Thyrotropin alfa 0.9 mg intramuscular solution at UPMC Carlisle
361 Alexander Spring Road, Carlisle, PA · UPMC · · NPI 1689107328
$1,186.20
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.
$1,977.00
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.
$270.85 with Prime Net vs $6,613.71 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 | $270.85 | ↓ -77% |
| Keystone Health Plan | Medicare Advantage | $395.40 | ↓ -67% |
| Capital Blue Cross | Medicare Advantage | $395.40 | ↓ -67% |
| Capital Blue Cross | CHIP | $634.62 | ↓ -46% |
| Capital Blue Cross | Commercial | $634.62 | ↓ -46% |
| Keystone Health Plan | Commercial | $634.62 | ↓ -46% |
| Prime Net | Legacy Commercial | $771.03 | ↓ -35% |
| Aetna | ACO | $776.96 | ↓ -35% |
| Prime Net | ACO | $776.96 | ↓ -35% |
| UPMC Work Partners | Workers Comp | $805.03 | ↓ -32% |
| Prime Net | NonGateKeeper | $919.30 | ↓ -23% |
| Aetna | Commercial | $925.24 | ↓ -22% |
| Prime Net | GateKeeper | $925.24 | ↓ -22% |
| United Healthcare | Commercial | $1,217.83 | ↑ +3% |
| Wellspan Population Health | PPO | $1,285.05 | ↑ +8% |
| Geisinger | Commercial | $1,294.54 | ↑ +9% |
| UPMC Health Plan | Commercial | $1,383.90 | ↑ +17% |
| Prime Net | FH-Medical Rental | $1,494.61 | ↑ +26% |
| Multiplan | PPO (Includes PHCS and Humana as Payers) | $1,680.45 | ↑ +42% |
| Highmark BCBS of PA | Community Blue Medicare Advantage/Complete Blue Medicare Advantage/Security Blue Medicare Advantage/Together Blue Medicare Advantage | $2,095.16 | ↑ +77% |
| Highmark BCBS of PA | Freedom Blue Medicare Advantage | $2,095.16 | ↑ +77% |
| PA Health & Wellness | PA Medicaid HMO | $2,116.32 | ↑ +78% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $2,116.32 | ↑ +78% |
| Humana | Medicare | $2,116.32 | ↑ +78% |
| Geisinger | Medicaid/CHIP | $2,116.32 | ↑ +78% |
| Highmark Wholecare (prev Gateway) | Medicaid | $2,158.65 | ↑ +82% |
| Aetna | Medicare | $2,207.32 | ↑ +86% |
| Cigna | Medicare | $2,222.14 | ↑ +87% |
| Geisinger | Medicare | $2,222.14 | ↑ +87% |
| United Healthcare | Medicare | $2,264.46 | ↑ +91% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $2,285.63 | ↑ +93% |
| UPMC Health Plan | Managed Medicaid | $2,327.96 | ↑ +96% |
| UPMC Health Plan | CHIP | $2,603.08 | ↑ +119% |
| Cigna | Commercial | $2,849.85 | ↑ +140% |
| Keystone Autism Services | ACAP | $3,386.11 | ↑ +185% |
| Highmark BCBS of PA | Community Blue PPO | $5,952.36 | ↑ +402% |
| Highmark BCBS of PA | CHIP - Managed Care | $6,204.20 | ↑ +423% |
| Highmark BCBS of PA | Commercial | $6,613.71 | ↑ +458% |
| Tricare | East Region | not published by hospital | — |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
Visitor-reported prices
Comments
Thyrotropin alfa 0.9 mg intramuscular solution at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $6,097.60 | $294.40 – $6,097.60 |
| UPMC Bedford | Everett | $6,332.80 | $763.57 – $7,124.40 |
| UPMC Cole | Coudersport | $1,864.20 | $500.35 – $2,116.32 |
| UPMC Community Osteopathic | Harrisburg | $1,186.20 | $395.40 – $2,603.08 |
| UPMC East | Monroeville | $19,696.80 | $297.20 – $26,262.40 |
| UPMC Hamot | Erie | $4,949.60 | $294.40 – $2,285.63 |
| UPMC Hanover | Hanover | $1,186.20 | $2,095.16 – $3,386.11 |
| UPMC Horizon-Greenville | Greenville | $5,934.00 | $1,157.65 – $2,285.63 |