Trastuzumab-qyyp 150 mg intravenous solution at UPMC Carlisle
361 Alexander Spring Road, Carlisle, PA · UPMC · · NPI 1689107328
$2,034.60
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.
$3,391.00
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.
$23.08 with Cigna vs $1,029.35 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 |
|---|---|---|---|
| Cigna | Commercial | $23.08 | ↓ -99% |
| Highmark BCBS of PA | Freedom Blue Medicare Advantage | $27.71 | ↓ -99% |
| Highmark BCBS of PA | Community Blue Medicare Advantage/Complete Blue Medicare Advantage/Security Blue Medicare Advantage/Together Blue Medicare Advantage | $27.71 | ↓ -99% |
| Humana | Medicare | $27.99 | ↓ -99% |
| PA Health & Wellness | PA Medicaid HMO | $27.99 | ↓ -99% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $27.99 | ↓ -99% |
| Geisinger | Medicaid/CHIP | $27.99 | ↓ -99% |
| Highmark Wholecare (prev Gateway) | Medicaid | $28.55 | ↓ -99% |
| Aetna | Medicare | $29.19 | ↓ -99% |
| Cigna | Medicare | $29.39 | ↓ -99% |
| Geisinger | Medicare | $29.39 | ↓ -99% |
| United Healthcare | Medicare | $29.95 | ↓ -99% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $30.23 | ↓ -99% |
| UPMC Health Plan | Managed Medicaid | $30.79 | ↓ -98% |
| UPMC Health Plan | CHIP | $34.43 | ↓ -98% |
| Keystone Autism Services | ACAP | $44.78 | ↓ -98% |
| Highmark BCBS of PA | Community Blue PPO | $78.72 | ↓ -96% |
| Highmark BCBS of PA | CHIP - Managed Care | $82.06 | ↓ -96% |
| Highmark BCBS of PA | Commercial | $87.47 | ↓ -96% |
| United Healthcare | Commercial | $114.96 | ↓ -94% |
| Prime Net | Managed Medicare | $165.91 | ↓ -92% |
| Keystone Health Plan | Medicare Advantage | $242.20 | ↓ -88% |
| Capital Blue Cross | Medicare Advantage | $242.20 | ↓ -88% |
| Capital Blue Cross | Commercial | $388.73 | ↓ -81% |
| Keystone Health Plan | Commercial | $388.73 | ↓ -81% |
| Capital Blue Cross | CHIP | $388.73 | ↓ -81% |
| Prime Net | Legacy Commercial | $472.29 | ↓ -77% |
| Aetna | ACO | $475.92 | ↓ -77% |
| Prime Net | ACO | $475.92 | ↓ -77% |
| UPMC Work Partners | Workers Comp | $493.12 | ↓ -76% |
| Prime Net | NonGateKeeper | $563.12 | ↓ -72% |
| Aetna | Commercial | $566.75 | ↓ -72% |
| Prime Net | GateKeeper | $566.75 | ↓ -72% |
| Wellspan Population Health | PPO | $787.15 | ↓ -61% |
| Geisinger | Commercial | $792.96 | ↓ -61% |
| UPMC Health Plan | Commercial | $847.70 | ↓ -58% |
| Prime Net | FH-Medical Rental | $915.52 | ↓ -55% |
| Multiplan | PPO (Includes PHCS and Humana as Payers) | $1,029.35 | ↓ -49% |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
| Tricare | East Region | not published by hospital | — |
Visitor-reported prices
Comments
Trastuzumab-qyyp 150 mg intravenous solution at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Cole | Coudersport | $482.40 | $18.99 – $643.20 |
| UPMC Community Osteopathic | Harrisburg | $2,034.60 | $23.12 – $1,029.35 |
| UPMC Hanover | Hanover | $2,034.60 | $23.08 – $44.78 |
| UPMC Lititz | Lititz | $2,034.60 | $23.08 – $44.78 |
| UPMC Magee | Pittsburgh | $5,846.40 | $17.67 – $69.37 |
| UPMC Memorial | York | $2,034.60 | $23.08 – $56.01 |
| UPMC Muncy | Muncy | $5,910.00 | $27.99 – $30.79 |
| UPMC Passavant-McCandless | Pittsburgh | $6,197.40 | $17.67 – $69.37 |