Inj, cefepime hcl (b braun) at UPMC Carlisle
361 Alexander Spring Road, Carlisle, PA · UPMC · · NPI 1689107328
$17.40
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.
$29.00
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.
$2.60 with Prime Net vs $16.15 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 |
|---|---|---|---|
| Prime Net | Managed Medicare | $2.60 | ↓ -85% |
| Aetna | Medicare | $3.13 | ↓ -82% |
| Keystone Health Plan | Medicare Advantage | $3.80 | ↓ -78% |
| Capital Blue Cross | Medicare Advantage | $3.80 | ↓ -78% |
| Geisinger | Medicaid/CHIP | $4.96 | ↓ -71% |
| PA Health & Wellness | PA Medicaid HMO | $4.96 | ↓ -71% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $4.96 | ↓ -71% |
| Highmark Wholecare (prev Gateway) | Medicaid | $5.06 | ↓ -71% |
| UPMC Health Plan | Managed Medicaid | $5.45 | ↓ -69% |
| UPMC Health Plan | CHIP | $6.10 | ↓ -65% |
| Keystone Health Plan | Commercial | $6.10 | ↓ -65% |
| Capital Blue Cross | Commercial | $6.10 | ↓ -65% |
| Capital Blue Cross | CHIP | $6.10 | ↓ -65% |
| Prime Net | Legacy Commercial | $7.41 | ↓ -57% |
| Cigna | Commercial | $7.43 | ↓ -57% |
| Aetna | ACO | $7.47 | ↓ -57% |
| Prime Net | ACO | $7.47 | ↓ -57% |
| UPMC Work Partners | Workers Comp | $7.74 | ↓ -56% |
| Prime Net | NonGateKeeper | $8.84 | ↓ -49% |
| Prime Net | GateKeeper | $8.89 | ↓ -49% |
| Aetna | Commercial | $8.89 | ↓ -49% |
| United Healthcare | Commercial | $11.70 | ↓ -33% |
| Wellspan Population Health | PPO | $12.35 | ↓ -29% |
| Geisinger | Commercial | $12.44 | ↓ -29% |
| UPMC Health Plan | Commercial | $13.30 | ↓ -24% |
| Prime Net | FH-Medical Rental | $14.36 | ↓ -17% |
| Multiplan | PPO (Includes PHCS and Humana as Payers) | $16.15 | ↓ -7% |
| Tricare | East Region | not published by hospital | — |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
Visitor-reported prices
Comments
Inj, cefepime hcl (b braun) at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $39.40 | $3.13 – $39.20 |
| UPMC Bedford | Everett | $44.80 | $3.13 – $50.40 |
| UPMC Community Osteopathic | Harrisburg | $17.40 | $3.80 – $16.15 |
| UPMC East | Monroeville | $32.20 | $3.13 – $32.00 |
| UPMC Hamot | Erie | $139.20 | $3.13 – $14.36 |
| UPMC Northwest | Seneca | $43.40 | $3.13 – $8.59 |
| UPMC Hanover | Hanover | $17.40 | $4.96 – $37.02 |
| UPMC Jameson | New Castle | $24.80 | $3.13 – $5.01 |