Foscarnet sodium injection at UPMC Carlisle
361 Alexander Spring Road, Carlisle, PA · UPMC · · NPI 1689107328
$0.60
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.
$1.00
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.
$0.14 with Prime Net vs $99.81 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 | $0.14 | ↓ -77% |
| Capital Blue Cross | Medicare Advantage | $0.20 | ↓ -67% |
| Keystone Health Plan | Medicare Advantage | $0.20 | ↓ -67% |
| Keystone Health Plan | Commercial | $0.32 | ↓ -47% |
| Capital Blue Cross | CHIP | $0.32 | ↓ -47% |
| Capital Blue Cross | Commercial | $0.32 | ↓ -47% |
| Aetna | ACO | $0.39 | ↓ -35% |
| Prime Net | ACO | $0.39 | ↓ -35% |
| Prime Net | Legacy Commercial | $0.39 | ↓ -35% |
| UPMC Work Partners | Workers Comp | $0.41 | ↓ -32% |
| Prime Net | GateKeeper | $0.47 | ↓ -22% |
| Prime Net | NonGateKeeper | $0.47 | ↓ -22% |
| Aetna | Commercial | $0.47 | ↓ -22% |
| United Healthcare | Commercial | $0.62 | ↑ +3% |
| Wellspan Population Health | PPO | $0.65 | ↑ +8% |
| Geisinger | Commercial | $0.65 | ↑ +8% |
| UPMC Health Plan | Commercial | $0.70 | ↑ +17% |
| Prime Net | FH-Medical Rental | $0.76 | ↑ +27% |
| Multiplan | PPO (Includes PHCS and Humana as Payers) | $0.85 | ↑ +42% |
| Highmark BCBS of PA | Freedom Blue Medicare Advantage | $15.92 | ↑ +2553% |
| Highmark BCBS of PA | Community Blue Medicare Advantage/Complete Blue Medicare Advantage/Security Blue Medicare Advantage/Together Blue Medicare Advantage | $15.92 | ↑ +2553% |
| PA Health & Wellness | PA Medicaid HMO | $16.08 | ↑ +2580% |
| Geisinger | Medicaid/CHIP | $16.08 | ↑ +2580% |
| Humana | Medicare | $16.08 | ↑ +2580% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $16.08 | ↑ +2580% |
| Highmark Wholecare (prev Gateway) | Medicaid | $16.40 | ↑ +2633% |
| Aetna | Medicare | $16.77 | ↑ +2695% |
| Geisinger | Medicare | $16.88 | ↑ +2713% |
| Cigna | Medicare | $16.88 | ↑ +2713% |
| United Healthcare | Medicare | $17.21 | ↑ +2768% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $17.37 | ↑ +2795% |
| UPMC Health Plan | Managed Medicaid | $17.68 | ↑ +2847% |
| UPMC Health Plan | CHIP | $19.77 | ↑ +3195% |
| Keystone Autism Services | ACAP | $25.73 | ↑ +4188% |
| Highmark BCBS of PA | Community Blue PPO | $45.23 | ↑ +7438% |
| Highmark BCBS of PA | CHIP - Managed Care | $47.14 | ↑ +7757% |
| Highmark BCBS of PA | Commercial | $50.25 | ↑ +8275% |
| Cigna | Commercial | $99.81 | ↑ +16535% |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
| Tricare | East Region | not published by hospital | — |
Visitor-reported prices
Comments
Foscarnet sodium injection at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| AHN WEXFORD HOSPITAL | WEXFORD | $436.80 | $10.07 – $32.73 |
| UPMC East | Monroeville | $88.00 | $10.15 – $88.00 |
| UPMC Magee | Pittsburgh | $393.00 | $10.15 – $22.72 |
| UPMC Mercy | Pittsburgh | $215.20 | $10.15 – $22.51 |
| UPMC Muncy | Muncy | $1,974.60 | $16.08 – $17.68 |
| UPMC Passavant-McCandless | Pittsburgh | $393.00 | $10.15 – $22.72 |
| UPMC Presbyterian | Pittsburgh | $2,358.00 | $10.15 – $22.72 |
| UPMC Wellsboro | Wellsboro | $1,974.60 | $16.08 – $17.68 |