Injection, siltuximab at UPMC Carlisle
361 Alexander Spring Road, Carlisle, PA · UPMC · · NPI 1689107328
$3,603.00
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.
$6,005.00
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.
$164.17 with Highmark BCBS of PA vs $1,275.85 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 | $164.17 | ↓ -95% |
| Highmark BCBS of PA | Freedom Blue Medicare Advantage | $164.17 | ↓ -95% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $165.83 | ↓ -95% |
| PA Health & Wellness | PA Medicaid HMO | $165.83 | ↓ -95% |
| Geisinger | Medicaid/CHIP | $165.83 | ↓ -95% |
| Humana | Medicare | $165.83 | ↓ -95% |
| Highmark Wholecare (prev Gateway) | Medicaid | $169.15 | ↓ -95% |
| Aetna | Medicare | $172.96 | ↓ -95% |
| Cigna | Medicare | $174.12 | ↓ -95% |
| Geisinger | Medicare | $174.12 | ↓ -95% |
| United Healthcare | Medicare | $177.44 | ↓ -95% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $179.10 | ↓ -95% |
| UPMC Health Plan | Managed Medicaid | $182.41 | ↓ -95% |
| UPMC Health Plan | CHIP | $203.97 | ↓ -94% |
| Prime Net | Managed Medicare | $205.64 | ↓ -94% |
| Cigna | Commercial | $210.01 | ↓ -94% |
| Keystone Autism Services | ACAP | $265.33 | ↓ -93% |
| Capital Blue Cross | Medicare Advantage | $300.20 | ↓ -92% |
| Keystone Health Plan | Medicare Advantage | $300.20 | ↓ -92% |
| Highmark BCBS of PA | Community Blue PPO | $466.41 | ↓ -87% |
| Keystone Health Plan | Commercial | $481.82 | ↓ -87% |
| Capital Blue Cross | Commercial | $481.82 | ↓ -87% |
| Capital Blue Cross | CHIP | $481.82 | ↓ -87% |
| Highmark BCBS of PA | CHIP - Managed Care | $486.15 | ↓ -87% |
| Highmark BCBS of PA | Commercial | $518.24 | ↓ -86% |
| Prime Net | Legacy Commercial | $585.39 | ↓ -84% |
| Aetna | ACO | $589.89 | ↓ -84% |
| Prime Net | ACO | $589.89 | ↓ -84% |
| UPMC Work Partners | Workers Comp | $611.21 | ↓ -83% |
| Prime Net | NonGateKeeper | $697.97 | ↓ -81% |
| Aetna | Commercial | $702.47 | ↓ -81% |
| Prime Net | GateKeeper | $702.47 | ↓ -81% |
| United Healthcare | Commercial | $924.62 | ↓ -74% |
| Wellspan Population Health | PPO | $975.65 | ↓ -73% |
| Geisinger | Commercial | $982.85 | ↓ -73% |
| UPMC Health Plan | Commercial | $1,050.70 | ↓ -71% |
| Prime Net | FH-Medical Rental | $1,134.76 | ↓ -69% |
| Multiplan | PPO (Includes PHCS and Humana as Payers) | $1,275.85 | ↓ -65% |
| Tricare | East Region | not published by hospital | — |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
Visitor-reported prices
Comments
Injection, siltuximab at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Bedford | Everett | $467.40 | $59.83 – $701.10 |
| UPMC Community Osteopathic | Harrisburg | $3,603.00 | $113.80 – $1,275.85 |
| UPMC Hanover | Hanover | $3,603.00 | $164.17 – $265.33 |
| UPMC Lititz | Lititz | $3,603.00 | $164.17 – $265.33 |
| UPMC Magee | Pittsburgh | $543.60 | $69.00 – $179.10 |
| UPMC McKeesport | Mckeesport | $627.60 | $69.00 – $182.41 |
| UPMC Memorial | York | $3,603.00 | $55.71 – $265.33 |
| UPMC Passavant-McCandless | Pittsburgh | $471.00 | $69.00 – $182.41 |