Margetuximab-cmkb 25 mg/ml intravenous solution at UPMC Carlisle
361 Alexander Spring Road, Carlisle, PA · UPMC · · NPI 1689107328
$138.00
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.
$230.00
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.
$31.51 with Prime Net vs $195.50 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 | $31.51 | ↓ -77% |
| Capital Blue Cross | Medicare Advantage | $46.00 | ↓ -67% |
| Keystone Health Plan | Medicare Advantage | $46.00 | ↓ -67% |
| Highmark BCBS of PA | Community Blue Medicare Advantage/Complete Blue Medicare Advantage/Security Blue Medicare Advantage/Together Blue Medicare Advantage | $51.97 | ↓ -62% |
| Highmark BCBS of PA | Freedom Blue Medicare Advantage | $51.97 | ↓ -62% |
| Geisinger | Medicaid/CHIP | $52.49 | ↓ -62% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $52.49 | ↓ -62% |
| Humana | Medicare | $52.49 | ↓ -62% |
| PA Health & Wellness | PA Medicaid HMO | $52.49 | ↓ -62% |
| Highmark Wholecare (prev Gateway) | Medicaid | $53.54 | ↓ -61% |
| Aetna | Medicare | $54.75 | ↓ -60% |
| Geisinger | Medicare | $55.11 | ↓ -60% |
| Cigna | Medicare | $55.11 | ↓ -60% |
| United Healthcare | Medicare | $56.16 | ↓ -59% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $56.69 | ↓ -59% |
| UPMC Health Plan | Managed Medicaid | $57.73 | ↓ -58% |
| UPMC Health Plan | CHIP | $64.56 | ↓ -53% |
| Cigna | Commercial | $66.34 | ↓ -52% |
| Capital Blue Cross | CHIP | $73.83 | ↓ -47% |
| Capital Blue Cross | Commercial | $73.83 | ↓ -47% |
| Keystone Health Plan | Commercial | $73.83 | ↓ -47% |
| Keystone Autism Services | ACAP | $83.98 | ↓ -39% |
| Prime Net | Legacy Commercial | $89.70 | ↓ -35% |
| Aetna | ACO | $90.39 | ↓ -35% |
| Prime Net | ACO | $90.39 | ↓ -35% |
| UPMC Work Partners | Workers Comp | $93.66 | ↓ -32% |
| Prime Net | NonGateKeeper | $106.95 | ↓ -23% |
| Prime Net | GateKeeper | $107.64 | ↓ -22% |
| Aetna | Commercial | $107.64 | ↓ -22% |
| United Healthcare | Commercial | $141.68 | ↑ +3% |
| Highmark BCBS of PA | Community Blue PPO | $147.63 | ↑ +7% |
| Wellspan Population Health | PPO | $149.50 | ↑ +8% |
| Geisinger | Commercial | $150.60 | ↑ +9% |
| Highmark BCBS of PA | CHIP - Managed Care | $153.88 | ↑ +12% |
| UPMC Health Plan | Commercial | $161.00 | ↑ +17% |
| Highmark BCBS of PA | Commercial | $164.04 | ↑ +19% |
| Prime Net | FH-Medical Rental | $173.88 | ↑ +26% |
| Multiplan | PPO (Includes PHCS and Humana as Payers) | $195.50 | ↑ +42% |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
| Tricare | East Region | not published by hospital | — |
Visitor-reported prices
Comments
Margetuximab-cmkb 25 mg/ml intravenous solution at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Cole | Coudersport | $6,553.80 | $52.49 – $8,738.40 |
| AHN WEXFORD HOSPITAL | WEXFORD | not published | $32.60 – $105.95 |
| GROVE CITY HOSPITAL | GROVE CITY | not published | $40.46 – $105.95 |