Triptorelin pamoate at UPMC Carlisle
361 Alexander Spring Road, Carlisle, PA · UPMC · · NPI 1689107328
$3,103.20
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.
$5,172.00
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.
$118.09 with Prime Net vs $1,483.92 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 | $118.09 | ↓ -96% |
| Keystone Health Plan | Medicare Advantage | $172.40 | ↓ -94% |
| Capital Blue Cross | Medicare Advantage | $172.40 | ↓ -94% |
| Capital Blue Cross | CHIP | $276.70 | ↓ -91% |
| Capital Blue Cross | Commercial | $276.70 | ↓ -91% |
| Keystone Health Plan | Commercial | $276.70 | ↓ -91% |
| Prime Net | Legacy Commercial | $336.18 | ↓ -89% |
| Aetna | ACO | $338.77 | ↓ -89% |
| Prime Net | ACO | $338.77 | ↓ -89% |
| UPMC Work Partners | Workers Comp | $351.01 | ↓ -89% |
| Prime Net | NonGateKeeper | $400.83 | ↓ -87% |
| Aetna | Commercial | $403.42 | ↓ -87% |
| Prime Net | GateKeeper | $403.42 | ↓ -87% |
| Highmark BCBS of PA | Freedom Blue Medicare Advantage | $470.09 | ↓ -85% |
| Highmark BCBS of PA | Community Blue Medicare Advantage/Complete Blue Medicare Advantage/Security Blue Medicare Advantage/Together Blue Medicare Advantage | $470.09 | ↓ -85% |
| Geisinger | Medicaid/CHIP | $474.84 | ↓ -85% |
| Humana | Medicare | $474.84 | ↓ -85% |
| PA Health & Wellness | PA Medicaid HMO | $474.84 | ↓ -85% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $474.84 | ↓ -85% |
| Highmark Wholecare (prev Gateway) | Medicaid | $484.33 | ↓ -84% |
| Aetna | Medicare | $495.26 | ↓ -84% |
| Geisinger | Medicare | $498.58 | ↓ -84% |
| Cigna | Medicare | $498.58 | ↓ -84% |
| United Healthcare | Medicare | $508.08 | ↓ -84% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $512.83 | ↓ -83% |
| UPMC Health Plan | Managed Medicaid | $522.32 | ↓ -83% |
| United Healthcare | Commercial | $530.99 | ↓ -83% |
| Wellspan Population Health | PPO | $560.30 | ↓ -82% |
| Geisinger | Commercial | $564.44 | ↓ -82% |
| Cigna | Commercial | $583.16 | ↓ -81% |
| UPMC Health Plan | CHIP | $584.05 | ↓ -81% |
| UPMC Health Plan | Commercial | $603.40 | ↓ -81% |
| Prime Net | FH-Medical Rental | $651.67 | ↓ -79% |
| Multiplan | PPO (Includes PHCS and Humana as Payers) | $732.70 | ↓ -76% |
| Keystone Autism Services | ACAP | $759.74 | ↓ -76% |
| Highmark BCBS of PA | Community Blue PPO | $1,335.53 | ↓ -57% |
| Highmark BCBS of PA | CHIP - Managed Care | $1,392.04 | ↓ -55% |
| Highmark BCBS of PA | Commercial | $1,483.92 | ↓ -52% |
| Tricare | East Region | not published by hospital | — |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
Visitor-reported prices
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Triptorelin pamoate at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Community Osteopathic | Harrisburg | $3,103.20 | $172.40 – $732.70 |
| UPMC Northwest | Seneca | $2,681.40 | $299.81 – $512.83 |
| UPMC Hanover | Hanover | $3,103.20 | $470.09 – $759.74 |
| UPMC Lititz | Lititz | $3,103.20 | $470.09 – $759.74 |
| UPMC Magee | Pittsburgh | $5,526.60 | $299.81 – $779.20 |
| UPMC Memorial | York | $3,103.20 | $474.84 – $759.74 |
| UPMC Somerset | Somerset | $3,103.20 | $470.09 – $474.84 |
| Uniontown Hospital | Uniontown | $1,737.00 | $466.36 – $1,086.62 |