Injection, daratumumab 10 mg at UPMC Carlisle
361 Alexander Spring Road, Carlisle, PA · UPMC · · NPI 1689107328
$85.20
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.
$142.00
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.
$19.45 with Prime Net vs $223.04 with Highmark BCBS of PA — 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 | $19.45 | ↓ -77% |
| Keystone Health Plan | Medicare Advantage | $28.40 | ↓ -67% |
| Capital Blue Cross | Medicare Advantage | $28.40 | ↓ -67% |
| Keystone Health Plan | Commercial | $45.58 | ↓ -47% |
| Capital Blue Cross | CHIP | $45.58 | ↓ -47% |
| Capital Blue Cross | Commercial | $45.58 | ↓ -47% |
| Prime Net | Legacy Commercial | $55.38 | ↓ -35% |
| Aetna | ACO | $55.81 | ↓ -34% |
| Prime Net | ACO | $55.81 | ↓ -34% |
| UPMC Work Partners | Workers Comp | $57.82 | ↓ -32% |
| Prime Net | NonGateKeeper | $66.03 | ↓ -23% |
| Prime Net | GateKeeper | $66.46 | ↓ -22% |
| Aetna | Commercial | $66.46 | ↓ -22% |
| Highmark BCBS of PA | Community Blue Medicare Advantage/Complete Blue Medicare Advantage/Security Blue Medicare Advantage/Together Blue Medicare Advantage | $70.66 | ↓ -17% |
| Highmark BCBS of PA | Freedom Blue Medicare Advantage | $70.66 | ↓ -17% |
| PA Health & Wellness | PA Medicaid HMO | $71.37 | ↓ -16% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $71.37 | ↓ -16% |
| Humana | Medicare | $71.37 | ↓ -16% |
| Geisinger | Medicaid/CHIP | $71.37 | ↓ -16% |
| Highmark Wholecare (prev Gateway) | Medicaid | $72.80 | ↓ -15% |
| Aetna | Medicare | $74.44 | ↓ -13% |
| Cigna | Medicare | $74.94 | ↓ -12% |
| Geisinger | Medicare | $74.94 | ↓ -12% |
| United Healthcare | Medicare | $76.37 | ↓ -10% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $77.08 | ↓ -10% |
| UPMC Health Plan | Managed Medicaid | $78.51 | ↓ -8% |
| Cigna | Commercial | $87.01 | ↑ +2% |
| United Healthcare | Commercial | $87.47 | ↑ +3% |
| UPMC Health Plan | CHIP | $87.79 | ↑ +3% |
| Wellspan Population Health | PPO | $92.30 | ↑ +8% |
| Geisinger | Commercial | $92.98 | ↑ +9% |
| UPMC Health Plan | Commercial | $99.40 | ↑ +17% |
| Prime Net | FH-Medical Rental | $107.35 | ↑ +26% |
| Keystone Autism Services | ACAP | $114.19 | ↑ +34% |
| Multiplan | PPO (Includes PHCS and Humana as Payers) | $120.70 | ↑ +42% |
| Highmark BCBS of PA | Community Blue PPO | $200.74 | ↑ +136% |
| Highmark BCBS of PA | CHIP - Managed Care | $209.23 | ↑ +146% |
| Highmark BCBS of PA | Commercial | $223.04 | ↑ +162% |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
| Tricare | East Region | not published by hospital | — |
Visitor-reported prices
Comments
Injection, daratumumab 10 mg at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $5,384.40 | $34.20 – $163.20 |
| UPMC Cole | Coudersport | $7,323.60 | $71.37 – $2,575.20 |
| UPMC Hamot | Erie | $6,643.20 | $34.20 – $77.08 |
| UPMC Northwest | Seneca | $682.80 | $45.06 – $77.08 |
| UPMC Muncy | Muncy | $9,445.80 | $71.37 – $78.51 |
| UPMC Presbyterian | Pittsburgh | $7,892.40 | $34.53 – $78.51 |
| UPMC Wellsboro | Wellsboro | $9,445.80 | $71.37 – $78.51 |
| UPMC Williamsport | Williamsport | $314.40 | $71.37 – $76.37 |