Inj pegfilgrastim-bmez 0.5mg at UPMC Carlisle
361 Alexander Spring Road, Carlisle, PA · UPMC · · NPI 1689107328
$3,925.20
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.
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What you pay up front if you don't use insurance.
$6,542.00
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.
$30.02 with Highmark BCBS of PA vs $5,560.70 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 | $30.02 | ↓ -99% |
| Highmark BCBS of PA | Freedom Blue Medicare Advantage | $30.02 | ↓ -99% |
| Humana | Medicare | $30.32 | ↓ -99% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $30.32 | ↓ -99% |
| PA Health & Wellness | PA Medicaid HMO | $30.32 | ↓ -99% |
| Geisinger | Medicaid/CHIP | $30.32 | ↓ -99% |
| Highmark Wholecare (prev Gateway) | Medicaid | $30.93 | ↓ -99% |
| Aetna | Medicare | $31.62 | ↓ -99% |
| Cigna | Medicare | $31.84 | ↓ -99% |
| Geisinger | Medicare | $31.84 | ↓ -99% |
| United Healthcare | Medicare | $32.44 | ↓ -99% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $32.75 | ↓ -99% |
| UPMC Health Plan | Managed Medicaid | $33.36 | ↓ -99% |
| UPMC Health Plan | CHIP | $37.30 | ↓ -99% |
| Keystone Autism Services | ACAP | $48.51 | ↓ -99% |
| Highmark BCBS of PA | Community Blue PPO | $85.28 | ↓ -98% |
| Highmark BCBS of PA | CHIP - Managed Care | $88.89 | ↓ -98% |
| Highmark BCBS of PA | Commercial | $94.75 | ↓ -98% |
| Cigna | Commercial | $470.47 | ↓ -88% |
| Prime Net | Managed Medicare | $896.25 | ↓ -77% |
| Keystone Health Plan | Medicare Advantage | $1,308.40 | ↓ -67% |
| Capital Blue Cross | Medicare Advantage | $1,308.40 | ↓ -67% |
| Capital Blue Cross | CHIP | $2,099.98 | ↓ -47% |
| Capital Blue Cross | Commercial | $2,099.98 | ↓ -47% |
| Keystone Health Plan | Commercial | $2,099.98 | ↓ -47% |
| United Healthcare | Commercial | $2,435.11 | ↓ -38% |
| Prime Net | Legacy Commercial | $2,551.38 | ↓ -35% |
| Aetna | ACO | $2,571.01 | ↓ -34% |
| Prime Net | ACO | $2,571.01 | ↓ -34% |
| UPMC Work Partners | Workers Comp | $2,663.90 | ↓ -32% |
| Prime Net | NonGateKeeper | $3,042.03 | ↓ -23% |
| Aetna | Commercial | $3,061.66 | ↓ -22% |
| Prime Net | GateKeeper | $3,061.66 | ↓ -22% |
| Wellspan Population Health | PPO | $4,252.30 | ↑ +8% |
| Geisinger | Commercial | $4,283.70 | ↑ +9% |
| UPMC Health Plan | Commercial | $4,579.40 | ↑ +17% |
| Prime Net | FH-Medical Rental | $4,945.75 | ↑ +26% |
| Multiplan | PPO (Includes PHCS and Humana as Payers) | $5,560.70 | ↑ +42% |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
| Tricare | East Region | not published by hospital | — |
Visitor-reported prices
Comments
Inj pegfilgrastim-bmez 0.5mg at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $1,264.80 | $19.15 – $1,686.40 |
| UPMC Cole | Coudersport | $9,774.60 | $30.32 – $13,032.80 |
| UPMC Community Osteopathic | Harrisburg | $3,925.20 | $30.02 – $5,560.70 |
| UPMC Hamot | Erie | $1,258.80 | $19.15 – $278.39 |
| UPMC Northwest | Seneca | $1,313.40 | $19.15 – $32.75 |
| UPMC Hanover | Hanover | $3,925.20 | $30.02 – $48.51 |
| UPMC Horizon-Greenville | Greenville | $6,614.40 | $19.15 – $56.90 |
| UPMC Lititz | Lititz | $3,925.20 | $30.02 – $48.51 |