Pertuzumab 30 mg/ml desensitization at UPMC Carlisle
361 Alexander Spring Road, Carlisle, PA · UPMC · · NPI 1689107328
$279.60
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.
$466.00
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.
$16.85 with Highmark BCBS of PA vs $396.10 with Multiplan — 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 |
|---|---|---|---|
| Highmark BCBS of PA | Community Blue Medicare Advantage/Complete Blue Medicare Advantage/Security Blue Medicare Advantage/Together Blue Medicare Advantage | $16.85 | ↓ -94% |
| Highmark BCBS of PA | Freedom Blue Medicare Advantage | $16.85 | ↓ -94% |
| Humana | Medicare | $17.02 | ↓ -94% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $17.02 | ↓ -94% |
| PA Health & Wellness | PA Medicaid HMO | $17.02 | ↓ -94% |
| Geisinger | Medicaid/CHIP | $17.02 | ↓ -94% |
| Highmark Wholecare (prev Gateway) | Medicaid | $17.36 | ↓ -94% |
| Aetna | Medicare | $17.75 | ↓ -94% |
| Cigna | Medicare | $17.87 | ↓ -94% |
| Geisinger | Medicare | $17.87 | ↓ -94% |
| United Healthcare | Medicare | $18.21 | ↓ -93% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $18.38 | ↓ -93% |
| UPMC Health Plan | Managed Medicaid | $18.72 | ↓ -93% |
| UPMC Health Plan | CHIP | $20.93 | ↓ -93% |
| Cigna | Commercial | $21.76 | ↓ -92% |
| Keystone Autism Services | ACAP | $27.23 | ↓ -90% |
| Highmark BCBS of PA | Community Blue PPO | $47.87 | ↓ -83% |
| Highmark BCBS of PA | CHIP - Managed Care | $49.90 | ↓ -82% |
| Highmark BCBS of PA | Commercial | $53.19 | ↓ -81% |
| Prime Net | Managed Medicare | $63.84 | ↓ -77% |
| Keystone Health Plan | Medicare Advantage | $93.20 | ↓ -67% |
| Capital Blue Cross | Medicare Advantage | $93.20 | ↓ -67% |
| United Healthcare | Commercial | $108.36 | ↓ -61% |
| Capital Blue Cross | Commercial | $149.59 | ↓ -46% |
| Keystone Health Plan | Commercial | $149.59 | ↓ -46% |
| Capital Blue Cross | CHIP | $149.59 | ↓ -46% |
| Prime Net | Legacy Commercial | $181.74 | ↓ -35% |
| Aetna | ACO | $183.14 | ↓ -34% |
| Prime Net | ACO | $183.14 | ↓ -34% |
| UPMC Work Partners | Workers Comp | $189.76 | ↓ -32% |
| Prime Net | NonGateKeeper | $216.69 | ↓ -23% |
| Aetna | Commercial | $218.09 | ↓ -22% |
| Prime Net | GateKeeper | $218.09 | ↓ -22% |
| Wellspan Population Health | PPO | $302.90 | ↑ +8% |
| Geisinger | Commercial | $305.14 | ↑ +9% |
| UPMC Health Plan | Commercial | $326.20 | ↑ +17% |
| Prime Net | FH-Medical Rental | $352.30 | ↑ +26% |
| Multiplan | PPO (Includes PHCS and Humana as Payers) | $396.10 | ↑ +42% |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
| Tricare | East Region | not published by hospital | — |
Visitor-reported prices
Comments
Pertuzumab 30 mg/ml desensitization at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $10,054.80 | $8.16 – $34.40 |
| UPMC Cole | Coudersport | $13,307.40 | $17.02 – $17,743.20 |
| UPMC Hamot | Erie | $12,802.80 | $8.16 – $23.22 |
| UPMC Magee | Pittsburgh | $11,263.80 | $8.24 – $18.38 |
| UPMC Muncy | Muncy | $22,539.60 | $17.02 – $18.72 |
| UPMC Presbyterian | Pittsburgh | $18,274.80 | $8.24 – $18.72 |
| UPMC Wellsboro | Wellsboro | $22,539.60 | $17.02 – $18.72 |
| AHN WEXFORD HOSPITAL | WEXFORD | not published | $11.45 – $35.47 |