Rituximab-abbs 10 mg/ml intravenous solution at UPMC Carlisle
361 Alexander Spring Road, Carlisle, PA · UPMC · · NPI 1689107328
$50.40
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.
$84.00
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.
$11.51 with Prime Net vs $91.82 with Highmark BCBS of PA — 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 | $11.51 | ↓ -77% |
| Capital Blue Cross | Medicare Advantage | $16.80 | ↓ -67% |
| Keystone Health Plan | Medicare Advantage | $16.80 | ↓ -67% |
| Keystone Health Plan | Commercial | $26.96 | ↓ -47% |
| Capital Blue Cross | CHIP | $26.96 | ↓ -47% |
| Capital Blue Cross | Commercial | $26.96 | ↓ -47% |
| Highmark BCBS of PA | Community Blue Medicare Advantage/Complete Blue Medicare Advantage/Security Blue Medicare Advantage/Together Blue Medicare Advantage | $29.09 | ↓ -42% |
| Highmark BCBS of PA | Freedom Blue Medicare Advantage | $29.09 | ↓ -42% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $29.38 | ↓ -42% |
| Geisinger | Medicaid/CHIP | $29.38 | ↓ -42% |
| PA Health & Wellness | PA Medicaid HMO | $29.38 | ↓ -42% |
| Humana | Medicare | $29.38 | ↓ -42% |
| Highmark Wholecare (prev Gateway) | Medicaid | $29.97 | ↓ -41% |
| Aetna | Medicare | $30.64 | ↓ -39% |
| Geisinger | Medicare | $30.85 | ↓ -39% |
| Cigna | Medicare | $30.85 | ↓ -39% |
| United Healthcare | Medicare | $31.44 | ↓ -38% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $31.73 | ↓ -37% |
| UPMC Health Plan | Managed Medicaid | $32.32 | ↓ -36% |
| Prime Net | Legacy Commercial | $32.76 | ↓ -35% |
| Aetna | ACO | $33.01 | ↓ -35% |
| Prime Net | ACO | $33.01 | ↓ -35% |
| UPMC Work Partners | Workers Comp | $34.20 | ↓ -32% |
| UPMC Health Plan | CHIP | $36.14 | ↓ -28% |
| Prime Net | NonGateKeeper | $39.06 | ↓ -23% |
| Aetna | Commercial | $39.31 | ↓ -22% |
| Prime Net | GateKeeper | $39.31 | ↓ -22% |
| Keystone Autism Services | ACAP | $47.01 | ↓ -7% |
| Cigna | Commercial | $50.60 | ↑ +0% |
| United Healthcare | Commercial | $51.74 | ↑ +3% |
| Wellspan Population Health | PPO | $54.60 | ↑ +8% |
| Geisinger | Commercial | $55.00 | ↑ +9% |
| UPMC Health Plan | Commercial | $58.80 | ↑ +17% |
| Prime Net | FH-Medical Rental | $63.50 | ↑ +26% |
| Multiplan | PPO (Includes PHCS and Humana as Payers) | $71.40 | ↑ +42% |
| Highmark BCBS of PA | Community Blue PPO | $82.63 | ↑ +64% |
| Highmark BCBS of PA | CHIP - Managed Care | $86.13 | ↑ +71% |
| Highmark BCBS of PA | Commercial | $91.82 | ↑ +82% |
| Tricare | East Region | not published by hospital | — |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
Visitor-reported prices
Comments
Rituximab-abbs 10 mg/ml intravenous solution at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $354.40 | $18.55 – $354.40 |
| UPMC Bedford | Everett | $481.60 | $10.60 – $541.80 |
| AHN WEXFORD HOSPITAL | WEXFORD | $3,847.25 | $20.15 – $65.48 |
| UPMC East | Monroeville | $536.80 | $18.55 – $536.80 |
| UPMC Hamot | Erie | $319.20 | $18.55 – $53.96 |
| UPMC Northwest | Seneca | $320.40 | $18.55 – $31.73 |
| UPMC Horizon-Greenville | Greenville | $324.60 | $18.55 – $55.13 |
| UPMC Jameson | New Castle | $394.40 | $18.55 – $54.91 |