Desoxycorticosterone at UPMC Carlisle
361 Alexander Spring Road, Carlisle, PA · UPMC · · NPI 1689107328
$67.20
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.
$112.00
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.
$15.34 with Prime Net vs $237.89 with UPMC 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 |
|---|---|---|---|
| Prime Net | Managed Medicare | $15.34 | ↓ -77% |
| Capital Blue Cross | Medicare Advantage | $22.40 | ↓ -67% |
| Keystone Health Plan | Medicare Advantage | $22.40 | ↓ -67% |
| Highmark BCBS of PA | Freedom Blue Medicare Advantage | $30.67 | ↓ -54% |
| Highmark BCBS of PA | Community Blue Medicare Advantage/Complete Blue Medicare Advantage/Security Blue Medicare Advantage/Together Blue Medicare Advantage | $30.67 | ↓ -54% |
| Humana | Medicare | $30.98 | ↓ -54% |
| UPMC Work Partners | Workers Comp | $32.05 | ↓ -52% |
| Aetna | Medicare | $32.31 | ↓ -52% |
| Cigna | Medicare | $32.53 | ↓ -52% |
| Geisinger | Medicare | $32.53 | ↓ -52% |
| United Healthcare | Commercial | $32.94 | ↓ -51% |
| United Healthcare | Medicare | $33.15 | ↓ -51% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $33.46 | ↓ -50% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $42.81 | ↓ -36% |
| Prime Net | Legacy Commercial | $43.68 | ↓ -35% |
| Aetna | ACO | $44.02 | ↓ -34% |
| Prime Net | ACO | $44.02 | ↓ -34% |
| Keystone Autism Services | ACAP | $49.57 | ↓ -26% |
| Prime Net | NonGateKeeper | $52.08 | ↓ -23% |
| Aetna | Commercial | $52.42 | ↓ -22% |
| Prime Net | GateKeeper | $52.42 | ↓ -22% |
| Highmark Wholecare (prev Gateway) | Medicaid | $54.37 | ↓ -19% |
| UPMC Health Plan | Managed Medicaid | $55.65 | ↓ -17% |
| United Healthcare Community Plan for Families | PA Medicaid | $56.08 | ↓ -17% |
| Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $58.31 | ↓ -13% |
| Capital Blue Cross | Commercial | $61.26 | ↓ -9% |
| Keystone Health Plan | Commercial | $61.26 | ↓ -9% |
| Capital Blue Cross | CHIP | $61.26 | ↓ -9% |
| Geisinger | Medicaid/CHIP | $62.36 | ↓ -7% |
| Wellspan Population Health | PPO | $72.80 | ↑ +8% |
| PA Health & Wellness | PA Medicaid HMO | $72.96 | ↑ +9% |
| Geisinger | Commercial | $73.34 | ↑ +9% |
| UPMC Health Plan | Commercial | $78.40 | ↑ +17% |
| Cigna | Commercial | $80.56 | ↑ +20% |
| Prime Net | FH-Medical Rental | $84.67 | ↑ +26% |
| Highmark BCBS of PA | Community Blue PPO | $87.13 | ↑ +30% |
| Highmark BCBS of PA | CHIP - Managed Care | $90.82 | ↑ +35% |
| Multiplan | PPO (Includes PHCS and Humana as Payers) | $95.20 | ↑ +42% |
| Highmark BCBS of PA | Commercial | $96.82 | ↑ +44% |
| UPMC Health Plan | CHIP | $237.89 | ↑ +254% |
Visitor-reported prices
Comments
Desoxycorticosterone at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $398.40 | $30.62 – $531.20 |
| UPMC Community Osteopathic | Harrisburg | $67.20 | $22.40 – $237.89 |
| UPMC Hamot | Erie | $505.80 | $30.62 – $84.20 |
| UPMC Northwest | Seneca | $285.60 | $28.10 – $49.23 |
| UPMC Hanover | Hanover | $67.20 | $30.67 – $58.31 |
| UPMC Horizon-Greenville | Greenville | $253.80 | $27.74 – $59.50 |
| UPMC Jameson | New Castle | $100.20 | $30.62 – $85.69 |
| UPMC Kane | Kane | $274.80 | $30.62 – $133.71 |