Pentamidine non-comp unit at UPMC Carlisle
361 Alexander Spring Road, Carlisle, PA · UPMC · · NPI 1689107328
$99.60
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.
$166.00
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.
$12.33 with Prime Net vs $85.77 with UPMC 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 | $12.33 | ↓ -88% |
| Aetna | Medicare | $14.85 | ↓ -85% |
| Capital Blue Cross | Medicare Advantage | $18.00 | ↓ -82% |
| Keystone Health Plan | Medicare Advantage | $18.00 | ↓ -82% |
| Keystone Health Plan | Commercial | $28.89 | ↓ -71% |
| Capital Blue Cross | CHIP | $28.89 | ↓ -71% |
| Capital Blue Cross | Commercial | $28.89 | ↓ -71% |
| Prime Net | Legacy Commercial | $35.10 | ↓ -65% |
| Prime Net | ACO | $35.37 | ↓ -64% |
| Aetna | ACO | $35.37 | ↓ -64% |
| UPMC Work Partners | Workers Comp | $36.65 | ↓ -63% |
| Prime Net | NonGateKeeper | $41.85 | ↓ -58% |
| Aetna | Commercial | $42.12 | ↓ -58% |
| Prime Net | GateKeeper | $42.12 | ↓ -58% |
| United Healthcare | Commercial | $55.44 | ↓ -44% |
| Wellspan Population Health | PPO | $58.50 | ↓ -41% |
| Geisinger | Commercial | $58.93 | ↓ -41% |
| UPMC Health Plan | Commercial | $63.00 | ↓ -37% |
| Prime Net | FH-Medical Rental | $68.04 | ↓ -32% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $69.73 | ↓ -30% |
| Geisinger | Medicaid/CHIP | $69.73 | ↓ -30% |
| PA Health & Wellness | PA Medicaid HMO | $69.73 | ↓ -30% |
| Highmark Wholecare (prev Gateway) | Medicaid | $71.12 | ↓ -29% |
| Cigna | Commercial | $73.63 | ↓ -26% |
| Multiplan | PPO (Includes PHCS and Humana as Payers) | $76.50 | ↓ -23% |
| UPMC Health Plan | Managed Medicaid | $76.70 | ↓ -23% |
| UPMC Health Plan | CHIP | $85.77 | ↓ -14% |
Visitor-reported prices
Comments
Pentamidine non-comp unit at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $498.40 | $44.03 – $498.40 |
| UPMC Cole | Coudersport | $209.40 | $60.59 – $279.20 |
| UPMC Community Osteopathic | Harrisburg | $99.60 | $18.00 – $290.34 |
| UPMC East | Monroeville | $1,608.80 | $44.03 – $1,608.80 |
| UPMC Hamot | Erie | $1,260.80 | $44.03 – $142.16 |
| UPMC Hanover | Hanover | $99.60 | $69.73 – $76.70 |
| UPMC Jameson | New Castle | $267.20 | $44.03 – $177.45 |
| UPMC Lititz | Lititz | $99.60 | $69.73 – $76.70 |