Digoxin immune fab 40 mg intravenous solution at UPMC Carlisle
361 Alexander Spring Road, Carlisle, PA · UPMC · · NPI 1689107328
$2,869.80
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.
$4,783.00
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.
$655.27 with Prime Net vs $16,151.24 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 | $655.27 | ↓ -77% |
| Keystone Health Plan | Medicare Advantage | $956.60 | ↓ -67% |
| Capital Blue Cross | Medicare Advantage | $956.60 | ↓ -67% |
| Capital Blue Cross | CHIP | $1,535.34 | ↓ -47% |
| Capital Blue Cross | Commercial | $1,535.34 | ↓ -47% |
| Keystone Health Plan | Commercial | $1,535.34 | ↓ -47% |
| Prime Net | Legacy Commercial | $1,865.37 | ↓ -35% |
| Aetna | ACO | $1,879.72 | ↓ -34% |
| Prime Net | ACO | $1,879.72 | ↓ -34% |
| UPMC Work Partners | Workers Comp | $1,947.64 | ↓ -32% |
| Prime Net | NonGateKeeper | $2,224.09 | ↓ -23% |
| Aetna | Commercial | $2,238.44 | ↓ -22% |
| Prime Net | GateKeeper | $2,238.44 | ↓ -22% |
| United Healthcare | Commercial | $2,946.33 | ↑ +3% |
| Wellspan Population Health | PPO | $3,108.95 | ↑ +8% |
| Geisinger | Commercial | $3,131.91 | ↑ +9% |
| UPMC Health Plan | Commercial | $3,348.10 | ↑ +17% |
| Prime Net | FH-Medical Rental | $3,615.95 | ↑ +26% |
| Multiplan | PPO (Includes PHCS and Humana as Payers) | $4,065.55 | ↑ +42% |
| Highmark BCBS of PA | Community Blue Medicare Advantage/Complete Blue Medicare Advantage/Security Blue Medicare Advantage/Together Blue Medicare Advantage | $5,116.55 | ↑ +78% |
| Highmark BCBS of PA | Freedom Blue Medicare Advantage | $5,116.55 | ↑ +78% |
| PA Health & Wellness | PA Medicaid HMO | $5,168.23 | ↑ +80% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $5,168.23 | ↑ +80% |
| Humana | Medicare | $5,168.23 | ↑ +80% |
| Geisinger | Medicaid/CHIP | $5,168.23 | ↑ +80% |
| Highmark Wholecare (prev Gateway) | Medicaid | $5,271.59 | ↑ +84% |
| Aetna | Medicare | $5,390.46 | ↑ +88% |
| Cigna | Medicare | $5,426.64 | ↑ +89% |
| Geisinger | Medicare | $5,426.64 | ↑ +89% |
| United Healthcare | Medicare | $5,530.01 | ↑ +93% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $5,581.69 | ↑ +94% |
| UPMC Health Plan | Managed Medicaid | $5,685.05 | ↑ +98% |
| UPMC Health Plan | CHIP | $6,356.92 | ↑ +122% |
| Cigna | Commercial | $6,736.19 | ↑ +135% |
| Keystone Autism Services | ACAP | $8,269.17 | ↑ +188% |
| Highmark BCBS of PA | Community Blue PPO | $14,536.16 | ↑ +407% |
| Highmark BCBS of PA | CHIP - Managed Care | $15,151.18 | ↑ +428% |
| Highmark BCBS of PA | Commercial | $16,151.24 | ↑ +463% |
| Tricare | East Region | not published by hospital | — |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
Visitor-reported prices
Comments
Digoxin immune fab 40 mg intravenous solution at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $6,093.60 | $1,285.38 – $6,093.60 |
| UPMC Bedford | Everett | $3,954.60 | $1,864.70 – $5,931.90 |
| UPMC Cole | Coudersport | $4,537.20 | $2,096.19 – $6,049.60 |
| UPMC Community Osteopathic | Harrisburg | $2,869.80 | $956.60 – $6,356.92 |
| UPMC East | Monroeville | $11,176.80 | $1,297.62 – $11,176.80 |
| UPMC Hamot | Erie | $11,528.80 | $1,285.38 – $5,581.69 |
| UPMC Northwest | Seneca | $8,382.60 | $3,263.22 – $5,581.69 |
| UPMC Hanover | Hanover | $2,869.80 | $5,116.55 – $8,269.17 |