Luspatercept-aamt 25 mg subcutaneous solution at UPMC Carlisle
361 Alexander Spring Road, Carlisle, PA · UPMC · · NPI 1689107328
$6,976.20
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.
$11,627.00
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.
$41.56 with Highmark BCBS of PA vs $3,293.75 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 | $41.56 | ↓ -99% |
| Highmark BCBS of PA | Freedom Blue Medicare Advantage | $41.56 | ↓ -99% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $41.98 | ↓ -99% |
| Humana | Medicare | $41.98 | ↓ -99% |
| Geisinger | Medicaid/CHIP | $41.98 | ↓ -99% |
| PA Health & Wellness | PA Medicaid HMO | $41.98 | ↓ -99% |
| Highmark Wholecare (prev Gateway) | Medicaid | $42.82 | ↓ -99% |
| Aetna | Medicare | $43.79 | ↓ -99% |
| Cigna | Medicare | $44.08 | ↓ -99% |
| Geisinger | Medicare | $44.08 | ↓ -99% |
| United Healthcare | Medicare | $44.92 | ↓ -99% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $45.34 | ↓ -99% |
| UPMC Health Plan | Managed Medicaid | $46.18 | ↓ -99% |
| UPMC Health Plan | CHIP | $51.64 | ↓ -99% |
| Cigna | Commercial | $56.36 | ↓ -99% |
| Keystone Autism Services | ACAP | $67.17 | ↓ -99% |
| Highmark BCBS of PA | Community Blue PPO | $118.07 | ↓ -98% |
| Highmark BCBS of PA | CHIP - Managed Care | $123.07 | ↓ -98% |
| Highmark BCBS of PA | Commercial | $131.19 | ↓ -98% |
| United Healthcare | Commercial | $280.69 | ↓ -96% |
| Prime Net | Managed Medicare | $530.88 | ↓ -92% |
| Keystone Health Plan | Medicare Advantage | $775.00 | ↓ -89% |
| Capital Blue Cross | Medicare Advantage | $775.00 | ↓ -89% |
| Capital Blue Cross | CHIP | $1,243.88 | ↓ -82% |
| Keystone Health Plan | Commercial | $1,243.88 | ↓ -82% |
| Capital Blue Cross | Commercial | $1,243.88 | ↓ -82% |
| Prime Net | Legacy Commercial | $1,511.25 | ↓ -78% |
| Aetna | ACO | $1,522.88 | ↓ -78% |
| Prime Net | ACO | $1,522.88 | ↓ -78% |
| UPMC Work Partners | Workers Comp | $1,577.90 | ↓ -77% |
| Prime Net | NonGateKeeper | $1,801.88 | ↓ -74% |
| Aetna | Commercial | $1,813.50 | ↓ -74% |
| Prime Net | GateKeeper | $1,813.50 | ↓ -74% |
| Wellspan Population Health | PPO | $2,518.75 | ↓ -64% |
| Geisinger | Commercial | $2,537.35 | ↓ -64% |
| UPMC Health Plan | Commercial | $2,712.50 | ↓ -61% |
| Prime Net | FH-Medical Rental | $2,929.50 | ↓ -58% |
| Multiplan | PPO (Includes PHCS and Humana as Payers) | $3,293.75 | ↓ -53% |
| Tricare | East Region | not published by hospital | — |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
Visitor-reported prices
Comments
Luspatercept-aamt 25 mg subcutaneous solution at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Community Osteopathic | Harrisburg | $6,976.20 | $41.56 – $3,293.75 |
| UPMC Hanover | Hanover | $6,976.20 | $41.56 – $67.17 |
| UPMC Lititz | Lititz | $6,976.20 | $41.56 – $67.17 |
| UPMC Memorial | York | $6,976.20 | $23.86 – $67.17 |
| UPMC Somerset | Somerset | $6,976.20 | $28.98 – $41.98 |
| Uniontown Hospital | Uniontown | $18,818.22 | $43.51 – $101.38 |
| WellSpan Waynesboro Hospital | Waynesboro | $29,502.00 | $49.51 – $14,434.00 |
| UPMC St. Margaret | Pittsburgh | not published | $26.51 – $46.18 |