Inj nivolumab 2 mg hyaluron at UPMC Carlisle
361 Alexander Spring Road, Carlisle, PA · UPMC · · NPI 1689107328
$4,611.60
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.
$7,686.00
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.
$27.09 with Highmark BCBS of PA vs $6,533.10 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 |
|---|---|---|---|
| Highmark BCBS of PA | Community Blue Medicare Advantage/Complete Blue Medicare Advantage/Security Blue Medicare Advantage/Together Blue Medicare Advantage | $27.09 | ↓ -99% |
| Highmark BCBS of PA | Freedom Blue Medicare Advantage | $27.09 | ↓ -99% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $27.36 | ↓ -99% |
| Humana | Medicare | $27.36 | ↓ -99% |
| Geisinger | Medicaid/CHIP | $27.36 | ↓ -99% |
| PA Health & Wellness | PA Medicaid HMO | $27.36 | ↓ -99% |
| Highmark Wholecare (prev Gateway) | Medicaid | $27.91 | ↓ -99% |
| Aetna | Medicare | $28.54 | ↓ -99% |
| Geisinger | Medicare | $28.73 | ↓ -99% |
| Cigna | Medicare | $28.73 | ↓ -99% |
| United Healthcare | Medicare | $29.28 | ↓ -99% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $29.55 | ↓ -99% |
| UPMC Health Plan | Managed Medicaid | $30.10 | ↓ -99% |
| UPMC Health Plan | CHIP | $33.66 | ↓ -99% |
| Keystone Autism Services | ACAP | $43.78 | ↓ -99% |
| Highmark BCBS of PA | Community Blue PPO | $76.95 | ↓ -98% |
| Highmark BCBS of PA | CHIP - Managed Care | $80.21 | ↓ -98% |
| Highmark BCBS of PA | Commercial | $85.50 | ↓ -98% |
| Prime Net | Managed Medicare | $1,052.98 | ↓ -77% |
| Keystone Health Plan | Medicare Advantage | $1,537.20 | ↓ -67% |
| Capital Blue Cross | Medicare Advantage | $1,537.20 | ↓ -67% |
| Capital Blue Cross | CHIP | $2,467.21 | ↓ -46% |
| Keystone Health Plan | Commercial | $2,467.21 | ↓ -46% |
| Capital Blue Cross | Commercial | $2,467.21 | ↓ -46% |
| Prime Net | Legacy Commercial | $2,997.54 | ↓ -35% |
| Aetna | ACO | $3,020.60 | ↓ -34% |
| Prime Net | ACO | $3,020.60 | ↓ -34% |
| UPMC Work Partners | Workers Comp | $3,129.74 | ↓ -32% |
| Prime Net | NonGateKeeper | $3,573.99 | ↓ -23% |
| Aetna | Commercial | $3,597.05 | ↓ -22% |
| Prime Net | GateKeeper | $3,597.05 | ↓ -22% |
| United Healthcare | Commercial | $4,734.58 | ↑ +3% |
| Wellspan Population Health | PPO | $4,995.90 | ↑ +8% |
| Geisinger | Commercial | $5,032.79 | ↑ +9% |
| UPMC Health Plan | Commercial | $5,380.20 | ↑ +17% |
| Prime Net | FH-Medical Rental | $5,810.62 | ↑ +26% |
| Cigna | Commercial | $5,995.08 | ↑ +30% |
| Multiplan | PPO (Includes PHCS and Humana as Payers) | $6,533.10 | ↑ +42% |
Visitor-reported prices
Comments
Inj nivolumab 2 mg hyaluron at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Cole | Coudersport | $19,390.20 | $27.36 – $25,853.60 |
| UPMC Community Osteopathic | Harrisburg | $4,611.60 | $27.09 – $6,533.10 |
| UPMC Hanover | Hanover | $4,611.60 | $27.09 – $43.78 |
| UPMC Lititz | Lititz | $4,611.60 | $27.09 – $43.78 |
| UPMC Memorial | York | $4,611.60 | $27.36 – $90.63 |
| UPMC Somerset | Somerset | $4,611.60 | $27.09 – $27.36 |