Mitoxantrone 2 mg/ml concentrate,intravenous 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 $74.63 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% |
| Keystone Health Plan | Commercial | $5.46 | ↓ -46% |
| Capital Blue Cross | CHIP | $5.46 | ↓ -46% |
| Capital Blue Cross | 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 | Freedom Blue Medicare Advantage | $23.64 | ↑ +132% |
| Highmark BCBS of PA | Community Blue Medicare Advantage/Complete Blue Medicare Advantage/Security Blue Medicare Advantage/Together Blue Medicare Advantage | $23.64 | ↑ +132% |
| PA Health & Wellness | PA Medicaid HMO | $23.88 | ↑ +134% |
| Geisinger | Medicaid/CHIP | $23.88 | ↑ +134% |
| Humana | Medicare | $23.88 | ↑ +134% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $23.88 | ↑ +134% |
| Highmark Wholecare (prev Gateway) | Medicaid | $24.35 | ↑ +139% |
| Aetna | Medicare | $24.91 | ↑ +144% |
| Cigna | Medicare | $25.07 | ↑ +146% |
| Geisinger | Medicare | $25.07 | ↑ +146% |
| United Healthcare | Medicare | $25.55 | ↑ +150% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $25.79 | ↑ +153% |
| UPMC Health Plan | Managed Medicaid | $26.26 | ↑ +157% |
| UPMC Health Plan | CHIP | $29.37 | ↑ +188% |
| Keystone Autism Services | ACAP | $38.21 | ↑ +275% |
| Cigna | Commercial | $61.45 | ↑ +502% |
| Highmark BCBS of PA | Community Blue PPO | $67.16 | ↑ +558% |
| Highmark BCBS of PA | CHIP - Managed Care | $70.01 | ↑ +586% |
| Highmark BCBS of PA | Commercial | $74.63 | ↑ +632% |
| Tricare | East Region | not published by hospital | — |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
Visitor-reported prices
Comments
Mitoxantrone 2 mg/ml concentrate,intravenous at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Magee | Pittsburgh | $2,986.80 | $15.08 – $545.03 |
| UPMC Muncy | Muncy | $1,254.00 | $23.88 – $26.26 |
| UPMC Passavant-McCandless | Pittsburgh | $2,986.80 | $15.08 – $545.03 |
| UPMC Presbyterian | Pittsburgh | $2,986.80 | $15.08 – $545.03 |
| UPMC St. Margaret | Pittsburgh | $1,604.80 | $15.08 – $545.03 |
| UPMC Wellsboro | Wellsboro | $1,254.00 | $23.88 – $26.26 |
| UPMC Western Psychiatric | Pittsburgh | $2,986.80 | $23.88 – $534.08 |
| UPMC Williamsport | Williamsport | $390.40 | $23.88 – $25.55 |