Inj, levothyroxine, freskabi at UPMC Carlisle
361 Alexander Spring Road, Carlisle, PA · UPMC · · NPI 1689107328
$10.20
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.
?
What you pay up front if you don't use insurance.
$17.00
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.
?
The hospital's undiscounted list price — almost no one pays this.
$1.92 with Prime Net vs $21.34 with Highmark BCBS of PA — same scan, same building. Share
Negotiated rates by payer
?
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 →
?
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 | $1.92 | ↓ -81% |
| Keystone Health Plan | Medicare Advantage | $2.80 | ↓ -73% |
| Capital Blue Cross | Medicare Advantage | $2.80 | ↓ -73% |
| Keystone Health Plan | Commercial | $4.49 | ↓ -56% |
| Capital Blue Cross | CHIP | $4.49 | ↓ -56% |
| Capital Blue Cross | Commercial | $4.49 | ↓ -56% |
| Prime Net | Legacy Commercial | $5.46 | ↓ -46% |
| Aetna | ACO | $5.50 | ↓ -46% |
| Prime Net | ACO | $5.50 | ↓ -46% |
| UPMC Work Partners | Workers Comp | $5.70 | ↓ -44% |
| Prime Net | NonGateKeeper | $6.51 | ↓ -36% |
| Prime Net | GateKeeper | $6.55 | ↓ -36% |
| Aetna | Commercial | $6.55 | ↓ -36% |
| Highmark BCBS of PA | Community Blue Medicare Advantage/Complete Blue Medicare Advantage/Security Blue Medicare Advantage/Together Blue Medicare Advantage | $6.76 | ↓ -34% |
| Highmark BCBS of PA | Freedom Blue Medicare Advantage | $6.76 | ↓ -34% |
| PA Health & Wellness | PA Medicaid HMO | $6.83 | ↓ -33% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $6.83 | ↓ -33% |
| Humana | Medicare | $6.83 | ↓ -33% |
| Geisinger | Medicaid/CHIP | $6.83 | ↓ -33% |
| Highmark Wholecare (prev Gateway) | Medicaid | $6.97 | ↓ -32% |
| Aetna | Medicare | $7.12 | ↓ -30% |
| Cigna | Medicare | $7.17 | ↓ -30% |
| Geisinger | Medicare | $7.17 | ↓ -30% |
| United Healthcare | Medicare | $7.31 | ↓ -28% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $7.38 | ↓ -28% |
| UPMC Health Plan | Managed Medicaid | $7.51 | ↓ -26% |
| UPMC Health Plan | CHIP | $8.40 | ↓ -18% |
| United Healthcare | Commercial | $8.62 | ↓ -15% |
| Wellspan Population Health | PPO | $9.10 | ↓ -11% |
| Geisinger | Commercial | $9.17 | ↓ -10% |
| UPMC Health Plan | Commercial | $9.80 | ↓ -4% |
| Prime Net | FH-Medical Rental | $10.58 | ↑ +4% |
| Cigna | Commercial | $10.92 | ↑ +7% |
| Keystone Autism Services | ACAP | $10.93 | ↑ +7% |
| Multiplan | PPO (Includes PHCS and Humana as Payers) | $11.90 | ↑ +17% |
| Highmark BCBS of PA | Community Blue PPO | $19.21 | ↑ +88% |
| Highmark BCBS of PA | CHIP - Managed Care | $20.02 | ↑ +96% |
| Highmark BCBS of PA | Commercial | $21.34 | ↑ +109% |
| Tricare | East Region | not published by hospital | — |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
Visitor-reported prices
Comments
Inj, levothyroxine, freskabi at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| AHN WEXFORD HOSPITAL | WEXFORD | not published | $3.82 – $14.90 |
| GROVE CITY HOSPITAL | GROVE CITY | not published | $3.82 – $14.90 |