Paclitaxel protein-bound 100 mg intravenous suspension at UPMC Carlisle
361 Alexander Spring Road, Carlisle, PA · UPMC · · NPI 1689107328
$963.60
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.
$1,606.00
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.
$10.43 with Highmark BCBS of PA vs $1,208.70 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 | $10.43 | ↓ -99% |
| Highmark BCBS of PA | Freedom Blue Medicare Advantage | $10.43 | ↓ -99% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $10.54 | ↓ -99% |
| Humana | Medicare | $10.54 | ↓ -99% |
| Geisinger | Medicaid/CHIP | $10.54 | ↓ -99% |
| PA Health & Wellness | PA Medicaid HMO | $10.54 | ↓ -99% |
| Highmark Wholecare (prev Gateway) | Medicaid | $10.75 | ↓ -99% |
| Aetna | Medicare | $10.99 | ↓ -99% |
| Cigna | Medicare | $11.07 | ↓ -99% |
| Geisinger | Medicare | $11.07 | ↓ -99% |
| United Healthcare | Medicare | $11.28 | ↓ -99% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $11.38 | ↓ -99% |
| UPMC Health Plan | Managed Medicaid | $11.60 | ↓ -99% |
| UPMC Health Plan | CHIP | $12.97 | ↓ -99% |
| Keystone Autism Services | ACAP | $16.86 | ↓ -98% |
| Cigna | Commercial | $20.15 | ↓ -98% |
| Highmark BCBS of PA | Community Blue PPO | $29.64 | ↓ -97% |
| Highmark BCBS of PA | CHIP - Managed Care | $30.90 | ↓ -97% |
| Highmark BCBS of PA | Commercial | $32.94 | ↓ -97% |
| United Healthcare | Commercial | $100.36 | ↓ -90% |
| Prime Net | Managed Medicare | $194.81 | ↓ -80% |
| Keystone Health Plan | Medicare Advantage | $284.40 | ↓ -70% |
| Capital Blue Cross | Medicare Advantage | $284.40 | ↓ -70% |
| Capital Blue Cross | CHIP | $456.46 | ↓ -53% |
| Keystone Health Plan | Commercial | $456.46 | ↓ -53% |
| Capital Blue Cross | Commercial | $456.46 | ↓ -53% |
| Prime Net | Legacy Commercial | $554.58 | ↓ -42% |
| Aetna | ACO | $558.85 | ↓ -42% |
| Prime Net | ACO | $558.85 | ↓ -42% |
| UPMC Work Partners | Workers Comp | $579.04 | ↓ -40% |
| Prime Net | NonGateKeeper | $661.23 | ↓ -31% |
| Aetna | Commercial | $665.50 | ↓ -31% |
| Prime Net | GateKeeper | $665.50 | ↓ -31% |
| Wellspan Population Health | PPO | $924.30 | ↓ -4% |
| Geisinger | Commercial | $931.13 | ↓ -3% |
| UPMC Health Plan | Commercial | $995.40 | ↑ +3% |
| Prime Net | FH-Medical Rental | $1,075.03 | ↑ +12% |
| Multiplan | PPO (Includes PHCS and Humana as Payers) | $1,208.70 | ↑ +25% |
| Tricare | East Region | not published by hospital | — |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
Visitor-reported prices
Comments
Paclitaxel protein-bound 100 mg intravenous suspension at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Cole | Coudersport | $3,934.20 | $10.54 – $5,245.60 |
| UPMC Community Osteopathic | Harrisburg | $963.60 | $10.43 – $1,208.70 |
| UPMC Hanover | Hanover | $963.60 | $10.43 – $16.86 |
| UPMC Lititz | Lititz | $963.60 | $10.43 – $16.86 |
| UPMC Magee | Pittsburgh | $4,243.20 | $6.66 – $18.39 |
| UPMC Memorial | York | $963.60 | $10.54 – $16.86 |
| UPMC Muncy | Muncy | $6,166.20 | $10.54 – $11.60 |
| UPMC Somerset | Somerset | $963.60 | $10.43 – $10.54 |