IV infusion therapy/prophylaxis/diagnosis concurrent infusion at UPMC Carlisle
361 Alexander Spring Road, Carlisle, PA · UPMC · · NPI 1689107328
$325.20
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.
$542.00
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.
$14.52 with AmeriHealth Caritas vs $460.70 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 | $14.52 | ↓ -96% |
| Highmark Wholecare (prev Gateway) | Medicaid | $14.52 | ↓ -96% |
| UPMC Health Plan | Managed Medicaid | $14.86 | ↓ -95% |
| United Healthcare Community Plan for Families | PA Medicaid | $14.97 | ↓ -95% |
| Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $15.57 | ↓ -95% |
| Geisinger | Medicaid/CHIP | $16.65 | ↓ -95% |
| PA Health & Wellness | PA Medicaid HMO | $19.48 | ↓ -94% |
| UPMC Work Partners | Workers Comp | $32.27 | ↓ -90% |
| Prime Net | Managed Medicare | $74.25 | ↓ -77% |
| UPMC Health Plan | CHIP | $82.21 | ↓ -75% |
| Aetna | Medicare | $89.43 | ↓ -73% |
| Keystone Health Plan | Medicare Advantage | $108.40 | ↓ -67% |
| Capital Blue Cross | Medicare Advantage | $108.40 | ↓ -67% |
| Prime Net | Legacy Commercial | $211.38 | ↓ -35% |
| Prime Net | ACO | $213.01 | ↓ -34% |
| Aetna | ACO | $213.01 | ↓ -34% |
| Prime Net | NonGateKeeper | $252.03 | ↓ -23% |
| Prime Net | GateKeeper | $253.66 | ↓ -22% |
| Aetna | Commercial | $253.66 | ↓ -22% |
| Capital Blue Cross | CHIP | $296.47 | ↓ -9% |
| Capital Blue Cross | Commercial | $296.47 | ↓ -9% |
| Keystone Health Plan | Commercial | $296.47 | ↓ -9% |
| Wellspan Population Health | PPO | $352.30 | ↑ +8% |
| Geisinger | Commercial | $354.90 | ↑ +9% |
| UPMC Health Plan | Commercial | $379.40 | ↑ +17% |
| United Healthcare | Commercial | $399.00 | ↑ +23% |
| Prime Net | FH-Medical Rental | $409.75 | ↑ +26% |
| Cigna | Commercial | $422.76 | ↑ +30% |
| Multiplan | PPO (Includes PHCS and Humana as Payers) | $460.70 | ↑ +42% |
Visitor-reported prices
Comments
IV infusion therapy/prophylaxis/diagnosis concurrent infusion at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $369.60 | $11.43 – $492.80 |
| UPMC Bedford | Everett | $168.00 | $12.00 – $252.00 |
| UPMC Cole | Coudersport | $108.00 | $12.00 – $50.40 |
| UPMC Community Osteopathic | Harrisburg | $325.20 | $14.52 – $460.70 |
| UPMC East | Monroeville | $241.20 | $12.57 – $321.60 |
| UPMC Hamot | Erie | $305.40 | $12.57 – $51.56 |
| UPMC Northwest | Seneca | $133.20 | $12.57 – $109.56 |
| UPMC Hanover | Hanover | $325.20 | $14.52 – $399.00 |