Inj. teprotumumab-trbw 10 mg at UPMC Carlisle
361 Alexander Spring Road, Carlisle, PA · UPMC · · NPI 1689107328
$9,829.20
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.
$16,382.00
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.
$355.60 with Highmark BCBS of PA vs $13,924.70 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 | $355.60 | ↓ -96% |
| Highmark BCBS of PA | Freedom Blue Medicare Advantage | $355.60 | ↓ -96% |
| PA Health & Wellness | PA Medicaid HMO | $359.19 | ↓ -96% |
| Humana | Medicare | $359.19 | ↓ -96% |
| Geisinger | Medicaid/CHIP | $359.19 | ↓ -96% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $359.19 | ↓ -96% |
| Highmark Wholecare (prev Gateway) | Medicaid | $366.38 | ↓ -96% |
| Aetna | Medicare | $374.64 | ↓ -96% |
| Geisinger | Medicare | $377.15 | ↓ -96% |
| Cigna | Medicare | $377.15 | ↓ -96% |
| United Healthcare | Medicare | $384.33 | ↓ -96% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $387.93 | ↓ -96% |
| UPMC Health Plan | Managed Medicaid | $395.11 | ↓ -96% |
| UPMC Health Plan | CHIP | $441.81 | ↓ -96% |
| Cigna | Commercial | $462.48 | ↓ -95% |
| Keystone Autism Services | ACAP | $574.70 | ↓ -94% |
| Highmark BCBS of PA | Community Blue PPO | $1,010.26 | ↓ -90% |
| Highmark BCBS of PA | CHIP - Managed Care | $1,053.00 | ↓ -89% |
| Highmark BCBS of PA | Commercial | $1,122.50 | ↓ -89% |
| Prime Net | Managed Medicare | $2,244.33 | ↓ -77% |
| United Healthcare | Commercial | $2,303.38 | ↓ -77% |
| Capital Blue Cross | Medicare Advantage | $3,276.40 | ↓ -67% |
| Keystone Health Plan | Medicare Advantage | $3,276.40 | ↓ -67% |
| Keystone Health Plan | Commercial | $5,258.62 | ↓ -47% |
| Capital Blue Cross | Commercial | $5,258.62 | ↓ -47% |
| Capital Blue Cross | CHIP | $5,258.62 | ↓ -47% |
| Prime Net | Legacy Commercial | $6,388.98 | ↓ -35% |
| Aetna | ACO | $6,438.13 | ↓ -34% |
| Prime Net | ACO | $6,438.13 | ↓ -34% |
| UPMC Work Partners | Workers Comp | $6,670.75 | ↓ -32% |
| Prime Net | NonGateKeeper | $7,617.63 | ↓ -23% |
| Aetna | Commercial | $7,666.78 | ↓ -22% |
| Prime Net | GateKeeper | $7,666.78 | ↓ -22% |
| Wellspan Population Health | PPO | $10,648.30 | ↑ +8% |
| Geisinger | Commercial | $10,726.93 | ↑ +9% |
| UPMC Health Plan | Commercial | $11,467.40 | ↑ +17% |
| Prime Net | FH-Medical Rental | $12,384.79 | ↑ +26% |
| Multiplan | PPO (Includes PHCS and Humana as Payers) | $13,924.70 | ↑ +42% |
| Tricare | East Region | not published by hospital | — |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
Visitor-reported prices
Comments
Inj. teprotumumab-trbw 10 mg at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $36,300.60 | $226.79 – $968.00 |
| UPMC Community Osteopathic | Harrisburg | $9,829.20 | $355.60 – $13,924.70 |
| UPMC East | Monroeville | $38,425.20 | $153.09 – $1,024.00 |
| UPMC Hanover | Hanover | $9,829.20 | $355.60 – $574.70 |
| UPMC Lititz | Lititz | $9,829.20 | $355.60 – $574.70 |
| UPMC Magee | Pittsburgh | $36,250.20 | $226.79 – $387.93 |
| UPMC Memorial | York | $9,829.20 | $206.69 – $574.70 |
| UPMC Muncy | Muncy | $36,300.60 | $359.19 – $395.11 |