Iron dextran 50 mg/ml injection solution at UPMC Carlisle
361 Alexander Spring Road, Carlisle, PA · UPMC · · NPI 1689107328
$10.20
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.
$17.00
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.
$2.33 with Prime Net vs $56.60 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 | $2.33 | ↓ -77% |
| Keystone Health Plan | Medicare Advantage | $3.40 | ↓ -67% |
| Capital Blue Cross | Medicare Advantage | $3.40 | ↓ -67% |
| Capital Blue Cross | Commercial | $5.46 | ↓ -46% |
| Capital Blue Cross | CHIP | $5.46 | ↓ -46% |
| Keystone Health Plan | Commercial | $5.46 | ↓ -46% |
| Prime Net | Legacy Commercial | $6.63 | ↓ -35% |
| Aetna | ACO | $6.68 | ↓ -35% |
| Prime Net | ACO | $6.68 | ↓ -35% |
| UPMC Work Partners | Workers Comp | $6.92 | ↓ -32% |
| Prime Net | NonGateKeeper | $7.91 | ↓ -22% |
| Prime Net | GateKeeper | $7.96 | ↓ -22% |
| Aetna | Commercial | $7.96 | ↓ -22% |
| United Healthcare | Commercial | $10.47 | ↑ +3% |
| Wellspan Population Health | PPO | $11.05 | ↑ +8% |
| Geisinger | Commercial | $11.13 | ↑ +9% |
| UPMC Health Plan | Commercial | $11.90 | ↑ +17% |
| Prime Net | FH-Medical Rental | $12.85 | ↑ +26% |
| Multiplan | PPO (Includes PHCS and Humana as Payers) | $14.45 | ↑ +42% |
| Highmark BCBS of PA | Community Blue Medicare Advantage/Complete Blue Medicare Advantage/Security Blue Medicare Advantage/Together Blue Medicare Advantage | $17.93 | ↑ +76% |
| Highmark BCBS of PA | Freedom Blue Medicare Advantage | $17.93 | ↑ +76% |
| Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $18.02 | ↑ +77% |
| Geisinger | Medicaid/CHIP | $18.11 | ↑ +78% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $18.11 | ↑ +78% |
| Humana | Medicare | $18.11 | ↑ +78% |
| PA Health & Wellness | PA Medicaid HMO | $18.11 | ↑ +78% |
| Highmark Wholecare (prev Gateway) | Medicaid | $18.47 | ↑ +81% |
| Aetna | Medicare | $18.89 | ↑ +85% |
| Geisinger | Medicare | $19.02 | ↑ +86% |
| Cigna | Medicare | $19.02 | ↑ +86% |
| United Healthcare | Medicare | $19.38 | ↑ +90% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $19.56 | ↑ +92% |
| UPMC Health Plan | Managed Medicaid | $19.92 | ↑ +95% |
| UPMC Health Plan | CHIP | $22.27 | ↑ +118% |
| Cigna | Commercial | $24.42 | ↑ +139% |
| Keystone Autism Services | ACAP | $28.98 | ↑ +184% |
| Highmark BCBS of PA | Community Blue PPO | $50.94 | ↑ +399% |
| Highmark BCBS of PA | CHIP - Managed Care | $53.09 | ↑ +420% |
| Highmark BCBS of PA | Commercial | $56.60 | ↑ +455% |
| Tricare | East Region | not published by hospital | — |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
Visitor-reported prices
Comments
Iron dextran 50 mg/ml injection solution at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $59.80 | $11.43 – $59.20 |
| UPMC Bedford | Everett | $91.20 | $6.53 – $102.60 |
| UPMC Community Osteopathic | Harrisburg | $10.20 | $3.40 – $22.27 |
| UPMC East | Monroeville | $72.60 | $11.43 – $96.80 |
| UPMC Hamot | Erie | $270.40 | $11.43 – $20.72 |
| UPMC Northwest | Seneca | $99.00 | $11.43 – $19.56 |
| UPMC Hanover | Hanover | $10.20 | $17.93 – $28.98 |
| UPMC Horizon-Greenville | Greenville | $91.80 | $11.43 – $33.98 |