Glucagon 1 mg solution for injection at UPMC Carlisle
361 Alexander Spring Road, Carlisle, PA · UPMC · · NPI 1689107328
$168.00
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.
$280.00
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.
$23.43 with Prime Net vs $570.17 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 | $23.43 | ↓ -86% |
| Keystone Health Plan | Medicare Advantage | $34.20 | ↓ -80% |
| Capital Blue Cross | Medicare Advantage | $34.20 | ↓ -80% |
| Capital Blue Cross | Commercial | $54.89 | ↓ -67% |
| Capital Blue Cross | CHIP | $54.89 | ↓ -67% |
| Keystone Health Plan | Commercial | $54.89 | ↓ -67% |
| Prime Net | Legacy Commercial | $66.69 | ↓ -60% |
| Aetna | ACO | $67.20 | ↓ -60% |
| Prime Net | ACO | $67.20 | ↓ -60% |
| UPMC Work Partners | Workers Comp | $69.63 | ↓ -59% |
| Prime Net | NonGateKeeper | $79.52 | ↓ -53% |
| Prime Net | GateKeeper | $80.03 | ↓ -52% |
| Aetna | Commercial | $80.03 | ↓ -52% |
| United Healthcare | Commercial | $105.34 | ↓ -37% |
| Wellspan Population Health | PPO | $111.15 | ↓ -34% |
| Geisinger | Commercial | $111.97 | ↓ -33% |
| UPMC Health Plan | Commercial | $119.70 | ↓ -29% |
| Prime Net | FH-Medical Rental | $129.28 | ↓ -23% |
| Multiplan | PPO (Includes PHCS and Humana as Payers) | $145.35 | ↓ -13% |
| Highmark BCBS of PA | Freedom Blue Medicare Advantage | $180.63 | ↑ +8% |
| Highmark BCBS of PA | Community Blue Medicare Advantage/Complete Blue Medicare Advantage/Security Blue Medicare Advantage/Together Blue Medicare Advantage | $180.63 | ↑ +8% |
| Humana | Medicare | $182.45 | ↑ +9% |
| PA Health & Wellness | PA Medicaid HMO | $182.45 | ↑ +9% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $182.45 | ↑ +9% |
| Geisinger | Medicaid/CHIP | $182.45 | ↑ +9% |
| Highmark Wholecare (prev Gateway) | Medicaid | $186.10 | ↑ +11% |
| Aetna | Medicare | $190.30 | ↑ +13% |
| Geisinger | Medicare | $191.57 | ↑ +14% |
| Cigna | Medicare | $191.57 | ↑ +14% |
| United Healthcare | Medicare | $195.22 | ↑ +16% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $197.05 | ↑ +17% |
| UPMC Health Plan | Managed Medicaid | $200.69 | ↑ +19% |
| Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $223.39 | ↑ +33% |
| UPMC Health Plan | CHIP | $224.41 | ↑ +34% |
| Cigna | Commercial | $265.60 | ↑ +58% |
| Keystone Autism Services | ACAP | $291.92 | ↑ +74% |
| Highmark BCBS of PA | Community Blue PPO | $513.16 | ↑ +205% |
| Highmark BCBS of PA | CHIP - Managed Care | $534.87 | ↑ +218% |
| Highmark BCBS of PA | Commercial | $570.17 | ↑ +239% |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
| Tricare | East Region | not published by hospital | — |
Visitor-reported prices
Comments
Glucagon 1 mg solution for injection at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $528.00 | $115.20 – $528.00 |
| UPMC Bedford | Everett | $396.00 | $65.83 – $445.50 |
| UPMC Cole | Coudersport | $121.80 | $45.18 – $182.45 |
| UPMC Community Osteopathic | Harrisburg | $168.00 | $34.20 – $224.41 |
| UPMC East | Monroeville | $782.40 | $115.20 – $782.40 |
| UPMC Hamot | Erie | $522.40 | $115.20 – $197.05 |
| UPMC Northwest | Seneca | $522.40 | $115.20 – $197.05 |
| UPMC Hanover | Hanover | $168.00 | $180.63 – $291.92 |