Sipuleucel-t - su at UPMC Carlisle
361 Alexander Spring Road, Carlisle, PA · UPMC · · NPI 1689107328
$150.00
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.
$250.00
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.
$34.25 with Prime Net vs $172,731.53 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 | $34.25 | ↓ -77% |
| Keystone Health Plan | Medicare Advantage | $50.00 | ↓ -67% |
| Capital Blue Cross | Medicare Advantage | $50.00 | ↓ -67% |
| Keystone Health Plan | Commercial | $80.25 | ↓ -47% |
| Capital Blue Cross | CHIP | $80.25 | ↓ -47% |
| Capital Blue Cross | Commercial | $80.25 | ↓ -47% |
| Prime Net | Legacy Commercial | $97.50 | ↓ -35% |
| Aetna | ACO | $98.25 | ↓ -35% |
| Prime Net | ACO | $98.25 | ↓ -35% |
| UPMC Work Partners | Workers Comp | $101.80 | ↓ -32% |
| Prime Net | NonGateKeeper | $116.25 | ↓ -23% |
| Prime Net | GateKeeper | $117.00 | ↓ -22% |
| Aetna | Commercial | $117.00 | ↓ -22% |
| United Healthcare | Commercial | $154.00 | ↑ +3% |
| Wellspan Population Health | PPO | $162.50 | ↑ +8% |
| Geisinger | Commercial | $163.70 | ↑ +9% |
| UPMC Health Plan | Commercial | $175.00 | ↑ +17% |
| Prime Net | FH-Medical Rental | $189.00 | ↑ +26% |
| Multiplan | PPO (Includes PHCS and Humana as Payers) | $212.50 | ↑ +42% |
| Highmark BCBS of PA | Freedom Blue Medicare Advantage | $54,719.60 | ↑ +36380% |
| Highmark BCBS of PA | Community Blue Medicare Advantage/Complete Blue Medicare Advantage/Security Blue Medicare Advantage/Together Blue Medicare Advantage | $54,719.60 | ↑ +36380% |
| PA Health & Wellness | PA Medicaid HMO | $55,272.32 | ↑ +36748% |
| Geisinger | Medicaid/CHIP | $55,272.32 | ↑ +36748% |
| Humana | Medicare | $55,272.32 | ↑ +36748% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $55,272.32 | ↑ +36748% |
| Highmark Wholecare (prev Gateway) | Medicaid | $56,377.77 | ↑ +37485% |
| Aetna | Medicare | $57,649.03 | ↑ +38333% |
| Cigna | Medicare | $58,035.94 | ↑ +38591% |
| Geisinger | Medicare | $58,035.94 | ↑ +38591% |
| United Healthcare | Medicare | $59,141.38 | ↑ +39328% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $59,694.11 | ↑ +39696% |
| UPMC Health Plan | Managed Medicaid | $60,799.56 | ↑ +40433% |
| UPMC Health Plan | CHIP | $67,984.96 | ↑ +45223% |
| Cigna | Commercial | $75,331.59 | ↑ +50121% |
| Keystone Autism Services | ACAP | $88,435.71 | ↑ +58857% |
| Highmark BCBS of PA | Community Blue PPO | $155,458.93 | ↑ +103539% |
| Highmark BCBS of PA | CHIP - Managed Care | $162,036.33 | ↑ +107924% |
| Highmark BCBS of PA | Commercial | $172,731.53 | ↑ +115054% |
| Tricare | East Region | not published by hospital | — |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
Visitor-reported prices
Comments
Sipuleucel-t - su at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Magee | Pittsburgh | $118,513.80 | $34,898.95 – $59,694.11 |
| AHN WEXFORD HOSPITAL | WEXFORD | not published | $36,146.69 – $117,486.54 |
| GROVE CITY HOSPITAL | GROVE CITY | not published | $44,863.07 – $117,486.54 |