Ibuprofen injection at UPMC Carlisle
361 Alexander Spring Road, Carlisle, PA · UPMC · · NPI 1689107328
$150.00
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.
$250.00
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.
$3.10 with PA Health & Wellness vs $140.25 with Multiplan — 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 |
|---|---|---|---|
| PA Health & Wellness | PA Medicaid HMO | $3.10 | ↓ -98% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $3.10 | ↓ -98% |
| Geisinger | Medicaid/CHIP | $3.10 | ↓ -98% |
| Highmark Wholecare (prev Gateway) | Medicaid | $3.16 | ↓ -98% |
| UPMC Health Plan | Managed Medicaid | $3.41 | ↓ -98% |
| UPMC Health Plan | CHIP | $3.81 | ↓ -97% |
| Cigna | Commercial | $4.13 | ↓ -97% |
| Prime Net | Managed Medicare | $22.61 | ↓ -85% |
| Aetna | Medicare | $27.23 | ↓ -82% |
| Capital Blue Cross | Medicare Advantage | $33.00 | ↓ -78% |
| Keystone Health Plan | Medicare Advantage | $33.00 | ↓ -78% |
| Keystone Health Plan | Commercial | $52.97 | ↓ -65% |
| Capital Blue Cross | CHIP | $52.97 | ↓ -65% |
| Capital Blue Cross | Commercial | $52.97 | ↓ -65% |
| Prime Net | Legacy Commercial | $64.35 | ↓ -57% |
| Prime Net | ACO | $64.84 | ↓ -57% |
| Aetna | ACO | $64.84 | ↓ -57% |
| UPMC Work Partners | Workers Comp | $67.19 | ↓ -55% |
| Prime Net | NonGateKeeper | $76.72 | ↓ -49% |
| Prime Net | GateKeeper | $77.22 | ↓ -49% |
| Aetna | Commercial | $77.22 | ↓ -49% |
| United Healthcare | Commercial | $101.64 | ↓ -32% |
| Wellspan Population Health | PPO | $107.25 | ↓ -29% |
| Geisinger | Commercial | $108.04 | ↓ -28% |
| UPMC Health Plan | Commercial | $115.50 | ↓ -23% |
| Prime Net | FH-Medical Rental | $124.74 | ↓ -17% |
| Multiplan | PPO (Includes PHCS and Humana as Payers) | $140.25 | ↓ -7% |
Visitor-reported prices
Comments
Ibuprofen injection at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Community Osteopathic | Harrisburg | $150.00 | $2.66 – $140.25 |
| UPMC Hanover | Hanover | $150.00 | $3.10 – $4.13 |
| UPMC Lititz | Lititz | $150.00 | $3.10 – $4.13 |
| UPMC Memorial | York | $150.00 | $1.30 – $4.13 |
| UPMC Somerset | Somerset | $150.00 | $1.58 – $3.10 |