Cladribine 10 mg/10 ml intravenous solution at UPMC Carlisle
361 Alexander Spring Road, Carlisle, PA · UPMC · · NPI 1689107328
$25.80
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.
$43.00
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.
$3.84 with Prime Net vs $33.38 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 | $3.84 | ↓ -85% |
| Capital Blue Cross | Medicare Advantage | $5.60 | ↓ -78% |
| Keystone Health Plan | Medicare Advantage | $5.60 | ↓ -78% |
| Keystone Health Plan | Commercial | $8.99 | ↓ -65% |
| Capital Blue Cross | CHIP | $8.99 | ↓ -65% |
| Capital Blue Cross | Commercial | $8.99 | ↓ -65% |
| Highmark BCBS of PA | Community Blue Medicare Advantage/Complete Blue Medicare Advantage/Security Blue Medicare Advantage/Together Blue Medicare Advantage | $10.57 | ↓ -59% |
| Highmark BCBS of PA | Freedom Blue Medicare Advantage | $10.57 | ↓ -59% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $10.68 | ↓ -59% |
| Geisinger | Medicaid/CHIP | $10.68 | ↓ -59% |
| Humana | Medicare | $10.68 | ↓ -59% |
| PA Health & Wellness | PA Medicaid HMO | $10.68 | ↓ -59% |
| Highmark Wholecare (prev Gateway) | Medicaid | $10.89 | ↓ -58% |
| Prime Net | Legacy Commercial | $10.92 | ↓ -58% |
| Aetna | ACO | $11.00 | ↓ -57% |
| Prime Net | ACO | $11.00 | ↓ -57% |
| Aetna | Medicare | $11.14 | ↓ -57% |
| Cigna | Medicare | $11.21 | ↓ -57% |
| Geisinger | Medicare | $11.21 | ↓ -57% |
| UPMC Work Partners | Workers Comp | $11.40 | ↓ -56% |
| United Healthcare | Medicare | $11.43 | ↓ -56% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $11.53 | ↓ -55% |
| UPMC Health Plan | Managed Medicaid | $11.75 | ↓ -54% |
| Prime Net | NonGateKeeper | $13.02 | ↓ -50% |
| Aetna | Commercial | $13.10 | ↓ -49% |
| Prime Net | GateKeeper | $13.10 | ↓ -49% |
| UPMC Health Plan | CHIP | $13.13 | ↓ -49% |
| Keystone Autism Services | ACAP | $17.09 | ↓ -34% |
| United Healthcare | Commercial | $17.25 | ↓ -33% |
| Wellspan Population Health | PPO | $18.20 | ↓ -29% |
| Geisinger | Commercial | $18.33 | ↓ -29% |
| UPMC Health Plan | Commercial | $19.60 | ↓ -24% |
| Prime Net | FH-Medical Rental | $21.17 | ↓ -18% |
| Cigna | Commercial | $22.24 | ↓ -14% |
| Multiplan | PPO (Includes PHCS and Humana as Payers) | $23.80 | ↓ -8% |
| Highmark BCBS of PA | Community Blue PPO | $30.04 | ↑ +16% |
| Highmark BCBS of PA | CHIP - Managed Care | $31.31 | ↑ +21% |
| Highmark BCBS of PA | Commercial | $33.38 | ↑ +29% |
| Tricare | East Region | not published by hospital | — |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
Visitor-reported prices
Comments
Cladribine 10 mg/10 ml intravenous solution at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $613.20 | $6.74 – $817.60 |
| UPMC Cole | Coudersport | $1,083.00 | $10.68 – $1,444.00 |
| UPMC Hamot | Erie | $475.20 | $6.74 – $39.90 |
| UPMC Northwest | Seneca | $329.60 | $6.74 – $11.53 |
| UPMC Horizon-Greenville | Greenville | $302.40 | $6.74 – $20.04 |
| UPMC Magee | Pittsburgh | $576.60 | $6.74 – $105.31 |
| UPMC McKeesport | Mckeesport | $268.80 | $6.74 – $105.31 |
| UPMC Muncy | Muncy | $2,014.80 | $10.68 – $11.75 |