Romosozumab-aqqg 105 mg/1.17 ml subcutaneous syringe (wrapper) at UPMC Carlisle
361 Alexander Spring Road, Carlisle, PA · UPMC · · NPI 1689107328
$641.40
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.
$1,069.00
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.
$11.95 with Highmark BCBS of PA vs $884.00 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 | $11.95 | ↓ -98% |
| Highmark BCBS of PA | Freedom Blue Medicare Advantage | $11.95 | ↓ -98% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $12.07 | ↓ -98% |
| Humana | Medicare | $12.07 | ↓ -98% |
| Geisinger | Medicaid/CHIP | $12.07 | ↓ -98% |
| PA Health & Wellness | PA Medicaid HMO | $12.07 | ↓ -98% |
| Highmark Wholecare (prev Gateway) | Medicaid | $12.31 | ↓ -98% |
| Aetna | Medicare | $12.59 | ↓ -98% |
| Cigna | Medicare | $12.67 | ↓ -98% |
| Geisinger | Medicare | $12.67 | ↓ -98% |
| United Healthcare | Medicare | $12.91 | ↓ -98% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $13.04 | ↓ -98% |
| UPMC Health Plan | Managed Medicaid | $13.28 | ↓ -98% |
| UPMC Health Plan | CHIP | $14.85 | ↓ -98% |
| Cigna | Commercial | $15.13 | ↓ -98% |
| Keystone Autism Services | ACAP | $19.31 | ↓ -97% |
| Highmark BCBS of PA | Community Blue PPO | $33.95 | ↓ -95% |
| Highmark BCBS of PA | CHIP - Managed Care | $35.38 | ↓ -94% |
| Highmark BCBS of PA | Commercial | $37.72 | ↓ -94% |
| United Healthcare | Commercial | $75.34 | ↓ -88% |
| Prime Net | Managed Medicare | $142.48 | ↓ -78% |
| Keystone Health Plan | Medicare Advantage | $208.00 | ↓ -68% |
| Capital Blue Cross | Medicare Advantage | $208.00 | ↓ -68% |
| Capital Blue Cross | CHIP | $333.84 | ↓ -48% |
| Keystone Health Plan | Commercial | $333.84 | ↓ -48% |
| Capital Blue Cross | Commercial | $333.84 | ↓ -48% |
| Prime Net | Legacy Commercial | $405.60 | ↓ -37% |
| Aetna | ACO | $408.72 | ↓ -36% |
| Prime Net | ACO | $408.72 | ↓ -36% |
| UPMC Work Partners | Workers Comp | $423.49 | ↓ -34% |
| Prime Net | NonGateKeeper | $483.60 | ↓ -25% |
| Aetna | Commercial | $486.72 | ↓ -24% |
| Prime Net | GateKeeper | $486.72 | ↓ -24% |
| Wellspan Population Health | PPO | $676.00 | ↑ +5% |
| Geisinger | Commercial | $680.99 | ↑ +6% |
| UPMC Health Plan | Commercial | $728.00 | ↑ +14% |
| Prime Net | FH-Medical Rental | $786.24 | ↑ +23% |
| Multiplan | PPO (Includes PHCS and Humana as Payers) | $884.00 | ↑ +38% |
| Tricare | East Region | not published by hospital | — |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
Visitor-reported prices
Comments
Romosozumab-aqqg 105 mg/1.17 ml subcutaneous syringe (wrapper) at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Bedford | Everett | $7,786.20 | $4.35 – $45.90 |
| UPMC Cole | Coudersport | $3,117.00 | $12.07 – $4,156.00 |
| UPMC Community Osteopathic | Harrisburg | $641.40 | $9.22 – $884.00 |
| UPMC East | Monroeville | $8,341.20 | $5.59 – $44.80 |
| UPMC Northwest | Seneca | $7,324.20 | $7.62 – $13.04 |
| UPMC Hanover | Hanover | $641.40 | $11.95 – $19.31 |
| UPMC Horizon-Greenville | Greenville | $6,996.00 | $7.62 – $14.12 |
| UPMC Lititz | Lititz | $641.40 | $11.95 – $19.31 |