Pralidoxime 1 gram solution for injection at UPMC Carlisle
361 Alexander Spring Road, Carlisle, PA · UPMC · · NPI 1689107328
$51.60
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.
$86.00
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.
$11.78 with Prime Net vs $124.69 with Cigna — 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 | $11.78 | ↓ -77% |
| Aetna | Medicare | $14.19 | ↓ -73% |
| Capital Blue Cross | Medicare Advantage | $17.20 | ↓ -67% |
| Keystone Health Plan | Medicare Advantage | $17.20 | ↓ -67% |
| Capital Blue Cross | Commercial | $27.61 | ↓ -46% |
| Capital Blue Cross | CHIP | $27.61 | ↓ -46% |
| Keystone Health Plan | Commercial | $27.61 | ↓ -46% |
| Prime Net | Legacy Commercial | $33.54 | ↓ -35% |
| Prime Net | ACO | $33.80 | ↓ -34% |
| Aetna | ACO | $33.80 | ↓ -34% |
| UPMC Work Partners | Workers Comp | $35.02 | ↓ -32% |
| Prime Net | NonGateKeeper | $39.99 | ↓ -23% |
| Prime Net | GateKeeper | $40.25 | ↓ -22% |
| Aetna | Commercial | $40.25 | ↓ -22% |
| PA Health & Wellness | PA Medicaid HMO | $47.30 | ↓ -8% |
| Geisinger | Medicaid/CHIP | $47.30 | ↓ -8% |
| United Healthcare | Commercial | $52.98 | ↑ +3% |
| Wellspan Population Health | PPO | $55.90 | ↑ +8% |
| Geisinger | Commercial | $56.31 | ↑ +9% |
| UPMC Health Plan | CHIP | $60.20 | ↑ +17% |
| UPMC Health Plan | Commercial | $60.20 | ↑ +17% |
| Prime Net | FH-Medical Rental | $65.02 | ↑ +26% |
| Multiplan | PPO (Includes PHCS and Humana as Payers) | $73.10 | ↑ +42% |
| Cigna | Commercial | $124.69 | ↑ +142% |
Visitor-reported prices
Comments
Pralidoxime 1 gram solution for injection at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Cole | Coudersport | $108.60 | $50.17 – $144.80 |
| UPMC Community Osteopathic | Harrisburg | $51.60 | $17.20 – $81.92 |
| UPMC Hanover | Hanover | $51.60 | $124.69 – $124.69 |
| UPMC Kane | Kane | $190.20 | $98.84 – $171.67 |
| UPMC Lititz | Lititz | $51.60 | $88.43 – $124.69 |
| UPMC Memorial | York | $51.60 | $40.10 – $124.69 |
| UPMC Muncy | Muncy | $399.60 | $99.90 – $599.40 |
| UPMC Somerset | Somerset | $51.60 | $48.70 – $48.70 |