Ofatumumab 20 mg/ml intravenous solution (wrapper) at UPMC Carlisle
361 Alexander Spring Road, Carlisle, PA · UPMC · · NPI 1689107328
$72.00
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.
$120.00
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.
$13.84 with Prime Net vs $194.47 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 | $13.84 | ↓ -81% |
| Capital Blue Cross | Medicare Advantage | $20.20 | ↓ -72% |
| Keystone Health Plan | Medicare Advantage | $20.20 | ↓ -72% |
| Capital Blue Cross | CHIP | $32.42 | ↓ -55% |
| Keystone Health Plan | Commercial | $32.42 | ↓ -55% |
| Capital Blue Cross | Commercial | $32.42 | ↓ -55% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $34.23 | ↓ -52% |
| Prime Net | Legacy Commercial | $39.39 | ↓ -45% |
| Aetna | ACO | $39.69 | ↓ -45% |
| Prime Net | ACO | $39.69 | ↓ -45% |
| UPMC Work Partners | Workers Comp | $41.13 | ↓ -43% |
| Prime Net | NonGateKeeper | $46.97 | ↓ -35% |
| Prime Net | GateKeeper | $47.27 | ↓ -34% |
| Aetna | Commercial | $47.27 | ↓ -34% |
| PA Health & Wellness | PA Medicaid HMO | $55.55 | ↓ -23% |
| Geisinger | Medicaid/CHIP | $55.55 | ↓ -23% |
| Highmark BCBS of PA | Community Blue Medicare Advantage/Complete Blue Medicare Advantage/Security Blue Medicare Advantage/Together Blue Medicare Advantage | $61.61 | ↓ -14% |
| Highmark BCBS of PA | Freedom Blue Medicare Advantage | $61.61 | ↓ -14% |
| United Healthcare | Commercial | $62.22 | ↓ -14% |
| Humana | Medicare | $62.23 | ↓ -14% |
| Aetna | Medicare | $64.91 | ↓ -10% |
| Cigna | Medicare | $65.34 | ↓ -9% |
| Geisinger | Medicare | $65.34 | ↓ -9% |
| Wellspan Population Health | PPO | $65.65 | ↓ -9% |
| Geisinger | Commercial | $66.13 | ↓ -8% |
| United Healthcare | Medicare | $66.59 | ↓ -8% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $67.21 | ↓ -7% |
| UPMC Health Plan | CHIP | $70.70 | ↓ -2% |
| UPMC Health Plan | Commercial | $70.70 | ↓ -2% |
| Prime Net | FH-Medical Rental | $76.36 | ↑ +6% |
| Multiplan | PPO (Includes PHCS and Humana as Payers) | $85.85 | ↑ +19% |
| Cigna | Commercial | $86.77 | ↑ +21% |
| Keystone Autism Services | ACAP | $99.57 | ↑ +38% |
| Highmark BCBS of PA | Community Blue PPO | $175.03 | ↑ +143% |
| Highmark BCBS of PA | CHIP - Managed Care | $182.43 | ↑ +153% |
| Highmark BCBS of PA | Commercial | $194.47 | ↑ +170% |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
| Tricare | East Region | not published by hospital | — |
Visitor-reported prices
Comments
Ofatumumab 20 mg/ml intravenous solution (wrapper) at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Magee | Pittsburgh | $201.60 | $58.24 – $94.13 |
| UPMC Mercy | Pittsburgh | $168.60 | $51.87 – $93.24 |
| UPMC Presbyterian | Pittsburgh | $201.60 | $65.96 – $94.13 |
| AHN WEXFORD HOSPITAL | WEXFORD | not published | $42.20 – $130.69 |
| GROVE CITY HOSPITAL | GROVE CITY | not published | $52.39 – $130.69 |
| UPMC Northwest | Seneca | not published | $56.44 – $67.21 |
| UPMC St. Margaret | Pittsburgh | not published | $53.73 – $94.13 |