Polatuzumab vedotin-piiq 140 mg intravenous solution at UPMC Carlisle
361 Alexander Spring Road, Carlisle, PA · UPMC · · NPI 1689107328
$10,525.80
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.
$17,543.00
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.
$135.30 with Highmark BCBS of PA vs $3,195.15 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 | $135.30 | ↓ -99% |
| Highmark BCBS of PA | Freedom Blue Medicare Advantage | $135.30 | ↓ -99% |
| PA Health & Wellness | PA Medicaid HMO | $136.67 | ↓ -99% |
| Humana | Medicare | $136.67 | ↓ -99% |
| Geisinger | Medicaid/CHIP | $136.67 | ↓ -99% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $136.67 | ↓ -99% |
| Highmark Wholecare (prev Gateway) | Medicaid | $139.40 | ↓ -99% |
| Aetna | Medicare | $142.55 | ↓ -99% |
| Geisinger | Medicare | $143.50 | ↓ -99% |
| Cigna | Medicare | $143.50 | ↓ -99% |
| United Healthcare | Medicare | $146.24 | ↓ -99% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $147.60 | ↓ -99% |
| UPMC Health Plan | Managed Medicaid | $150.33 | ↓ -99% |
| UPMC Health Plan | CHIP | $168.10 | ↓ -98% |
| Cigna | Commercial | $175.25 | ↓ -98% |
| Keystone Autism Services | ACAP | $218.67 | ↓ -98% |
| Highmark BCBS of PA | Community Blue PPO | $384.40 | ↓ -96% |
| Highmark BCBS of PA | CHIP - Managed Care | $400.66 | ↓ -96% |
| Highmark BCBS of PA | Commercial | $427.11 | ↓ -96% |
| Prime Net | Managed Medicare | $514.98 | ↓ -95% |
| Capital Blue Cross | Medicare Advantage | $751.80 | ↓ -93% |
| Keystone Health Plan | Medicare Advantage | $751.80 | ↓ -93% |
| United Healthcare | Commercial | $872.83 | ↓ -92% |
| Keystone Health Plan | Commercial | $1,206.64 | ↓ -89% |
| Capital Blue Cross | Commercial | $1,206.64 | ↓ -89% |
| Capital Blue Cross | CHIP | $1,206.64 | ↓ -89% |
| Prime Net | Legacy Commercial | $1,466.01 | ↓ -86% |
| Aetna | ACO | $1,477.29 | ↓ -86% |
| Prime Net | ACO | $1,477.29 | ↓ -86% |
| UPMC Work Partners | Workers Comp | $1,530.66 | ↓ -85% |
| Prime Net | NonGateKeeper | $1,747.93 | ↓ -83% |
| Aetna | Commercial | $1,759.21 | ↓ -83% |
| Prime Net | GateKeeper | $1,759.21 | ↓ -83% |
| Wellspan Population Health | PPO | $2,443.35 | ↓ -77% |
| Geisinger | Commercial | $2,461.39 | ↓ -77% |
| UPMC Health Plan | Commercial | $2,631.30 | ↓ -75% |
| Prime Net | FH-Medical Rental | $2,841.80 | ↓ -73% |
| Multiplan | PPO (Includes PHCS and Humana as Payers) | $3,195.15 | ↓ -70% |
| Tricare | East Region | not published by hospital | — |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
Visitor-reported prices
Comments
Polatuzumab vedotin-piiq 140 mg intravenous solution at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Community Osteopathic | Harrisburg | $10,525.80 | $86.23 – $3,195.15 |
| UPMC Hanover | Hanover | $10,525.80 | $135.30 – $218.67 |
| UPMC Lititz | Lititz | $10,525.80 | $135.30 – $218.67 |
| UPMC Magee | Pittsburgh | $36,493.80 | $52.28 – $147.60 |
| UPMC Memorial | York | $10,525.80 | $42.21 – $218.67 |
| UPMC Muncy | Muncy | $36,544.20 | $136.67 – $150.33 |
| UPMC Passavant-McCandless | Pittsburgh | $36,493.80 | $52.28 – $150.34 |
| UPMC Somerset | Somerset | $10,525.80 | $51.26 – $136.67 |