Drug assay voriconazole at UPMC Carlisle
361 Alexander Spring Road, Carlisle, PA · UPMC · · NPI 1689107328
$190.80
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.
$318.00
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.
$21.69 with AmeriHealth Caritas vs $270.30 with Multiplan — 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 |
|---|---|---|---|
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $21.69 | ↓ -89% |
| Highmark BCBS of PA | Freedom Blue Medicare Advantage | $26.84 | ↓ -86% |
| Highmark BCBS of PA | Community Blue Medicare Advantage/Complete Blue Medicare Advantage/Security Blue Medicare Advantage/Together Blue Medicare Advantage | $26.84 | ↓ -86% |
| Humana | Medicare | $27.11 | ↓ -86% |
| Highmark Wholecare (prev Gateway) | Medicaid | $27.55 | ↓ -86% |
| UPMC Work Partners | Workers Comp | $28.04 | ↓ -85% |
| UPMC Health Plan | Managed Medicaid | $28.20 | ↓ -85% |
| Aetna | Medicare | $28.28 | ↓ -85% |
| United Healthcare Community Plan for Families | PA Medicaid | $28.41 | ↓ -85% |
| Cigna | Medicare | $28.47 | ↓ -85% |
| Geisinger | Medicare | $28.47 | ↓ -85% |
| United Healthcare | Medicare | $29.01 | ↓ -85% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $29.28 | ↓ -85% |
| Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $29.54 | ↓ -85% |
| Geisinger | Medicaid/CHIP | $31.59 | ↓ -83% |
| PA Health & Wellness | PA Medicaid HMO | $36.96 | ↓ -81% |
| Keystone Autism Services | ACAP | $43.38 | ↓ -77% |
| Prime Net | Managed Medicare | $43.57 | ↓ -77% |
| United Healthcare | Commercial | $46.28 | ↓ -76% |
| Capital Blue Cross | Medicare Advantage | $63.60 | ↓ -67% |
| Keystone Health Plan | Medicare Advantage | $63.60 | ↓ -67% |
| Cigna | Commercial | $70.48 | ↓ -63% |
| Highmark BCBS of PA | Community Blue PPO | $76.25 | ↓ -60% |
| Highmark BCBS of PA | CHIP - Managed Care | $79.48 | ↓ -58% |
| Highmark BCBS of PA | Commercial | $84.72 | ↓ -56% |
| Prime Net | Legacy Commercial | $124.02 | ↓ -35% |
| Prime Net | ACO | $124.97 | ↓ -35% |
| Aetna | ACO | $124.97 | ↓ -35% |
| Prime Net | NonGateKeeper | $147.87 | ↓ -23% |
| Aetna | Commercial | $148.82 | ↓ -22% |
| Prime Net | GateKeeper | $148.82 | ↓ -22% |
| Capital Blue Cross | Commercial | $173.95 | ↓ -9% |
| Capital Blue Cross | CHIP | $173.95 | ↓ -9% |
| Keystone Health Plan | Commercial | $173.95 | ↓ -9% |
| Wellspan Population Health | PPO | $206.70 | ↑ +8% |
| Geisinger | Commercial | $208.23 | ↑ +9% |
| UPMC Health Plan | CHIP | $222.60 | ↑ +17% |
| UPMC Health Plan | Commercial | $222.60 | ↑ +17% |
| Prime Net | FH-Medical Rental | $240.41 | ↑ +26% |
| Multiplan | PPO (Includes PHCS and Humana as Payers) | $270.30 | ↑ +42% |
Visitor-reported prices
Comments
Drug assay voriconazole at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Community Osteopathic | Harrisburg | $190.80 | $21.69 – $270.30 |
| UPMC Hanover | Hanover | $190.80 | $21.69 – $43.38 |
| UPMC Lititz | Lititz | $190.80 | $21.69 – $43.38 |
| UPMC Memorial | York | $190.80 | $12.36 – $134.32 |
| UPMC Somerset | Somerset | $190.80 | $15.01 – $30.15 |
| WellSpan Chambersburg Hospital | Chambersburg | $95.20 | $21.69 – $120.59 |
| WellSpan Ephrata Community Hospital | Ephrata | $104.00 | $21.69 – $123.08 |
| Uniontown Hospital | Uniontown | $119.50 | $23.86 – $56.31 |