Dicyclomine injection at UPMC Carlisle
361 Alexander Spring Road, Carlisle, PA · UPMC · · NPI 1689107328
$25.20
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.
$42.00
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.
$1.64 with Prime Net vs $35.21 with Cigna — 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 | $1.64 | ↓ -93% |
| Aetna | Medicare | $1.98 | ↓ -92% |
| Keystone Health Plan | Medicare Advantage | $2.40 | ↓ -90% |
| Capital Blue Cross | Medicare Advantage | $2.40 | ↓ -90% |
| Capital Blue Cross | CHIP | $3.85 | ↓ -85% |
| Keystone Health Plan | Commercial | $3.85 | ↓ -85% |
| Capital Blue Cross | Commercial | $3.85 | ↓ -85% |
| Prime Net | Legacy Commercial | $4.68 | ↓ -81% |
| Prime Net | ACO | $4.72 | ↓ -81% |
| Aetna | ACO | $4.72 | ↓ -81% |
| UPMC Work Partners | Workers Comp | $4.89 | ↓ -81% |
| Prime Net | NonGateKeeper | $5.58 | ↓ -78% |
| Aetna | Commercial | $5.62 | ↓ -78% |
| Prime Net | GateKeeper | $5.62 | ↓ -78% |
| United Healthcare | Commercial | $7.39 | ↓ -71% |
| Wellspan Population Health | PPO | $7.80 | ↓ -69% |
| Geisinger | Commercial | $7.86 | ↓ -69% |
| UPMC Health Plan | Commercial | $8.40 | ↓ -67% |
| Prime Net | FH-Medical Rental | $9.07 | ↓ -64% |
| Multiplan | PPO (Includes PHCS and Humana as Payers) | $10.20 | ↓ -60% |
| Geisinger | Medicaid/CHIP | $11.36 | ↓ -55% |
| PA Health & Wellness | PA Medicaid HMO | $11.36 | ↓ -55% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $11.36 | ↓ -55% |
| Highmark Wholecare (prev Gateway) | Medicaid | $11.59 | ↓ -54% |
| UPMC Health Plan | Managed Medicaid | $12.49 | ↓ -50% |
| UPMC Health Plan | CHIP | $13.97 | ↓ -45% |
| Cigna | Commercial | $35.21 | ↑ +40% |
Visitor-reported prices
Comments
Dicyclomine injection at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $195.20 | $3.35 – $195.20 |
| UPMC Cole | Coudersport | $105.00 | $11.36 – $140.00 |
| UPMC Community Osteopathic | Harrisburg | $25.20 | $2.40 – $13.97 |
| UPMC East | Monroeville | $20.20 | $2.99 – $20.00 |
| UPMC Hamot | Erie | $496.00 | $3.35 – $67.98 |
| UPMC Northwest | Seneca | $84.00 | $7.17 – $11.36 |
| UPMC Hanover | Hanover | $25.20 | $11.36 – $35.21 |
| UPMC Horizon-Greenville | Greenville | $159.20 | $7.17 – $14.90 |