Quinupristin/dalfopristin 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.
$2.34 with AmeriHealth Caritas vs $670.22 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 |
|---|---|---|---|
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $2.34 | ↓ -99% |
| Highmark BCBS of PA | Community Blue Medicare Advantage/Complete Blue Medicare Advantage/Security Blue Medicare Advantage/Together Blue Medicare Advantage | $4.22 | ↓ -98% |
| Highmark BCBS of PA | Freedom Blue Medicare Advantage | $4.22 | ↓ -98% |
| Humana | Medicare | $4.26 | ↓ -98% |
| Aetna | Medicare | $4.44 | ↓ -98% |
| Geisinger | Medicare | $4.47 | ↓ -98% |
| Cigna | Medicare | $4.47 | ↓ -98% |
| United Healthcare | Medicare | $4.56 | ↓ -98% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $4.60 | ↓ -98% |
| Keystone Autism Services | ACAP | $6.82 | ↓ -98% |
| Highmark BCBS of PA | Community Blue PPO | $11.98 | ↓ -96% |
| Highmark BCBS of PA | CHIP - Managed Care | $12.49 | ↓ -96% |
| Highmark BCBS of PA | Commercial | $13.31 | ↓ -95% |
| Prime Net | Managed Medicare | $63.84 | ↓ -77% |
| Keystone Health Plan | Medicare Advantage | $93.20 | ↓ -67% |
| Capital Blue Cross | Medicare Advantage | $93.20 | ↓ -67% |
| Capital Blue Cross | Commercial | $149.59 | ↓ -46% |
| Capital Blue Cross | CHIP | $149.59 | ↓ -46% |
| Keystone Health Plan | Commercial | $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% |
| Prime Net | GateKeeper | $218.09 | ↓ -22% |
| Aetna | Commercial | $218.09 | ↓ -22% |
| Geisinger | Medicaid/CHIP | $256.30 | ↓ -8% |
| PA Health & Wellness | PA Medicaid HMO | $256.30 | ↓ -8% |
| United Healthcare | Commercial | $287.06 | ↑ +3% |
| Wellspan Population Health | PPO | $302.90 | ↑ +8% |
| Geisinger | Commercial | $305.14 | ↑ +9% |
| UPMC Health Plan | CHIP | $326.20 | ↑ +17% |
| 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% |
| Cigna | Commercial | $670.22 | ↑ +140% |
| Tricare | East Region | not published by hospital | — |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
Visitor-reported prices
Comments
Quinupristin/dalfopristin at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Community Osteopathic | Harrisburg | $279.60 | $4.22 – $396.10 |
| UPMC Hanover | Hanover | $279.60 | $4.22 – $6.82 |
| UPMC Lititz | Lititz | $279.60 | $4.22 – $6.82 |
| UPMC Magee | Pittsburgh | $1,307.40 | $3.99 – $197.26 |
| UPMC Memorial | York | $279.60 | $4.44 – $531.22 |
| UPMC Somerset | Somerset | $279.60 | $4.22 – $4.60 |