Enfortumab vedotin-ejfv 20 mg intravenous solution at UPMC Carlisle
361 Alexander Spring Road, Carlisle, PA · UPMC · · NPI 1689107328
$2,527.80
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.
$4,213.00
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.
$36.37 with Highmark BCBS of PA vs $2,387.65 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 |
|---|---|---|---|
| Highmark BCBS of PA | Community Blue Medicare Advantage/Complete Blue Medicare Advantage/Security Blue Medicare Advantage/Together Blue Medicare Advantage | $36.37 | ↓ -99% |
| Highmark BCBS of PA | Freedom Blue Medicare Advantage | $36.37 | ↓ -99% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $36.74 | ↓ -99% |
| Humana | Medicare | $36.74 | ↓ -99% |
| Geisinger | Medicaid/CHIP | $36.74 | ↓ -99% |
| PA Health & Wellness | PA Medicaid HMO | $36.74 | ↓ -99% |
| Highmark Wholecare (prev Gateway) | Medicaid | $37.48 | ↓ -99% |
| Aetna | Medicare | $38.32 | ↓ -98% |
| Cigna | Medicare | $38.58 | ↓ -98% |
| Geisinger | Medicare | $38.58 | ↓ -98% |
| United Healthcare | Medicare | $39.31 | ↓ -98% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $39.68 | ↓ -98% |
| UPMC Health Plan | Managed Medicaid | $40.42 | ↓ -98% |
| UPMC Health Plan | CHIP | $45.19 | ↓ -98% |
| Cigna | Commercial | $49.39 | ↓ -98% |
| Keystone Autism Services | ACAP | $58.78 | ↓ -98% |
| Highmark BCBS of PA | Community Blue PPO | $103.33 | ↓ -96% |
| Highmark BCBS of PA | CHIP - Managed Care | $107.71 | ↓ -96% |
| Highmark BCBS of PA | Commercial | $114.82 | ↓ -95% |
| United Healthcare | Commercial | $246.00 | ↓ -90% |
| Prime Net | Managed Medicare | $384.83 | ↓ -85% |
| Keystone Health Plan | Medicare Advantage | $561.80 | ↓ -78% |
| Capital Blue Cross | Medicare Advantage | $561.80 | ↓ -78% |
| Capital Blue Cross | CHIP | $901.69 | ↓ -64% |
| Keystone Health Plan | Commercial | $901.69 | ↓ -64% |
| Capital Blue Cross | Commercial | $901.69 | ↓ -64% |
| Prime Net | Legacy Commercial | $1,095.51 | ↓ -57% |
| Aetna | ACO | $1,103.94 | ↓ -56% |
| Prime Net | ACO | $1,103.94 | ↓ -56% |
| UPMC Work Partners | Workers Comp | $1,143.82 | ↓ -55% |
| Prime Net | NonGateKeeper | $1,306.18 | ↓ -48% |
| Aetna | Commercial | $1,314.61 | ↓ -48% |
| Prime Net | GateKeeper | $1,314.61 | ↓ -48% |
| Wellspan Population Health | PPO | $1,825.85 | ↓ -28% |
| Geisinger | Commercial | $1,839.33 | ↓ -27% |
| UPMC Health Plan | Commercial | $1,966.30 | ↓ -22% |
| Prime Net | FH-Medical Rental | $2,123.60 | ↓ -16% |
| Multiplan | PPO (Includes PHCS and Humana as Payers) | $2,387.65 | ↓ -6% |
| Tricare | East Region | not published by hospital | — |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
Visitor-reported prices
Comments
Enfortumab vedotin-ejfv 20 mg intravenous solution at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Cole | Coudersport | $10,491.60 | $36.74 – $9,325.60 |
| UPMC Community Osteopathic | Harrisburg | $2,527.80 | $36.37 – $2,387.65 |
| UPMC Hanover | Hanover | $2,527.80 | $36.37 – $58.78 |
| UPMC Lititz | Lititz | $2,527.80 | $36.37 – $58.78 |
| UPMC Memorial | York | $2,527.80 | $18.30 – $58.78 |
| UPMC Somerset | Somerset | $2,527.80 | $22.23 – $36.74 |
| Uniontown Hospital | Uniontown | $25,281.00 | $36.66 – $85.42 |
| UPMC St. Margaret | Pittsburgh | not published | $22.67 – $40.41 |