Oritavancin 400 mg intravenous solution at UPMC Carlisle
361 Alexander Spring Road, Carlisle, PA · UPMC · · NPI 1689107328
$696.00
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.
$1,160.00
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.
$28.39 with Highmark BCBS of PA vs $821.10 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 | $28.39 | ↓ -96% |
| Highmark BCBS of PA | Freedom Blue Medicare Advantage | $28.39 | ↓ -96% |
| PA Health & Wellness | PA Medicaid HMO | $28.68 | ↓ -96% |
| Humana | Medicare | $28.68 | ↓ -96% |
| Geisinger | Medicaid/CHIP | $28.68 | ↓ -96% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $28.68 | ↓ -96% |
| Highmark Wholecare (prev Gateway) | Medicaid | $29.25 | ↓ -96% |
| Aetna | Medicare | $29.91 | ↓ -96% |
| Geisinger | Medicare | $30.11 | ↓ -96% |
| Cigna | Medicare | $30.11 | ↓ -96% |
| United Healthcare | Medicare | $30.69 | ↓ -96% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $30.97 | ↓ -96% |
| UPMC Health Plan | Managed Medicaid | $31.55 | ↓ -95% |
| UPMC Health Plan | CHIP | $35.28 | ↓ -95% |
| Cigna | Commercial | $38.92 | ↓ -94% |
| Keystone Autism Services | ACAP | $45.89 | ↓ -93% |
| Highmark BCBS of PA | Community Blue PPO | $80.67 | ↓ -88% |
| Highmark BCBS of PA | CHIP - Managed Care | $84.08 | ↓ -88% |
| Highmark BCBS of PA | Commercial | $89.63 | ↓ -87% |
| Prime Net | Managed Medicare | $132.34 | ↓ -81% |
| Capital Blue Cross | Medicare Advantage | $193.20 | ↓ -72% |
| Keystone Health Plan | Medicare Advantage | $193.20 | ↓ -72% |
| United Healthcare | Commercial | $193.82 | ↓ -72% |
| Keystone Health Plan | Commercial | $310.09 | ↓ -55% |
| Capital Blue Cross | Commercial | $310.09 | ↓ -55% |
| Capital Blue Cross | CHIP | $310.09 | ↓ -55% |
| Prime Net | Legacy Commercial | $376.74 | ↓ -46% |
| Aetna | ACO | $379.64 | ↓ -45% |
| Prime Net | ACO | $379.64 | ↓ -45% |
| UPMC Work Partners | Workers Comp | $393.36 | ↓ -43% |
| Prime Net | NonGateKeeper | $449.19 | ↓ -35% |
| Aetna | Commercial | $452.09 | ↓ -35% |
| Prime Net | GateKeeper | $452.09 | ↓ -35% |
| Wellspan Population Health | PPO | $627.90 | ↓ -10% |
| Geisinger | Commercial | $632.54 | ↓ -9% |
| UPMC Health Plan | Commercial | $676.20 | ↓ -3% |
| Prime Net | FH-Medical Rental | $730.30 | ↑ +5% |
| Multiplan | PPO (Includes PHCS and Humana as Payers) | $821.10 | ↑ +18% |
| Tricare | East Region | not published by hospital | — |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
Visitor-reported prices
Comments
Oritavancin 400 mg intravenous solution at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Community Osteopathic | Harrisburg | $696.00 | $28.39 – $821.10 |
| UPMC Hanover | Hanover | $696.00 | $28.39 – $45.89 |
| UPMC Lititz | Lititz | $696.00 | $28.39 – $45.89 |
| UPMC Magee | Pittsburgh | $2,989.80 | $17.49 – $30.97 |
| UPMC Memorial | York | $696.00 | $14.12 – $45.89 |
| UPMC Muncy | Muncy | $13,431.00 | $28.68 – $31.55 |
| UPMC Somerset | Somerset | $696.00 | $17.15 – $28.68 |
| UPMC Wellsboro | Wellsboro | $13,431.00 | $28.68 – $31.55 |