Romiplostim 125 mcg subcutaneous solution at UPMC Carlisle
361 Alexander Spring Road, Carlisle, PA · UPMC · · NPI 1689107328
$3,004.80
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.
$5,008.00
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.
$10.90 with Highmark BCBS of PA vs $2,128.40 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 | $10.90 | ↓ -100% |
| Highmark BCBS of PA | Freedom Blue Medicare Advantage | $10.90 | ↓ -100% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $11.01 | ↓ -100% |
| Humana | Medicare | $11.01 | ↓ -100% |
| Geisinger | Medicaid/CHIP | $11.01 | ↓ -100% |
| PA Health & Wellness | PA Medicaid HMO | $11.01 | ↓ -100% |
| Highmark Wholecare (prev Gateway) | Medicaid | $11.23 | ↓ -100% |
| Aetna | Medicare | $11.48 | ↓ -100% |
| Geisinger | Medicare | $11.56 | ↓ -100% |
| Cigna | Medicare | $11.56 | ↓ -100% |
| United Healthcare | Medicare | $11.78 | ↓ -100% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $11.89 | ↓ -100% |
| UPMC Health Plan | Managed Medicaid | $12.11 | ↓ -100% |
| UPMC Health Plan | CHIP | $13.55 | ↓ -100% |
| Keystone Autism Services | ACAP | $17.62 | ↓ -99% |
| Highmark BCBS of PA | Community Blue PPO | $30.97 | ↓ -99% |
| Highmark BCBS of PA | CHIP - Managed Care | $32.28 | ↓ -99% |
| Highmark BCBS of PA | Commercial | $34.41 | ↓ -99% |
| Prime Net | Managed Medicare | $343.05 | ↓ -89% |
| Keystone Health Plan | Medicare Advantage | $500.80 | ↓ -83% |
| Capital Blue Cross | Medicare Advantage | $500.80 | ↓ -83% |
| Capital Blue Cross | CHIP | $803.78 | ↓ -73% |
| Keystone Health Plan | Commercial | $803.78 | ↓ -73% |
| Capital Blue Cross | Commercial | $803.78 | ↓ -73% |
| Prime Net | Legacy Commercial | $976.56 | ↓ -68% |
| Aetna | ACO | $984.07 | ↓ -67% |
| Prime Net | ACO | $984.07 | ↓ -67% |
| UPMC Work Partners | Workers Comp | $1,019.63 | ↓ -66% |
| Prime Net | NonGateKeeper | $1,164.36 | ↓ -61% |
| Aetna | Commercial | $1,171.87 | ↓ -61% |
| Prime Net | GateKeeper | $1,171.87 | ↓ -61% |
| United Healthcare | Commercial | $1,542.46 | ↓ -49% |
| Wellspan Population Health | PPO | $1,627.60 | ↓ -46% |
| Geisinger | Commercial | $1,639.62 | ↓ -45% |
| UPMC Health Plan | Commercial | $1,752.80 | ↓ -42% |
| Prime Net | FH-Medical Rental | $1,893.02 | ↓ -37% |
| Cigna | Commercial | $1,953.12 | ↓ -35% |
| Multiplan | PPO (Includes PHCS and Humana as Payers) | $2,128.40 | ↓ -29% |
Visitor-reported prices
Comments
Romiplostim 125 mcg subcutaneous solution at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Cole | Coudersport | $13,710.00 | $11.01 – $4,569.60 |
| UPMC Community Osteopathic | Harrisburg | $3,004.80 | $6.99 – $2,128.40 |
| UPMC Hanover | Hanover | $3,004.80 | $10.90 – $17.62 |
| UPMC Lititz | Lititz | $3,004.80 | $10.90 – $17.62 |
| UPMC Memorial | York | $3,004.80 | $3.42 – $17.62 |
| UPMC Somerset | Somerset | $3,004.80 | $4.16 – $11.01 |
| WellSpan Chambersburg Hospital | Chambersburg | $8,784.20 | $11.95 – $12,247.28 |
| Uniontown Hospital | Uniontown | $10,680.62 | $11.62 – $27.07 |