Trabectedin 1 mg intravenous solution at UPMC Carlisle
361 Alexander Spring Road, Carlisle, PA · UPMC · · NPI 1689107328
$2,068.20
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.
$3,447.00
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.
$387.16 with Highmark BCBS of PA vs $2,929.95 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 | $387.16 | ↓ -81% |
| Highmark BCBS of PA | Freedom Blue Medicare Advantage | $387.16 | ↓ -81% |
| Humana | Medicare | $391.07 | ↓ -81% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $391.07 | ↓ -81% |
| PA Health & Wellness | PA Medicaid HMO | $391.07 | ↓ -81% |
| Geisinger | Medicaid/CHIP | $391.07 | ↓ -81% |
| Highmark Wholecare (prev Gateway) | Medicaid | $398.89 | ↓ -81% |
| Aetna | Medicare | $407.89 | ↓ -80% |
| Cigna | Medicare | $410.62 | ↓ -80% |
| Geisinger | Medicare | $410.62 | ↓ -80% |
| United Healthcare | Medicare | $418.44 | ↓ -80% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $422.36 | ↓ -80% |
| UPMC Health Plan | Managed Medicaid | $430.18 | ↓ -79% |
| Prime Net | Managed Medicare | $472.24 | ↓ -77% |
| Cigna | Commercial | $477.14 | ↓ -77% |
| UPMC Health Plan | CHIP | $481.02 | ↓ -77% |
| Keystone Autism Services | ACAP | $625.71 | ↓ -70% |
| Keystone Health Plan | Medicare Advantage | $689.40 | ↓ -67% |
| Capital Blue Cross | Medicare Advantage | $689.40 | ↓ -67% |
| Highmark BCBS of PA | Community Blue PPO | $1,099.92 | ↓ -47% |
| Capital Blue Cross | Commercial | $1,106.49 | ↓ -46% |
| Keystone Health Plan | Commercial | $1,106.49 | ↓ -46% |
| Capital Blue Cross | CHIP | $1,106.49 | ↓ -46% |
| Highmark BCBS of PA | CHIP - Managed Care | $1,146.46 | ↓ -45% |
| Highmark BCBS of PA | Commercial | $1,222.13 | ↓ -41% |
| Prime Net | Legacy Commercial | $1,344.33 | ↓ -35% |
| Aetna | ACO | $1,354.67 | ↓ -35% |
| Prime Net | ACO | $1,354.67 | ↓ -35% |
| UPMC Work Partners | Workers Comp | $1,403.62 | ↓ -32% |
| Prime Net | NonGateKeeper | $1,602.86 | ↓ -22% |
| Aetna | Commercial | $1,613.20 | ↓ -22% |
| Prime Net | GateKeeper | $1,613.20 | ↓ -22% |
| United Healthcare | Commercial | $2,123.35 | ↑ +3% |
| Wellspan Population Health | PPO | $2,240.55 | ↑ +8% |
| Geisinger | Commercial | $2,257.10 | ↑ +9% |
| UPMC Health Plan | Commercial | $2,412.90 | ↑ +17% |
| Prime Net | FH-Medical Rental | $2,605.93 | ↑ +26% |
| Multiplan | PPO (Includes PHCS and Humana as Payers) | $2,929.95 | ↑ +42% |
| Tricare | East Region | not published by hospital | — |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
Visitor-reported prices
Comments
Trabectedin 1 mg intravenous solution at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $1,065.60 | $199.62 – $1,065.60 |
| UPMC Community Osteopathic | Harrisburg | $2,068.20 | $332.37 – $2,929.95 |
| UPMC Hamot | Erie | $977.60 | $199.62 – $422.36 |
| UPMC Northwest | Seneca | $879.00 | $246.92 – $422.36 |
| UPMC Hanover | Hanover | $2,068.20 | $387.16 – $625.71 |
| UPMC Horizon-Greenville | Greenville | $875.20 | $246.92 – $508.74 |
| UPMC Jameson | New Castle | $875.20 | $203.14 – $488.84 |
| UPMC Lititz | Lititz | $2,068.20 | $387.16 – $625.71 |