Fondaparinux sodium at UPMC Carlisle
361 Alexander Spring Road, Carlisle, PA · UPMC · · NPI 1689107328
$87.60
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.
$146.00
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.
$0.72 with Geisinger vs $26.50 with Health Partners Plans (Jefferson Health Plan) — 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 |
|---|---|---|---|
| Geisinger | Medicaid/CHIP | $0.72 | ↓ -99% |
| PA Health & Wellness | PA Medicaid HMO | $0.72 | ↓ -99% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $0.72 | ↓ -99% |
| Highmark Wholecare (prev Gateway) | Medicaid | $0.74 | ↓ -99% |
| UPMC Health Plan | Managed Medicaid | $0.80 | ↓ -99% |
| UPMC Health Plan | CHIP | $0.89 | ↓ -99% |
| Cigna | Commercial | $1.54 | ↓ -98% |
| Prime Net | Managed Medicare | $3.29 | ↓ -96% |
| Aetna | Medicare | $3.96 | ↓ -95% |
| Keystone Health Plan | Medicare Advantage | $4.80 | ↓ -95% |
| Capital Blue Cross | Medicare Advantage | $4.80 | ↓ -95% |
| Keystone Health Plan | Commercial | $7.70 | ↓ -91% |
| Capital Blue Cross | CHIP | $7.70 | ↓ -91% |
| Capital Blue Cross | Commercial | $7.70 | ↓ -91% |
| Prime Net | Legacy Commercial | $9.36 | ↓ -89% |
| Prime Net | ACO | $9.43 | ↓ -89% |
| Aetna | ACO | $9.43 | ↓ -89% |
| UPMC Work Partners | Workers Comp | $9.77 | ↓ -89% |
| Prime Net | NonGateKeeper | $11.16 | ↓ -87% |
| Prime Net | GateKeeper | $11.23 | ↓ -87% |
| Aetna | Commercial | $11.23 | ↓ -87% |
| United Healthcare | Commercial | $14.78 | ↓ -83% |
| Wellspan Population Health | PPO | $15.60 | ↓ -82% |
| Geisinger | Commercial | $15.72 | ↓ -82% |
| UPMC Health Plan | Commercial | $16.80 | ↓ -81% |
| Prime Net | FH-Medical Rental | $18.14 | ↓ -79% |
| Multiplan | PPO (Includes PHCS and Humana as Payers) | $20.40 | ↓ -77% |
| Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $26.50 | ↓ -70% |
Visitor-reported prices
Comments
Fondaparinux sodium at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $222.60 | $0.46 – $26.50 |
| UPMC Community Osteopathic | Harrisburg | $87.60 | $0.72 – $26.50 |
| UPMC East | Monroeville | $1,379.40 | $0.46 – $91.20 |
| UPMC Hamot | Erie | $855.00 | $0.46 – $31.80 |
| UPMC Northwest | Seneca | $490.80 | $0.46 – $39.90 |
| UPMC Hanover | Hanover | $87.60 | $0.72 – $26.50 |
| UPMC Horizon-Greenville | Greenville | $111.20 | $0.46 – $39.18 |
| UPMC Jameson | New Castle | $697.80 | $0.46 – $15.64 |