Papaverin hcl injection at UPMC Carlisle
361 Alexander Spring Road, Carlisle, PA · UPMC · · NPI 1689107328
$12.00
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.
$20.00
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.
$2.19 with Prime Net vs $53.93 with Cigna — 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 | $2.19 | ↓ -82% |
| Aetna | Medicare | $2.64 | ↓ -78% |
| Capital Blue Cross | Medicare Advantage | $3.20 | ↓ -73% |
| Keystone Health Plan | Medicare Advantage | $3.20 | ↓ -73% |
| Keystone Health Plan | Commercial | $5.14 | ↓ -57% |
| Capital Blue Cross | CHIP | $5.14 | ↓ -57% |
| Capital Blue Cross | Commercial | $5.14 | ↓ -57% |
| Prime Net | Legacy Commercial | $6.24 | ↓ -48% |
| Prime Net | ACO | $6.29 | ↓ -48% |
| Aetna | ACO | $6.29 | ↓ -48% |
| UPMC Work Partners | Workers Comp | $6.52 | ↓ -46% |
| Prime Net | NonGateKeeper | $7.44 | ↓ -38% |
| Aetna | Commercial | $7.49 | ↓ -38% |
| Prime Net | GateKeeper | $7.49 | ↓ -38% |
| Geisinger | Medicaid/CHIP | $8.80 | ↓ -27% |
| PA Health & Wellness | PA Medicaid HMO | $8.80 | ↓ -27% |
| United Healthcare | Commercial | $9.86 | ↓ -18% |
| Wellspan Population Health | PPO | $10.40 | ↓ -13% |
| Geisinger | Commercial | $10.48 | ↓ -13% |
| UPMC Health Plan | Commercial | $11.20 | ↓ -7% |
| UPMC Health Plan | CHIP | $11.20 | ↓ -7% |
| Prime Net | FH-Medical Rental | $12.10 | ↑ +1% |
| Multiplan | PPO (Includes PHCS and Humana as Payers) | $13.60 | ↑ +13% |
| Cigna | Commercial | $53.93 | ↑ +349% |
Visitor-reported prices
Comments
Papaverin hcl injection at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $21.40 | $2.68 – $137.82 |
| UPMC Cole | Coudersport | $25.80 | $11.92 – $34.40 |
| UPMC Community Osteopathic | Harrisburg | $12.00 | $3.20 – $13.60 |
| UPMC East | Monroeville | $64.00 | $2.70 – $64.00 |
| UPMC Hamot | Erie | $52.20 | $2.68 – $125.07 |
| UPMC Northwest | Seneca | $64.00 | $6.95 – $6.95 |
| UPMC Hanover | Hanover | $12.00 | $53.93 – $53.93 |
| UPMC Horizon-Greenville | Greenville | $28.80 | $6.82 – $45.94 |