Inj naloxone hydrochloride at UPMC Carlisle
361 Alexander Spring Road, Carlisle, PA · UPMC · · NPI 1689107328
$9.00
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.
$15.00
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.
$0.82 with Prime Net vs $10.28 with Cigna — 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 | $0.82 | ↓ -91% |
| Aetna | Medicare | $0.99 | ↓ -89% |
| Capital Blue Cross | Medicare Advantage | $1.20 | ↓ -87% |
| Keystone Health Plan | Medicare Advantage | $1.20 | ↓ -87% |
| Keystone Health Plan | Commercial | $1.93 | ↓ -79% |
| Capital Blue Cross | CHIP | $1.93 | ↓ -79% |
| Capital Blue Cross | Commercial | $1.93 | ↓ -79% |
| Prime Net | Legacy Commercial | $2.34 | ↓ -74% |
| Prime Net | ACO | $2.36 | ↓ -74% |
| Aetna | ACO | $2.36 | ↓ -74% |
| UPMC Work Partners | Workers Comp | $2.44 | ↓ -73% |
| Prime Net | NonGateKeeper | $2.79 | ↓ -69% |
| Prime Net | GateKeeper | $2.81 | ↓ -69% |
| Aetna | Commercial | $2.81 | ↓ -69% |
| Geisinger | Medicaid/CHIP | $3.30 | ↓ -63% |
| PA Health & Wellness | PA Medicaid HMO | $3.30 | ↓ -63% |
| United Healthcare | Commercial | $3.70 | ↓ -59% |
| Wellspan Population Health | PPO | $3.90 | ↓ -57% |
| Geisinger | Commercial | $3.93 | ↓ -56% |
| UPMC Health Plan | Commercial | $4.20 | ↓ -53% |
| Prime Net | FH-Medical Rental | $4.54 | ↓ -50% |
| Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $4.82 | ↓ -46% |
| Multiplan | PPO (Includes PHCS and Humana as Payers) | $5.10 | ↓ -43% |
| UPMC Health Plan | CHIP | $8.46 | ↓ -6% |
| Cigna | Commercial | $10.28 | ↑ +14% |
Visitor-reported prices
Comments
Inj naloxone hydrochloride at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $75.00 | $6.34 – $33.60 |
| UPMC Bedford | Everett | $66.00 | $8.46 – $49.50 |
| UPMC Cole | Coudersport | $41.40 | $1.94 – $5.60 |
| UPMC Community Osteopathic | Harrisburg | $9.00 | $1.20 – $10.55 |
| UPMC East | Monroeville | $67.20 | $5.62 – $37.60 |
| UPMC Hamot | Erie | $144.00 | $6.34 – $45.45 |
| UPMC Northwest | Seneca | $71.40 | $16.45 – $16.45 |
| UPMC Hanover | Hanover | $9.00 | $4.82 – $10.28 |