Immune globulin, gamma (igg) (10 %)-gly-iga over 50 mcg/ml injection solution at UPMC Carlisle
361 Alexander Spring Road, Carlisle, PA · UPMC · · NPI 1689107328
$678.00
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.
$1,130.00
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.
$0.96 with Prime Net vs $141.60 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 | $0.96 | ↓ -100% |
| Keystone Health Plan | Medicare Advantage | $1.40 | ↓ -100% |
| Capital Blue Cross | Medicare Advantage | $1.40 | ↓ -100% |
| Capital Blue Cross | CHIP | $2.25 | ↓ -100% |
| Capital Blue Cross | Commercial | $2.25 | ↓ -100% |
| Keystone Health Plan | Commercial | $2.25 | ↓ -100% |
| Prime Net | Legacy Commercial | $2.73 | ↓ -100% |
| Aetna | ACO | $2.75 | ↓ -100% |
| Prime Net | ACO | $2.75 | ↓ -100% |
| UPMC Work Partners | Workers Comp | $2.85 | ↓ -100% |
| Prime Net | NonGateKeeper | $3.25 | ↓ -100% |
| Aetna | Commercial | $3.28 | ↓ -100% |
| Prime Net | GateKeeper | $3.28 | ↓ -100% |
| United Healthcare | Commercial | $4.31 | ↓ -99% |
| Wellspan Population Health | PPO | $4.55 | ↓ -99% |
| Geisinger | Commercial | $4.58 | ↓ -99% |
| UPMC Health Plan | Commercial | $4.90 | ↓ -99% |
| Prime Net | FH-Medical Rental | $5.29 | ↓ -99% |
| Multiplan | PPO (Includes PHCS and Humana as Payers) | $5.95 | ↓ -99% |
| Highmark BCBS of PA | Community Blue Medicare Advantage/Complete Blue Medicare Advantage/Security Blue Medicare Advantage/Together Blue Medicare Advantage | $44.86 | ↓ -93% |
| Highmark BCBS of PA | Freedom Blue Medicare Advantage | $44.86 | ↓ -93% |
| PA Health & Wellness | PA Medicaid HMO | $45.31 | ↓ -93% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $45.31 | ↓ -93% |
| Humana | Medicare | $45.31 | ↓ -93% |
| Geisinger | Medicaid/CHIP | $45.31 | ↓ -93% |
| Highmark Wholecare (prev Gateway) | Medicaid | $46.22 | ↓ -93% |
| Aetna | Medicare | $47.26 | ↓ -93% |
| Cigna | Medicare | $47.58 | ↓ -93% |
| Geisinger | Medicare | $47.58 | ↓ -93% |
| United Healthcare | Medicare | $48.48 | ↓ -93% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $48.93 | ↓ -93% |
| UPMC Health Plan | Managed Medicaid | $49.85 | ↓ -93% |
| UPMC Health Plan | CHIP | $55.74 | ↓ -92% |
| Cigna | Commercial | $62.25 | ↓ -91% |
| Keystone Autism Services | ACAP | $72.50 | ↓ -89% |
| Highmark BCBS of PA | Community Blue PPO | $127.44 | ↓ -81% |
| Highmark BCBS of PA | CHIP - Managed Care | $132.83 | ↓ -80% |
| Highmark BCBS of PA | Commercial | $141.60 | ↓ -79% |
| Tricare | East Region | not published by hospital | — |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
Visitor-reported prices
Comments
Immune globulin, gamma (igg) (10 %)-gly-iga over 50 mcg/ml injection solution at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Bedford | Everett | $280.80 | $16.35 – $225.00 |
| UPMC Cole | Coudersport | $6,568.80 | $45.31 – $2,898.40 |
| UPMC Community Osteopathic | Harrisburg | $678.00 | $1.40 – $55.74 |
| UPMC East | Monroeville | $640.80 | $28.61 – $640.80 |
| UPMC Hamot | Erie | $580.80 | $28.61 – $96.62 |
| UPMC Northwest | Seneca | $476.00 | $28.61 – $48.93 |
| UPMC Hanover | Hanover | $678.00 | $44.86 – $72.50 |
| UPMC Horizon-Greenville | Greenville | $440.00 | $28.61 – $85.02 |