Darbepoetin alfa 100 mcg/0.5 ml in polysorbate injection syringe at UPMC Carlisle
361 Alexander Spring Road, Carlisle, PA · UPMC · · NPI 1689107328
$2,322.00
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.
$3,870.00
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.
$2.90 with Highmark BCBS of PA vs $446.32 with Health Partners Plans (Jefferson Health Plan) — 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 |
|---|---|---|---|
| Highmark BCBS of PA | Freedom Blue Medicare Advantage | $2.90 | ↓ -100% |
| Highmark BCBS of PA | Community Blue Medicare Advantage/Complete Blue Medicare Advantage/Security Blue Medicare Advantage/Together Blue Medicare Advantage | $2.90 | ↓ -100% |
| Humana | Medicare | $2.93 | ↓ -100% |
| PA Health & Wellness | PA Medicaid HMO | $2.93 | ↓ -100% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $2.93 | ↓ -100% |
| Geisinger | Medicaid/CHIP | $2.93 | ↓ -100% |
| Highmark Wholecare (prev Gateway) | Medicaid | $2.98 | ↓ -100% |
| Aetna | Medicare | $3.06 | ↓ -100% |
| Geisinger | Medicare | $3.08 | ↓ -100% |
| Cigna | Medicare | $3.08 | ↓ -100% |
| United Healthcare | Medicare | $3.14 | ↓ -100% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $3.16 | ↓ -100% |
| UPMC Health Plan | Managed Medicaid | $3.22 | ↓ -100% |
| UPMC Health Plan | CHIP | $3.60 | ↓ -100% |
| Cigna | Commercial | $4.02 | ↓ -100% |
| Keystone Autism Services | ACAP | $4.69 | ↓ -100% |
| Highmark BCBS of PA | Community Blue PPO | $8.24 | ↓ -100% |
| Highmark BCBS of PA | CHIP - Managed Care | $8.59 | ↓ -100% |
| Highmark BCBS of PA | Commercial | $9.16 | ↓ -100% |
| United Healthcare | Commercial | $20.56 | ↓ -99% |
| Prime Net | Managed Medicare | $26.44 | ↓ -99% |
| Keystone Health Plan | Medicare Advantage | $38.60 | ↓ -98% |
| Capital Blue Cross | Medicare Advantage | $38.60 | ↓ -98% |
| Keystone Health Plan | Commercial | $61.95 | ↓ -97% |
| Capital Blue Cross | CHIP | $61.95 | ↓ -97% |
| Capital Blue Cross | Commercial | $61.95 | ↓ -97% |
| Prime Net | Legacy Commercial | $75.27 | ↓ -97% |
| Aetna | ACO | $75.85 | ↓ -97% |
| Prime Net | ACO | $75.85 | ↓ -97% |
| UPMC Work Partners | Workers Comp | $78.59 | ↓ -97% |
| Prime Net | NonGateKeeper | $89.75 | ↓ -96% |
| Prime Net | GateKeeper | $90.32 | ↓ -96% |
| Aetna | Commercial | $90.32 | ↓ -96% |
| Wellspan Population Health | PPO | $125.45 | ↓ -95% |
| Geisinger | Commercial | $126.38 | ↓ -95% |
| UPMC Health Plan | Commercial | $135.10 | ↓ -94% |
| Prime Net | FH-Medical Rental | $145.91 | ↓ -94% |
| Multiplan | PPO (Includes PHCS and Humana as Payers) | $164.05 | ↓ -93% |
| Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $446.32 | ↓ -81% |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
| Tricare | East Region | not published by hospital | — |
Visitor-reported prices
Comments
Darbepoetin alfa 100 mcg/0.5 ml in polysorbate injection syringe at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $1,736.40 | $1.85 – $446.32 |
| UPMC Cole | Coudersport | $4,852.80 | $2.93 – $517.60 |
| UPMC Community Osteopathic | Harrisburg | $2,322.00 | $2.90 – $446.32 |
| UPMC East | Monroeville | $6,335.40 | $1.85 – $781.30 |
| UPMC Hamot | Erie | $1,687.20 | $1.85 – $513.27 |
| UPMC Hanover | Hanover | $2,322.00 | $2.90 – $446.32 |
| UPMC Jameson | New Castle | $1,430.40 | $1.85 – $9.59 |
| UPMC Kane | Kane | $5,572.80 | $2.93 – $8.83 |