Vaccine hepatitis b (hepb) adult 3 dose im at UPMC Carlisle
361 Alexander Spring Road, Carlisle, PA · UPMC · · NPI 1689107328
$40.80
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.
?
What you pay up front if you don't use insurance.
$68.00
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.
?
The hospital's undiscounted list price — almost no one pays this.
$7.12 with Prime Net vs $105.54 with Cigna — same scan, same building. Share
Negotiated rates by payer
?
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 →
?
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 | $7.12 | ↓ -83% |
| Aetna | Medicare | $8.58 | ↓ -79% |
| Capital Blue Cross | Medicare Advantage | $10.40 | ↓ -75% |
| Keystone Health Plan | Medicare Advantage | $10.40 | ↓ -75% |
| United Healthcare Community Plan for Families | PA Medicaid | $10.50 | ↓ -74% |
| Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $13.62 | ↓ -67% |
| Geisinger | Medicaid/CHIP | $14.57 | ↓ -64% |
| Capital Blue Cross | Commercial | $16.69 | ↓ -59% |
| Keystone Health Plan | Commercial | $16.69 | ↓ -59% |
| Capital Blue Cross | CHIP | $16.69 | ↓ -59% |
| Prime Net | Legacy Commercial | $20.28 | ↓ -50% |
| Prime Net | ACO | $20.44 | ↓ -50% |
| Aetna | ACO | $20.44 | ↓ -50% |
| UPMC Work Partners | Workers Comp | $22.50 | ↓ -45% |
| Prime Net | NonGateKeeper | $24.18 | ↓ -41% |
| Aetna | Commercial | $24.34 | ↓ -40% |
| Prime Net | GateKeeper | $24.34 | ↓ -40% |
| United Healthcare | Commercial | $32.03 | ↓ -21% |
| Wellspan Population Health | PPO | $33.80 | ↓ -17% |
| Geisinger | Commercial | $34.05 | ↓ -17% |
| UPMC Health Plan | Commercial | $36.40 | ↓ -11% |
| Prime Net | FH-Medical Rental | $39.31 | ↓ -4% |
| Multiplan | PPO (Includes PHCS and Humana as Payers) | $44.20 | ↑ +8% |
| PA Health & Wellness | PA Medicaid HMO | $70.38 | ↑ +73% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $70.38 | ↑ +73% |
| Highmark Wholecare (prev Gateway) | Medicaid | $71.78 | ↑ +76% |
| UPMC Health Plan | Managed Medicaid | $77.41 | ↑ +90% |
| UPMC Health Plan | CHIP | $86.56 | ↑ +112% |
| Cigna | Commercial | $105.54 | ↑ +159% |
Visitor-reported prices
Comments
Vaccine hepatitis b (hepb) adult 3 dose im at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $86.40 | $10.00 – $211.14 |
| UPMC Bedford | Everett | $86.40 | $10.50 – $288.71 |
| UPMC Cole | Coudersport | $112.20 | $10.50 – $149.60 |
| UPMC Community Osteopathic | Harrisburg | $40.80 | $10.40 – $173.35 |
| UPMC East | Monroeville | $86.40 | $11.00 – $105.10 |
| UPMC Hamot | Erie | $86.40 | $11.00 – $191.61 |
| UPMC Northwest | Seneca | $86.40 | $11.00 – $270.21 |
| UPMC Hanover | Hanover | $40.80 | $10.50 – $494.25 |