Floxuridine injection at UPMC Carlisle
361 Alexander Spring Road, Carlisle, PA · UPMC · · NPI 1689107328
$2,184.00
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.
?
What you pay up front if you don't use insurance.
$3,640.00
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.
?
The hospital's undiscounted list price — almost no one pays this.
$498.68 with Prime Net vs $12,900.48 with Highmark BCBS of PA — same scan, same building. Share
Negotiated rates by payer
?
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 →
?
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 | $498.68 | ↓ -77% |
| Keystone Health Plan | Medicare Advantage | $728.00 | ↓ -67% |
| Capital Blue Cross | Medicare Advantage | $728.00 | ↓ -67% |
| Keystone Health Plan | Commercial | $1,168.44 | ↓ -47% |
| Capital Blue Cross | CHIP | $1,168.44 | ↓ -47% |
| Capital Blue Cross | Commercial | $1,168.44 | ↓ -47% |
| Prime Net | Legacy Commercial | $1,419.60 | ↓ -35% |
| Aetna | ACO | $1,430.52 | ↓ -35% |
| Prime Net | ACO | $1,430.52 | ↓ -35% |
| UPMC Work Partners | Workers Comp | $1,482.21 | ↓ -32% |
| Prime Net | NonGateKeeper | $1,692.60 | ↓ -23% |
| Prime Net | GateKeeper | $1,703.52 | ↓ -22% |
| Aetna | Commercial | $1,703.52 | ↓ -22% |
| United Healthcare | Commercial | $2,242.24 | ↑ +3% |
| Wellspan Population Health | PPO | $2,366.00 | ↑ +8% |
| Geisinger | Commercial | $2,383.47 | ↑ +9% |
| UPMC Health Plan | Commercial | $2,548.00 | ↑ +17% |
| Prime Net | FH-Medical Rental | $2,751.84 | ↑ +26% |
| Multiplan | PPO (Includes PHCS and Humana as Payers) | $3,094.00 | ↑ +42% |
| Highmark BCBS of PA | Freedom Blue Medicare Advantage | $4,086.74 | ↑ +87% |
| Highmark BCBS of PA | Community Blue Medicare Advantage/Complete Blue Medicare Advantage/Security Blue Medicare Advantage/Together Blue Medicare Advantage | $4,086.74 | ↑ +87% |
| PA Health & Wellness | PA Medicaid HMO | $4,128.02 | ↑ +89% |
| Geisinger | Medicaid/CHIP | $4,128.02 | ↑ +89% |
| Humana | Medicare | $4,128.02 | ↑ +89% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $4,128.02 | ↑ +89% |
| Highmark Wholecare (prev Gateway) | Medicaid | $4,210.58 | ↑ +93% |
| Aetna | Medicare | $4,305.52 | ↑ +97% |
| Cigna | Medicare | $4,334.42 | ↑ +98% |
| Geisinger | Medicare | $4,334.42 | ↑ +98% |
| United Healthcare | Medicare | $4,416.98 | ↑ +102% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $4,458.26 | ↑ +104% |
| UPMC Health Plan | Managed Medicaid | $4,540.82 | ↑ +108% |
| UPMC Health Plan | CHIP | $5,077.46 | ↑ +132% |
| Cigna | Commercial | $5,248.08 | ↑ +140% |
| Keystone Autism Services | ACAP | $6,604.83 | ↑ +202% |
| Highmark BCBS of PA | Community Blue PPO | $11,610.47 | ↑ +432% |
| Highmark BCBS of PA | CHIP - Managed Care | $12,101.70 | ↑ +454% |
| Highmark BCBS of PA | Commercial | $12,900.48 | ↑ +491% |
| Tricare | East Region | not published by hospital | — |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
Visitor-reported prices
Comments
Floxuridine injection at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Community Osteopathic | Harrisburg | $2,184.00 | $365.71 – $5,077.46 |
| UPMC Hamot | Erie | $6,391.80 | $88.24 – $4,458.26 |
| UPMC Hanover | Hanover | $2,184.00 | $4,086.74 – $6,604.83 |
| UPMC Lititz | Lititz | $2,184.00 | $4,086.74 – $6,604.83 |
| UPMC Magee | Pittsburgh | $8,522.40 | $221.73 – $4,458.26 |
| UPMC Memorial | York | $2,184.00 | $179.01 – $6,604.83 |
| UPMC Muncy | Muncy | $555.60 | $4,128.02 – $4,540.82 |
| UPMC Passavant-McCandless | Pittsburgh | $8,522.40 | $221.73 – $4,540.82 |