Gamma globulin 1 cc inj at UPMC Carlisle
361 Alexander Spring Road, Carlisle, PA · UPMC · · NPI 1689107328
$31.20
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.
$52.00
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.
$6.17 with Prime Net vs $153.22 with Highmark BCBS of PA — 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 | $6.17 | ↓ -80% |
| Keystone Health Plan | Medicare Advantage | $9.00 | ↓ -71% |
| Capital Blue Cross | Medicare Advantage | $9.00 | ↓ -71% |
| Capital Blue Cross | CHIP | $14.45 | ↓ -54% |
| Capital Blue Cross | Commercial | $14.45 | ↓ -54% |
| Keystone Health Plan | Commercial | $14.45 | ↓ -54% |
| Prime Net | Legacy Commercial | $17.55 | ↓ -44% |
| Aetna | ACO | $17.68 | ↓ -43% |
| Prime Net | ACO | $17.68 | ↓ -43% |
| UPMC Work Partners | Workers Comp | $18.32 | ↓ -41% |
| Prime Net | NonGateKeeper | $20.93 | ↓ -33% |
| Aetna | Commercial | $21.06 | ↓ -33% |
| Prime Net | GateKeeper | $21.06 | ↓ -33% |
| United Healthcare | Commercial | $27.72 | ↓ -11% |
| Wellspan Population Health | PPO | $29.25 | ↓ -6% |
| Geisinger | Commercial | $29.47 | ↓ -6% |
| UPMC Health Plan | Commercial | $31.50 | ↑ +1% |
| Prime Net | FH-Medical Rental | $34.02 | ↑ +9% |
| Multiplan | PPO (Includes PHCS and Humana as Payers) | $38.25 | ↑ +23% |
| Highmark BCBS of PA | Community Blue Medicare Advantage/Complete Blue Medicare Advantage/Security Blue Medicare Advantage/Together Blue Medicare Advantage | $48.54 | ↑ +56% |
| Highmark BCBS of PA | Freedom Blue Medicare Advantage | $48.54 | ↑ +56% |
| PA Health & Wellness | PA Medicaid HMO | $49.03 | ↑ +57% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $49.03 | ↑ +57% |
| Humana | Medicare | $49.03 | ↑ +57% |
| Geisinger | Medicaid/CHIP | $49.03 | ↑ +57% |
| Highmark Wholecare (prev Gateway) | Medicaid | $50.01 | ↑ +60% |
| Aetna | Medicare | $51.14 | ↑ +64% |
| Cigna | Medicare | $51.48 | ↑ +65% |
| Geisinger | Medicare | $51.48 | ↑ +65% |
| United Healthcare | Medicare | $52.46 | ↑ +68% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $52.95 | ↑ +70% |
| UPMC Health Plan | Managed Medicaid | $53.94 | ↑ +73% |
| UPMC Health Plan | CHIP | $60.31 | ↑ +93% |
| Cigna | Commercial | $71.53 | ↑ +129% |
| Keystone Autism Services | ACAP | $78.45 | ↑ +151% |
| Highmark BCBS of PA | Community Blue PPO | $137.90 | ↑ +342% |
| Highmark BCBS of PA | CHIP - Managed Care | $143.74 | ↑ +361% |
| Highmark BCBS of PA | Commercial | $153.22 | ↑ +391% |
| Tricare | East Region | not published by hospital | — |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
Visitor-reported prices
Comments
Gamma globulin 1 cc inj at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Community Osteopathic | Harrisburg | $31.20 | $6.44 – $60.31 |
| UPMC Hamot | Erie | $21.60 | $3.87 – $52.95 |
| UPMC Hanover | Hanover | $31.20 | $48.54 – $78.45 |
| UPMC Lititz | Lititz | $31.20 | $48.54 – $78.45 |
| UPMC Memorial | York | $31.20 | $3.15 – $78.45 |
| UPMC Muncy | Muncy | $381.00 | $49.03 – $53.94 |
| UPMC Presbyterian | Pittsburgh | $106.20 | $3.90 – $53.93 |
| UPMC Somerset | Somerset | $31.20 | $3.83 – $49.03 |