Streptozocin injection at UPMC Carlisle
361 Alexander Spring Road, Carlisle, PA · UPMC · · NPI 1689107328
$209.40
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.
$349.00
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.
$47.81 with Prime Net vs $502.27 with Cigna — 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 | $47.81 | ↓ -77% |
| Aetna | Medicare | $57.59 | ↓ -72% |
| Capital Blue Cross | Medicare Advantage | $69.80 | ↓ -67% |
| Keystone Health Plan | Medicare Advantage | $69.80 | ↓ -67% |
| Capital Blue Cross | Commercial | $112.03 | ↓ -46% |
| Capital Blue Cross | CHIP | $112.03 | ↓ -46% |
| Keystone Health Plan | Commercial | $112.03 | ↓ -46% |
| Prime Net | Legacy Commercial | $136.11 | ↓ -35% |
| Aetna | ACO | $137.16 | ↓ -34% |
| Prime Net | ACO | $137.16 | ↓ -34% |
| UPMC Work Partners | Workers Comp | $142.11 | ↓ -32% |
| Prime Net | NonGateKeeper | $162.28 | ↓ -23% |
| Aetna | Commercial | $163.33 | ↓ -22% |
| Prime Net | GateKeeper | $163.33 | ↓ -22% |
| Geisinger | Medicaid/CHIP | $191.95 | ↓ -8% |
| PA Health & Wellness | PA Medicaid HMO | $191.95 | ↓ -8% |
| United Healthcare | Commercial | $214.98 | ↑ +3% |
| Wellspan Population Health | PPO | $226.85 | ↑ +8% |
| Geisinger | Commercial | $228.53 | ↑ +9% |
| UPMC Health Plan | CHIP | $244.30 | ↑ +17% |
| UPMC Health Plan | Commercial | $244.30 | ↑ +17% |
| Prime Net | FH-Medical Rental | $263.84 | ↑ +26% |
| Multiplan | PPO (Includes PHCS and Humana as Payers) | $296.65 | ↑ +42% |
| Cigna | Commercial | $502.27 | ↑ +140% |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
| Tricare | East Region | not published by hospital | — |
Visitor-reported prices
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Streptozocin injection at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Community Osteopathic | Harrisburg | $209.40 | $69.80 – $296.65 |
| UPMC Hamot | Erie | $1,356.60 | $132.46 – $1,007.82 |
| UPMC Hanover | Hanover | $209.40 | $502.27 – $2,599.60 |
| UPMC Lititz | Lititz | $209.40 | $502.27 – $2,599.60 |
| UPMC Magee | Pittsburgh | $995.40 | $133.72 – $411.28 |
| UPMC Memorial | York | $209.40 | $107.96 – $2,599.60 |
| UPMC Passavant-McCandless | Pittsburgh | $1,416.00 | $133.72 – $133.72 |
| UPMC Presbyterian | Pittsburgh | $2,809.80 | $133.72 – $133.72 |