Penicillin g benzathine 1,200,000 unit/2 ml intramuscular syringe at UPMC Carlisle
361 Alexander Spring Road, Carlisle, PA · UPMC · · NPI 1689107328
$96.00
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.
$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.
$18.91 with Prime Net vs $182.55 with Health Partners Plans (Jefferson Health Plan) — 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 | $18.91 | ↓ -80% |
| Capital Blue Cross | Medicare Advantage | $27.60 | ↓ -71% |
| Keystone Health Plan | Medicare Advantage | $27.60 | ↓ -71% |
| Highmark BCBS of PA | Freedom Blue Medicare Advantage | $29.71 | ↓ -69% |
| Highmark BCBS of PA | Community Blue Medicare Advantage/Complete Blue Medicare Advantage/Security Blue Medicare Advantage/Together Blue Medicare Advantage | $29.71 | ↓ -69% |
| Humana | Medicare | $30.01 | ↓ -69% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $30.01 | ↓ -69% |
| Geisinger | Medicaid/CHIP | $30.01 | ↓ -69% |
| PA Health & Wellness | PA Medicaid HMO | $30.01 | ↓ -69% |
| Highmark Wholecare (prev Gateway) | Medicaid | $30.61 | ↓ -68% |
| Cigna | Commercial | $30.64 | ↓ -68% |
| Aetna | Medicare | $31.30 | ↓ -67% |
| Geisinger | Medicare | $31.51 | ↓ -67% |
| Cigna | Medicare | $31.51 | ↓ -67% |
| United Healthcare | Medicare | $32.11 | ↓ -67% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $32.41 | ↓ -66% |
| UPMC Health Plan | Managed Medicaid | $33.01 | ↓ -66% |
| UPMC Health Plan | CHIP | $36.91 | ↓ -62% |
| Capital Blue Cross | Commercial | $44.30 | ↓ -54% |
| Capital Blue Cross | CHIP | $44.30 | ↓ -54% |
| Keystone Health Plan | Commercial | $44.30 | ↓ -54% |
| Keystone Autism Services | ACAP | $48.02 | ↓ -50% |
| Prime Net | Legacy Commercial | $53.82 | ↓ -44% |
| Prime Net | ACO | $54.23 | ↓ -44% |
| Aetna | ACO | $54.23 | ↓ -44% |
| UPMC Work Partners | Workers Comp | $56.19 | ↓ -41% |
| Prime Net | NonGateKeeper | $64.17 | ↓ -33% |
| Prime Net | GateKeeper | $64.58 | ↓ -33% |
| Aetna | Commercial | $64.58 | ↓ -33% |
| Highmark BCBS of PA | Community Blue PPO | $84.41 | ↓ -12% |
| United Healthcare | Commercial | $85.01 | ↓ -11% |
| Highmark BCBS of PA | CHIP - Managed Care | $87.98 | ↓ -8% |
| Wellspan Population Health | PPO | $89.70 | ↓ -7% |
| Geisinger | Commercial | $90.36 | ↓ -6% |
| Highmark BCBS of PA | Commercial | $93.78 | ↓ -2% |
| UPMC Health Plan | Commercial | $96.60 | ↑ +1% |
| Prime Net | FH-Medical Rental | $104.33 | ↑ +9% |
| Multiplan | PPO (Includes PHCS and Humana as Payers) | $117.30 | ↑ +22% |
| Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $182.55 | ↑ +90% |
| Tricare | East Region | not published by hospital | — |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
Visitor-reported prices
Comments
Penicillin g benzathine 1,200,000 unit/2 ml intramuscular syringe at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $373.80 | $9.29 – $32.11 |
| UPMC Bedford | Everett | $156.60 | $7.55 – $31.51 |
| UPMC Cole | Coudersport | $948.00 | $24.67 – $71.20 |
| UPMC Community Osteopathic | Harrisburg | $96.00 | $16.28 – $182.55 |
| UPMC East | Monroeville | $526.20 | $8.73 – $58.40 |
| UPMC Hamot | Erie | $274.80 | $9.78 – $32.41 |
| UPMC Northwest | Seneca | $96.00 | $18.95 – $32.41 |
| UPMC Hanover | Hanover | $96.00 | $29.71 – $182.55 |