Injection, cangrelor at UPMC Carlisle
361 Alexander Spring Road, Carlisle, PA · UPMC · · NPI 1689107328
$572.40
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.
$954.00
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.
$10.99 with AmeriHealth Caritas vs $636.65 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 |
|---|---|---|---|
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $10.99 | ↓ -98% |
| Highmark BCBS of PA | Freedom Blue Medicare Advantage | $19.78 | ↓ -97% |
| Highmark BCBS of PA | Community Blue Medicare Advantage/Complete Blue Medicare Advantage/Security Blue Medicare Advantage/Together Blue Medicare Advantage | $19.78 | ↓ -97% |
| Humana | Medicare | $19.98 | ↓ -97% |
| Aetna | Medicare | $20.84 | ↓ -96% |
| UPMC Health Plan | CHIP | $20.89 | ↓ -96% |
| Geisinger | Medicare | $20.98 | ↓ -96% |
| Cigna | Medicare | $20.98 | ↓ -96% |
| United Healthcare | Medicare | $21.38 | ↓ -96% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $21.58 | ↓ -96% |
| Cigna | Commercial | $25.66 | ↓ -96% |
| Keystone Autism Services | ACAP | $31.97 | ↓ -94% |
| Highmark BCBS of PA | Community Blue PPO | $56.20 | ↓ -90% |
| Highmark BCBS of PA | CHIP - Managed Care | $58.57 | ↓ -90% |
| Highmark BCBS of PA | Commercial | $62.44 | ↓ -89% |
| Prime Net | Managed Medicare | $102.61 | ↓ -82% |
| United Healthcare | Commercial | $128.15 | ↓ -78% |
| Keystone Health Plan | Medicare Advantage | $149.80 | ↓ -74% |
| Capital Blue Cross | Medicare Advantage | $149.80 | ↓ -74% |
| Capital Blue Cross | Commercial | $240.43 | ↓ -58% |
| Keystone Health Plan | Commercial | $240.43 | ↓ -58% |
| Capital Blue Cross | CHIP | $240.43 | ↓ -58% |
| Prime Net | Legacy Commercial | $292.11 | ↓ -49% |
| Aetna | ACO | $294.36 | ↓ -49% |
| Prime Net | ACO | $294.36 | ↓ -49% |
| UPMC Work Partners | Workers Comp | $304.99 | ↓ -47% |
| Prime Net | NonGateKeeper | $348.29 | ↓ -39% |
| Aetna | Commercial | $350.53 | ↓ -39% |
| Prime Net | GateKeeper | $350.53 | ↓ -39% |
| Geisinger | Medicaid/CHIP | $411.95 | ↓ -28% |
| PA Health & Wellness | PA Medicaid HMO | $411.95 | ↓ -28% |
| Wellspan Population Health | PPO | $486.85 | ↓ -15% |
| Geisinger | Commercial | $490.45 | ↓ -14% |
| UPMC Health Plan | Commercial | $524.30 | ↓ -8% |
| Prime Net | FH-Medical Rental | $566.24 | ↓ -1% |
| Multiplan | PPO (Includes PHCS and Humana as Payers) | $636.65 | ↑ +11% |
| Tricare | East Region | not published by hospital | — |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
Visitor-reported prices
Comments
Injection, cangrelor at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Community Osteopathic | Harrisburg | $572.40 | $18.48 – $636.65 |
| UPMC Hamot | Erie | $1,969.80 | $11.10 – $21.58 |
| UPMC Hanover | Hanover | $572.40 | $19.78 – $31.97 |
| UPMC Jameson | New Castle | $4,273.80 | $11.29 – $24.98 |
| UPMC Lititz | Lititz | $572.40 | $19.78 – $31.97 |
| UPMC Magee | Pittsburgh | $4,032.00 | $11.20 – $21.58 |
| UPMC Memorial | York | $572.40 | $9.04 – $31.97 |
| UPMC Mercy | Pittsburgh | $1,943.40 | $11.10 – $21.98 |