Fludarabine 50 mg intravenous solution at UPMC Carlisle
361 Alexander Spring Road, Carlisle, PA · UPMC · · NPI 1689107328
$81.00
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.
$135.00
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.
$13.70 with Prime Net vs $245.30 with Cigna — 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 | $13.70 | ↓ -83% |
| Keystone Health Plan | Medicare Advantage | $20.00 | ↓ -75% |
| Capital Blue Cross | Medicare Advantage | $20.00 | ↓ -75% |
| Keystone Health Plan | Commercial | $32.10 | ↓ -60% |
| Capital Blue Cross | CHIP | $32.10 | ↓ -60% |
| Capital Blue Cross | Commercial | $32.10 | ↓ -60% |
| Prime Net | Legacy Commercial | $39.00 | ↓ -52% |
| Aetna | ACO | $39.30 | ↓ -51% |
| Prime Net | ACO | $39.30 | ↓ -51% |
| UPMC Work Partners | Workers Comp | $40.72 | ↓ -50% |
| Prime Net | NonGateKeeper | $46.50 | ↓ -43% |
| Prime Net | GateKeeper | $46.80 | ↓ -42% |
| Aetna | Commercial | $46.80 | ↓ -42% |
| United Healthcare | Commercial | $61.60 | ↓ -24% |
| Wellspan Population Health | PPO | $65.00 | ↓ -20% |
| Geisinger | Commercial | $65.48 | ↓ -19% |
| Highmark BCBS of PA | Community Blue Medicare Advantage/Complete Blue Medicare Advantage/Security Blue Medicare Advantage/Together Blue Medicare Advantage | $67.52 | ↓ -17% |
| Highmark BCBS of PA | Freedom Blue Medicare Advantage | $67.52 | ↓ -17% |
| PA Health & Wellness | PA Medicaid HMO | $68.20 | ↓ -16% |
| Geisinger | Medicaid/CHIP | $68.20 | ↓ -16% |
| Humana | Medicare | $68.20 | ↓ -16% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $68.20 | ↓ -16% |
| Highmark Wholecare (prev Gateway) | Medicaid | $69.56 | ↓ -14% |
| UPMC Health Plan | Commercial | $70.00 | ↓ -14% |
| Aetna | Medicare | $71.13 | ↓ -12% |
| Cigna | Medicare | $71.61 | ↓ -12% |
| Geisinger | Medicare | $71.61 | ↓ -12% |
| United Healthcare | Medicare | $72.97 | ↓ -10% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $73.66 | ↓ -9% |
| UPMC Health Plan | Managed Medicaid | $75.02 | ↓ -7% |
| Prime Net | FH-Medical Rental | $75.60 | ↓ -7% |
| UPMC Health Plan | CHIP | $83.88 | ↑ +4% |
| Multiplan | PPO (Includes PHCS and Humana as Payers) | $85.00 | ↑ +5% |
| Keystone Autism Services | ACAP | $109.12 | ↑ +35% |
| Highmark BCBS of PA | Community Blue PPO | $191.82 | ↑ +137% |
| Highmark BCBS of PA | CHIP - Managed Care | $199.94 | ↑ +147% |
| Highmark BCBS of PA | Commercial | $213.13 | ↑ +163% |
| Cigna | Commercial | $245.30 | ↑ +203% |
| Tricare | East Region | not published by hospital | — |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
Visitor-reported prices
Comments
Fludarabine 50 mg intravenous solution at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Cole | Coudersport | $812.40 | $68.20 – $1,083.20 |
| UPMC Community Osteopathic | Harrisburg | $81.00 | $20.00 – $85.00 |
| UPMC Hanover | Hanover | $81.00 | $67.52 – $109.12 |
| UPMC Horizon-Greenville | Greenville | $1,018.80 | $43.06 – $127.98 |
| UPMC Lititz | Lititz | $81.00 | $67.52 – $109.12 |
| UPMC Magee | Pittsburgh | $2,164.80 | $43.06 – $196.56 |
| UPMC Memorial | York | $81.00 | $68.20 – $208.97 |
| UPMC Muncy | Muncy | $1,258.80 | $68.20 – $75.02 |