Ipilimumab 5 mg/ml intravenous solution (wrapper) at UPMC Carlisle
361 Alexander Spring Road, Carlisle, PA · UPMC · · NPI 1689107328
$511.80
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.
$853.00
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.
$116.86 with Prime Net vs $725.05 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 |
|---|---|---|---|
| Prime Net | Managed Medicare | $116.86 | ↓ -77% |
| Capital Blue Cross | Medicare Advantage | $170.60 | ↓ -67% |
| Keystone Health Plan | Medicare Advantage | $170.60 | ↓ -67% |
| Highmark BCBS of PA | Community Blue Medicare Advantage/Complete Blue Medicare Advantage/Security Blue Medicare Advantage/Together Blue Medicare Advantage | $181.65 | ↓ -65% |
| Highmark BCBS of PA | Freedom Blue Medicare Advantage | $181.65 | ↓ -65% |
| Geisinger | Medicaid/CHIP | $183.48 | ↓ -64% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $183.48 | ↓ -64% |
| Humana | Medicare | $183.48 | ↓ -64% |
| PA Health & Wellness | PA Medicaid HMO | $183.48 | ↓ -64% |
| Highmark Wholecare (prev Gateway) | Medicaid | $187.15 | ↓ -63% |
| Aetna | Medicare | $191.37 | ↓ -63% |
| Geisinger | Medicare | $192.65 | ↓ -62% |
| Cigna | Medicare | $192.65 | ↓ -62% |
| United Healthcare | Medicare | $196.32 | ↓ -62% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $198.16 | ↓ -61% |
| UPMC Health Plan | Managed Medicaid | $201.83 | ↓ -61% |
| UPMC Health Plan | CHIP | $225.68 | ↓ -56% |
| Cigna | Commercial | $243.11 | ↓ -52% |
| Capital Blue Cross | CHIP | $273.81 | ↓ -47% |
| Capital Blue Cross | Commercial | $273.81 | ↓ -47% |
| Keystone Health Plan | Commercial | $273.81 | ↓ -47% |
| Keystone Autism Services | ACAP | $293.57 | ↓ -43% |
| Prime Net | Legacy Commercial | $332.67 | ↓ -35% |
| Aetna | ACO | $335.23 | ↓ -34% |
| Prime Net | ACO | $335.23 | ↓ -34% |
| UPMC Work Partners | Workers Comp | $347.34 | ↓ -32% |
| Prime Net | NonGateKeeper | $396.64 | ↓ -23% |
| Aetna | Commercial | $399.20 | ↓ -22% |
| Prime Net | GateKeeper | $399.20 | ↓ -22% |
| Highmark BCBS of PA | Community Blue PPO | $516.06 | ↑ +1% |
| United Healthcare | Commercial | $525.45 | ↑ +3% |
| Highmark BCBS of PA | CHIP - Managed Care | $537.89 | ↑ +5% |
| Wellspan Population Health | PPO | $554.45 | ↑ +8% |
| Geisinger | Commercial | $558.54 | ↑ +9% |
| Highmark BCBS of PA | Commercial | $573.39 | ↑ +12% |
| UPMC Health Plan | Commercial | $597.10 | ↑ +17% |
| Prime Net | FH-Medical Rental | $644.87 | ↑ +26% |
| Multiplan | PPO (Includes PHCS and Humana as Payers) | $725.05 | ↑ +42% |
| Tricare | East Region | not published by hospital | — |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
Visitor-reported prices
Comments
Ipilimumab 5 mg/ml intravenous solution (wrapper) at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $20,215.80 | $115.85 – $539.20 |
| UPMC Cole | Coudersport | $88,416.60 | $183.48 – $29,472.00 |
| UPMC Magee | Pittsburgh | $17,385.60 | $115.85 – $198.16 |
| UPMC Muncy | Muncy | $33,224.40 | $183.48 – $201.83 |
| UPMC Wellsboro | Wellsboro | $33,224.40 | $183.48 – $201.83 |
| Uniontown Hospital | Uniontown | $35,508.72 | $190.43 – $443.70 |
| AHN WEXFORD HOSPITAL | WEXFORD | not published | $124.37 – $385.17 |
| GROVE CITY HOSPITAL | GROVE CITY | not published | $154.42 – $385.17 |