Pembrolizumab 25 mg/ml intravenous solution at UPMC Carlisle
361 Alexander Spring Road, Carlisle, PA · UPMC · · NPI 1689107328
$850.20
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.
?
What you pay up front if you don't use insurance.
$1,417.00
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.
?
The hospital's undiscounted list price — almost no one pays this.
$59.69 with Highmark BCBS of PA vs $1,204.45 with Multiplan — same scan, same building. Share
Negotiated rates by payer
?
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 →
?
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 | $59.69 | ↓ -93% |
| Highmark BCBS of PA | Freedom Blue Medicare Advantage | $59.69 | ↓ -93% |
| PA Health & Wellness | PA Medicaid HMO | $60.29 | ↓ -93% |
| Humana | Medicare | $60.29 | ↓ -93% |
| Geisinger | Medicaid/CHIP | $60.29 | ↓ -93% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $60.29 | ↓ -93% |
| Highmark Wholecare (prev Gateway) | Medicaid | $61.50 | ↓ -93% |
| Aetna | Medicare | $62.88 | ↓ -93% |
| Geisinger | Medicare | $63.30 | ↓ -93% |
| Cigna | Medicare | $63.30 | ↓ -93% |
| United Healthcare | Medicare | $64.51 | ↓ -92% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $65.11 | ↓ -92% |
| UPMC Health Plan | Managed Medicaid | $66.32 | ↓ -92% |
| UPMC Health Plan | CHIP | $74.16 | ↓ -91% |
| Cigna | Commercial | $78.58 | ↓ -91% |
| Keystone Autism Services | ACAP | $96.46 | ↓ -89% |
| Highmark BCBS of PA | Community Blue PPO | $169.57 | ↓ -80% |
| Highmark BCBS of PA | CHIP - Managed Care | $176.75 | ↓ -79% |
| Highmark BCBS of PA | Commercial | $188.41 | ↓ -78% |
| Prime Net | Managed Medicare | $194.13 | ↓ -77% |
| Capital Blue Cross | Medicare Advantage | $283.40 | ↓ -67% |
| Keystone Health Plan | Medicare Advantage | $283.40 | ↓ -67% |
| United Healthcare | Commercial | $391.35 | ↓ -54% |
| Keystone Health Plan | Commercial | $454.86 | ↓ -46% |
| Capital Blue Cross | Commercial | $454.86 | ↓ -46% |
| Capital Blue Cross | CHIP | $454.86 | ↓ -46% |
| Prime Net | Legacy Commercial | $552.63 | ↓ -35% |
| Aetna | ACO | $556.88 | ↓ -35% |
| Prime Net | ACO | $556.88 | ↓ -35% |
| UPMC Work Partners | Workers Comp | $577.00 | ↓ -32% |
| Prime Net | NonGateKeeper | $658.90 | ↓ -23% |
| Aetna | Commercial | $663.16 | ↓ -22% |
| Prime Net | GateKeeper | $663.16 | ↓ -22% |
| Wellspan Population Health | PPO | $921.05 | ↑ +8% |
| Geisinger | Commercial | $927.85 | ↑ +9% |
| UPMC Health Plan | Commercial | $991.90 | ↑ +17% |
| Prime Net | FH-Medical Rental | $1,071.25 | ↑ +26% |
| Multiplan | PPO (Includes PHCS and Humana as Payers) | $1,204.45 | ↑ +42% |
| Tricare | East Region | not published by hospital | — |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
Visitor-reported prices
Comments
Pembrolizumab 25 mg/ml intravenous solution at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $13,809.00 | $30.93 – $180.00 |
| UPMC Cole | Coudersport | $13,285.80 | $60.29 – $17,714.40 |
| UPMC Community Osteopathic | Harrisburg | $850.20 | $51.50 – $1,204.45 |
| UPMC Hanover | Hanover | $850.20 | $59.69 – $96.46 |
| UPMC Lititz | Lititz | $850.20 | $59.69 – $96.46 |
| UPMC Magee | Pittsburgh | $12,507.00 | $31.22 – $65.11 |
| UPMC Memorial | York | $850.20 | $25.21 – $96.46 |
| UPMC Muncy | Muncy | $21,534.00 | $60.29 – $66.32 |