Pentostatin 10 mg intravenous solution at UPMC Carlisle
361 Alexander Spring Road, Carlisle, PA · UPMC · · NPI 1689107328
$1,609.20
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.
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What you pay up front if you don't use insurance.
$2,682.00
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.
$311.81 with Prime Net vs $8,150.76 with Highmark BCBS of PA — 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 | $311.81 | ↓ -81% |
| Keystone Health Plan | Medicare Advantage | $455.20 | ↓ -72% |
| Capital Blue Cross | Medicare Advantage | $455.20 | ↓ -72% |
| Keystone Health Plan | Commercial | $730.60 | ↓ -55% |
| Capital Blue Cross | CHIP | $730.60 | ↓ -55% |
| Capital Blue Cross | Commercial | $730.60 | ↓ -55% |
| Prime Net | Legacy Commercial | $887.64 | ↓ -45% |
| Aetna | ACO | $894.47 | ↓ -44% |
| Prime Net | ACO | $894.47 | ↓ -44% |
| UPMC Work Partners | Workers Comp | $926.79 | ↓ -42% |
| Prime Net | NonGateKeeper | $1,058.34 | ↓ -34% |
| Prime Net | GateKeeper | $1,065.17 | ↓ -34% |
| Aetna | Commercial | $1,065.17 | ↓ -34% |
| United Healthcare | Commercial | $1,402.02 | ↓ -13% |
| Wellspan Population Health | PPO | $1,479.40 | ↓ -8% |
| Geisinger | Commercial | $1,490.32 | ↓ -7% |
| UPMC Health Plan | Commercial | $1,593.20 | ↓ -1% |
| Prime Net | FH-Medical Rental | $1,720.66 | ↑ +7% |
| Multiplan | PPO (Includes PHCS and Humana as Payers) | $1,934.60 | ↑ +20% |
| Highmark BCBS of PA | Freedom Blue Medicare Advantage | $2,582.08 | ↑ +60% |
| Highmark BCBS of PA | Community Blue Medicare Advantage/Complete Blue Medicare Advantage/Security Blue Medicare Advantage/Together Blue Medicare Advantage | $2,582.08 | ↑ +60% |
| PA Health & Wellness | PA Medicaid HMO | $2,608.16 | ↑ +62% |
| Geisinger | Medicaid/CHIP | $2,608.16 | ↑ +62% |
| Humana | Medicare | $2,608.16 | ↑ +62% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $2,608.16 | ↑ +62% |
| Highmark Wholecare (prev Gateway) | Medicaid | $2,660.32 | ↑ +65% |
| Aetna | Medicare | $2,720.31 | ↑ +69% |
| Cigna | Medicare | $2,738.57 | ↑ +70% |
| Geisinger | Medicare | $2,738.57 | ↑ +70% |
| United Healthcare | Medicare | $2,790.73 | ↑ +73% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $2,816.81 | ↑ +75% |
| UPMC Health Plan | Managed Medicaid | $2,868.97 | ↑ +78% |
| Cigna | Commercial | $3,205.14 | ↑ +99% |
| UPMC Health Plan | CHIP | $3,208.03 | ↑ +99% |
| Keystone Autism Services | ACAP | $4,173.06 | ↑ +159% |
| Highmark BCBS of PA | Community Blue PPO | $7,335.71 | ↑ +356% |
| Highmark BCBS of PA | CHIP - Managed Care | $7,646.08 | ↑ +375% |
| Highmark BCBS of PA | Commercial | $8,150.76 | ↑ +407% |
| Tricare | East Region | not published by hospital | — |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
Visitor-reported prices
Comments
Pentostatin 10 mg intravenous solution at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Cole | Coudersport | $7,348.80 | $2,608.16 – $9,798.40 |
| UPMC Community Osteopathic | Harrisburg | $1,609.20 | $455.20 – $3,208.03 |
| UPMC Hamot | Erie | $5,255.40 | $1,646.79 – $3,074.72 |
| UPMC Hanover | Hanover | $1,609.20 | $2,582.08 – $4,173.06 |
| UPMC Lititz | Lititz | $1,609.20 | $2,582.08 – $4,173.06 |
| UPMC Magee | Pittsburgh | $10,857.00 | $1,646.79 – $3,103.99 |
| UPMC Memorial | York | $1,609.20 | $2,506.02 – $4,173.06 |
| UPMC Presbyterian | Pittsburgh | $6,720.00 | $1,646.79 – $3,103.99 |