPI 1689107328
$118.20
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.
$197.00
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.
$20.28 with Prime Net vs $1,707.21 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 | $20.28 | ↓ -83% |
| Keystone Health Plan | Medicare Advantage | $29.60 | ↓ -75% |
| Capital Blue Cross | Medicare Advantage | $29.60 | ↓ -75% |
| Keystone Health Plan | Commercial | $47.51 | ↓ -60% |
| Capital Blue Cross | CHIP | $47.51 | ↓ -60% |
| Capital Blue Cross | Commercial | $47.51 | ↓ -60% |
| Prime Net | Legacy Commercial | $57.72 | ↓ -51% |
| Aetna | ACO | $58.16 | ↓ -51% |
| Prime Net | ACO | $58.16 | ↓ -51% |
| UPMC Work Partners | Workers Comp | $60.27 | ↓ -49% |
| Prime Net | NonGateKeeper | $68.82 | ↓ -42% |
| Prime Net | GateKeeper | $69.26 | ↓ -41% |
| Aetna | Commercial | $69.26 | ↓ -41% |
| United Healthcare | Commercial | $91.17 | ↓ -23% |
| Wellspan Population Health | PPO | $96.20 | ↓ -19% |
| Geisinger | Commercial | $96.91 | ↓ -18% |
| UPMC Health Plan | Commercial | $103.60 | ↓ -12% |
| Prime Net | FH-Medical Rental | $111.89 | ↓ -5% |
| Multiplan | PPO (Includes PHCS and Humana as Payers) | $125.80 | ↑ +6% |
| Highmark BCBS of PA | Freedom Blue Medicare Advantage | $540.83 | ↑ +358% |
| Highmark BCBS of PA | Community Blue Medicare Advantage/Complete Blue Medicare Advantage/Security Blue Medicare Advantage/Together Blue Medicare Advantage | $540.83 | ↑ +358% |
| PA Health & Wellness | PA Medicaid HMO | $546.29 | ↑ +362% |
| Geisinger | Medicaid/CHIP | $546.29 | ↑ +362% |
| Humana | Medicare | $546.29 | ↑ +362% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $546.29 | ↑ +362% |
| Highmark Wholecare (prev Gateway) | Medicaid | $557.22 | ↑ +371% |
| Aetna | Medicare | $569.78 | ↑ +382% |
| Cigna | Medicare | $573.60 | ↑ +385% |
| Geisinger | Medicare | $573.60 | ↑ +385% |
| United Healthcare | Medicare | $584.53 | ↑ +395% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $589.99 | ↑ +399% |
| UPMC Health Plan | Managed Medicaid | $600.92 | ↑ +408% |
| UPMC Health Plan | CHIP | $671.94 | ↑ +468% |
| Cigna | Commercial | $781.41 | ↑ +561% |
| Keystone Autism Services | ACAP | $874.06 | ↑ +639% |
| Highmark BCBS of PA | Community Blue PPO | $1,536.50 | ↑ +1200% |
| Highmark BCBS of PA | CHIP - Managed Care | $1,601.50 | ↑ +1255% |
| Highmark BCBS of PA | Commercial | $1,707.21 | ↑ +1344% |
| Tricare | East Region | not published by hospital | — |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
Visitor-reported prices
Comments
Cidofovir injection at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Community Osteopathic | Harrisburg | $118.20 | $29.60 – $671.94 |
| UPMC Hamot | Erie | $2,428.80 | $344.93 – $985.37 |
| UPMC Hanover | Hanover | $118.20 | $540.83 – $874.06 |
| UPMC Lititz | Lititz | $118.20 | $540.83 – $874.06 |
| UPMC Memorial | York | $118.20 | $373.87 – $1,070.80 |
| UPMC Mercy | Pittsburgh | $2,980.80 | $344.93 – $1,313.80 |
| UPMC Somerset | Somerset | $118.20 | $540.83 – $546.29 |