Rituximab 10 mg/ml concentrate,intravenous at UPMC Carlisle
361 Alexander Spring Road, Carlisle, PA · UPMC · · NPI 1689107328
$55.80
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.
?
What you pay up front if you don't use insurance.
$93.00
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.
?
The hospital's undiscounted list price — almost no one pays this.
$12.74 with Prime Net vs $235.07 with Highmark BCBS of PA — same scan, same building. Share
Negotiated rates by payer
?
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 →
?
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 | $12.74 | ↓ -77% |
| Keystone Health Plan | Medicare Advantage | $18.60 | ↓ -67% |
| Capital Blue Cross | Medicare Advantage | $18.60 | ↓ -67% |
| Keystone Health Plan | Commercial | $29.85 | ↓ -47% |
| Capital Blue Cross | CHIP | $29.85 | ↓ -47% |
| Capital Blue Cross | Commercial | $29.85 | ↓ -47% |
| Prime Net | Legacy Commercial | $36.27 | ↓ -35% |
| Aetna | ACO | $36.55 | ↓ -34% |
| Prime Net | ACO | $36.55 | ↓ -34% |
| UPMC Work Partners | Workers Comp | $37.87 | ↓ -32% |
| Prime Net | NonGateKeeper | $43.24 | ↓ -23% |
| Aetna | Commercial | $43.52 | ↓ -22% |
| Prime Net | GateKeeper | $43.52 | ↓ -22% |
| United Healthcare | Commercial | $57.29 | ↑ +3% |
| Wellspan Population Health | PPO | $60.45 | ↑ +8% |
| Geisinger | Commercial | $60.90 | ↑ +9% |
| UPMC Health Plan | Commercial | $65.10 | ↑ +17% |
| Prime Net | FH-Medical Rental | $70.31 | ↑ +26% |
| Highmark BCBS of PA | Freedom Blue Medicare Advantage | $74.47 | ↑ +33% |
| Highmark BCBS of PA | Community Blue Medicare Advantage/Complete Blue Medicare Advantage/Security Blue Medicare Advantage/Together Blue Medicare Advantage | $74.47 | ↑ +33% |
| PA Health & Wellness | PA Medicaid HMO | $75.22 | ↑ +35% |
| Geisinger | Medicaid/CHIP | $75.22 | ↑ +35% |
| Humana | Medicare | $75.22 | ↑ +35% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $75.22 | ↑ +35% |
| Highmark Wholecare (prev Gateway) | Medicaid | $76.72 | ↑ +37% |
| Aetna | Medicare | $78.45 | ↑ +41% |
| Cigna | Medicare | $78.98 | ↑ +42% |
| Geisinger | Medicare | $78.98 | ↑ +42% |
| Multiplan | PPO (Includes PHCS and Humana as Payers) | $79.05 | ↑ +42% |
| United Healthcare | Medicare | $80.49 | ↑ +44% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $81.24 | ↑ +46% |
| UPMC Health Plan | Managed Medicaid | $82.74 | ↑ +48% |
| UPMC Health Plan | CHIP | $92.52 | ↑ +66% |
| Cigna | Commercial | $111.67 | ↑ +100% |
| Keystone Autism Services | ACAP | $120.35 | ↑ +116% |
| Highmark BCBS of PA | Community Blue PPO | $211.56 | ↑ +279% |
| Highmark BCBS of PA | CHIP - Managed Care | $220.51 | ↑ +295% |
| Highmark BCBS of PA | Commercial | $235.07 | ↑ +321% |
| Tricare | East Region | not published by hospital | — |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
Visitor-reported prices
Comments
Rituximab 10 mg/ml concentrate,intravenous at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $2,567.40 | $47.49 – $342.40 |
| AHN WEXFORD HOSPITAL | WEXFORD | $4,274.82 | $51.49 – $159.46 |
| UPMC Cole | Coudersport | $11,697.00 | $75.22 – $3,119.20 |
| UPMC Kane | Kane | $3,382.20 | $75.22 – $126.60 |
| UPMC Magee | Pittsburgh | $11,709.00 | $47.49 – $81.24 |
| UPMC McKeesport | Mckeesport | $440.00 | $47.49 – $82.74 |
| UPMC Mercy | Pittsburgh | $475.20 | $47.49 – $82.74 |
| UPMC Muncy | Muncy | $21,757.20 | $75.22 – $82.74 |