Fibrinolytic plasminogen at UPMC Carlisle
361 Alexander Spring Road, Carlisle, PA · UPMC · · NPI 1689107328
$87.00
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.
$145.00
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.
$11.41 with United Healthcare vs $123.25 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 |
|---|---|---|---|
| United Healthcare | Commercial | $11.41 | ↓ -87% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $15.60 | ↓ -82% |
| Highmark BCBS of PA | Freedom Blue Medicare Advantage | $17.02 | ↓ -80% |
| Highmark BCBS of PA | Community Blue Medicare Advantage/Complete Blue Medicare Advantage/Security Blue Medicare Advantage/Together Blue Medicare Advantage | $17.02 | ↓ -80% |
| Humana | Medicare | $17.19 | ↓ -80% |
| UPMC Work Partners | Workers Comp | $17.77 | ↓ -80% |
| Aetna | Medicare | $17.93 | ↓ -79% |
| Geisinger | Medicare | $18.05 | ↓ -79% |
| Cigna | Medicare | $18.05 | ↓ -79% |
| United Healthcare | Medicare | $18.39 | ↓ -79% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $18.57 | ↓ -79% |
| Highmark Wholecare (prev Gateway) | Medicaid | $19.81 | ↓ -77% |
| Prime Net | Managed Medicare | $19.86 | ↓ -77% |
| UPMC Health Plan | Managed Medicaid | $20.28 | ↓ -77% |
| United Healthcare Community Plan for Families | PA Medicaid | $20.44 | ↓ -77% |
| Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $21.25 | ↓ -76% |
| Geisinger | Medicaid/CHIP | $22.72 | ↓ -74% |
| PA Health & Wellness | PA Medicaid HMO | $26.59 | ↓ -69% |
| Keystone Autism Services | ACAP | $27.50 | ↓ -68% |
| Capital Blue Cross | Medicare Advantage | $29.00 | ↓ -67% |
| Keystone Health Plan | Medicare Advantage | $29.00 | ↓ -67% |
| Cigna | Commercial | $44.68 | ↓ -49% |
| Highmark BCBS of PA | Community Blue PPO | $48.35 | ↓ -44% |
| Highmark BCBS of PA | CHIP - Managed Care | $50.39 | ↓ -42% |
| Highmark BCBS of PA | Commercial | $53.72 | ↓ -38% |
| Prime Net | Legacy Commercial | $56.55 | ↓ -35% |
| Prime Net | ACO | $56.98 | ↓ -35% |
| Aetna | ACO | $56.98 | ↓ -35% |
| Prime Net | NonGateKeeper | $67.42 | ↓ -23% |
| Aetna | Commercial | $67.86 | ↓ -22% |
| Prime Net | GateKeeper | $67.86 | ↓ -22% |
| Capital Blue Cross | Commercial | $79.31 | ↓ -9% |
| Capital Blue Cross | CHIP | $79.31 | ↓ -9% |
| Keystone Health Plan | Commercial | $79.31 | ↓ -9% |
| Wellspan Population Health | PPO | $94.25 | ↑ +8% |
| Geisinger | Commercial | $94.95 | ↑ +9% |
| UPMC Health Plan | Commercial | $101.50 | ↑ +17% |
| Prime Net | FH-Medical Rental | $109.62 | ↑ +26% |
| UPMC Health Plan | CHIP | $113.57 | ↑ +31% |
| Multiplan | PPO (Includes PHCS and Humana as Payers) | $123.25 | ↑ +42% |
Visitor-reported prices
Comments
Fibrinolytic plasminogen at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Bedford | Everett | $224.40 | $6.20 – $336.60 |
| UPMC Community Osteopathic | Harrisburg | $87.00 | $15.60 – $123.25 |
| UPMC East | Monroeville | $141.00 | $15.60 – $188.00 |
| UPMC Hamot | Erie | $193.80 | $15.60 – $36.53 |
| UPMC Northwest | Seneca | $124.20 | $15.59 – $18.57 |
| UPMC Hanover | Hanover | $87.00 | $11.41 – $27.50 |
| UPMC Jameson | New Castle | $454.20 | $16.98 – $37.17 |
| UPMC Lititz | Lititz | $87.00 | $11.41 – $27.50 |