Octreotide,microspheres ER 20 mg intramuscular susp, extended release at UPMC Carlisle
361 Alexander Spring Road, Carlisle, PA · UPMC · · NPI 1689107328
$4,066.20
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.
$6,777.00
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.
$201.54 with Highmark BCBS of PA vs $4,443.72 with Health Partners Plans (Jefferson Health Plan) — 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 | Freedom Blue Medicare Advantage | $201.54 | ↓ -95% |
| Highmark BCBS of PA | Community Blue Medicare Advantage/Complete Blue Medicare Advantage/Security Blue Medicare Advantage/Together Blue Medicare Advantage | $201.54 | ↓ -95% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $203.58 | ↓ -95% |
| Geisinger | Medicaid/CHIP | $203.58 | ↓ -95% |
| Humana | Medicare | $203.58 | ↓ -95% |
| PA Health & Wellness | PA Medicaid HMO | $203.58 | ↓ -95% |
| Highmark Wholecare (prev Gateway) | Medicaid | $207.65 | ↓ -95% |
| Aetna | Medicare | $212.33 | ↓ -95% |
| Cigna | Medicare | $213.76 | ↓ -95% |
| Geisinger | Medicare | $213.76 | ↓ -95% |
| United Healthcare | Medicare | $217.83 | ↓ -95% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $219.87 | ↓ -95% |
| UPMC Health Plan | Managed Medicaid | $223.94 | ↓ -94% |
| UPMC Health Plan | CHIP | $250.41 | ↓ -94% |
| Cigna | Commercial | $297.27 | ↓ -93% |
| Keystone Autism Services | ACAP | $325.73 | ↓ -92% |
| Prime Net | Managed Medicare | $473.20 | ↓ -88% |
| Highmark BCBS of PA | Community Blue PPO | $572.59 | ↓ -86% |
| Highmark BCBS of PA | CHIP - Managed Care | $596.82 | ↓ -85% |
| Highmark BCBS of PA | Commercial | $636.21 | ↓ -84% |
| Keystone Health Plan | Medicare Advantage | $690.80 | ↓ -83% |
| Capital Blue Cross | Medicare Advantage | $690.80 | ↓ -83% |
| Keystone Health Plan | Commercial | $1,108.73 | ↓ -73% |
| Capital Blue Cross | CHIP | $1,108.73 | ↓ -73% |
| Capital Blue Cross | Commercial | $1,108.73 | ↓ -73% |
| Prime Net | Legacy Commercial | $1,347.06 | ↓ -67% |
| Aetna | ACO | $1,357.42 | ↓ -67% |
| Prime Net | ACO | $1,357.42 | ↓ -67% |
| UPMC Work Partners | Workers Comp | $1,406.47 | ↓ -65% |
| United Healthcare | Commercial | $1,480.56 | ↓ -64% |
| Prime Net | NonGateKeeper | $1,606.11 | ↓ -61% |
| Aetna | Commercial | $1,616.47 | ↓ -60% |
| Prime Net | GateKeeper | $1,616.47 | ↓ -60% |
| Wellspan Population Health | PPO | $2,245.10 | ↓ -45% |
| Geisinger | Commercial | $2,261.68 | ↓ -44% |
| UPMC Health Plan | Commercial | $2,417.80 | ↓ -41% |
| Prime Net | FH-Medical Rental | $2,611.22 | ↓ -36% |
| Multiplan | PPO (Includes PHCS and Humana as Payers) | $2,935.90 | ↓ -28% |
| Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $4,443.72 | ↑ +9% |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
| Tricare | East Region | not published by hospital | — |
Visitor-reported prices
Comments
Octreotide,microspheres ER 20 mg intramuscular susp, extended release at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $14,573.40 | $128.54 – $4,443.72 |
| UPMC Cole | Coudersport | $5,855.40 | $203.58 – $7,807.20 |
| UPMC Community Osteopathic | Harrisburg | $4,066.20 | $201.54 – $4,443.72 |
| UPMC Hamot | Erie | $8,956.80 | $128.54 – $5,110.28 |
| UPMC Northwest | Seneca | $571.20 | $128.54 – $4,665.91 |
| UPMC Hanover | Hanover | $4,066.20 | $201.54 – $4,443.72 |
| UPMC Horizon-Greenville | Greenville | $729.60 | $128.54 – $6,674.88 |
| UPMC Lititz | Lititz | $4,066.20 | $201.54 – $4,443.72 |