Varicella-zoster immue globin im at UPMC Carlisle
361 Alexander Spring Road, Carlisle, PA · UPMC · · NPI 1689107328
$1,309.20
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.
$2,182.00
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.
$10.50 with United Healthcare Community Plan for Families vs $7,380.92 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 |
|---|---|---|---|
| United Healthcare Community Plan for Families | PA Medicaid | $10.50 | ↓ -99% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $12.70 | ↓ -99% |
| Highmark Wholecare (prev Gateway) | Medicaid | $12.70 | ↓ -99% |
| UPMC Health Plan | Managed Medicaid | $13.00 | ↓ -99% |
| Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $13.62 | ↓ -99% |
| Geisinger | Medicaid/CHIP | $14.57 | ↓ -99% |
| PA Health & Wellness | PA Medicaid HMO | $17.04 | ↓ -99% |
| Prime Net | Managed Medicare | $249.07 | ↓ -81% |
| Capital Blue Cross | Medicare Advantage | $363.60 | ↓ -72% |
| Keystone Health Plan | Medicare Advantage | $363.60 | ↓ -72% |
| Capital Blue Cross | Commercial | $583.58 | ↓ -55% |
| Capital Blue Cross | CHIP | $583.58 | ↓ -55% |
| Keystone Health Plan | Commercial | $583.58 | ↓ -55% |
| Prime Net | Legacy Commercial | $709.02 | ↓ -46% |
| Prime Net | ACO | $714.47 | ↓ -45% |
| Aetna | ACO | $714.47 | ↓ -45% |
| UPMC Health Plan | CHIP | $728.11 | ↓ -44% |
| UPMC Work Partners | Workers Comp | $740.29 | ↓ -43% |
| Prime Net | NonGateKeeper | $845.37 | ↓ -35% |
| Prime Net | GateKeeper | $850.82 | ↓ -35% |
| Aetna | Commercial | $850.82 | ↓ -35% |
| United Healthcare | Commercial | $1,119.89 | ↓ -14% |
| Wellspan Population Health | PPO | $1,181.70 | ↓ -10% |
| Geisinger | Commercial | $1,190.43 | ↓ -9% |
| UPMC Health Plan | Commercial | $1,272.60 | ↓ -3% |
| Prime Net | FH-Medical Rental | $1,374.41 | ↑ +5% |
| Multiplan | PPO (Includes PHCS and Humana as Payers) | $1,545.30 | ↑ +18% |
| Highmark BCBS of PA | Freedom Blue Medicare Advantage | $2,338.20 | ↑ +79% |
| Highmark BCBS of PA | Community Blue Medicare Advantage/Complete Blue Medicare Advantage/Security Blue Medicare Advantage/Together Blue Medicare Advantage | $2,338.20 | ↑ +79% |
| Humana | Medicare | $2,361.82 | ↑ +80% |
| Aetna | Medicare | $2,463.38 | ↑ +88% |
| Cigna | Medicare | $2,479.91 | ↑ +89% |
| Geisinger | Medicare | $2,479.91 | ↑ +89% |
| United Healthcare | Medicare | $2,527.15 | ↑ +93% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $2,550.77 | ↑ +95% |
| Cigna | Commercial | $3,446.72 | ↑ +163% |
| Keystone Autism Services | ACAP | $3,778.91 | ↑ +189% |
| Highmark BCBS of PA | Community Blue PPO | $6,642.85 | ↑ +407% |
| Highmark BCBS of PA | CHIP - Managed Care | $6,923.91 | ↑ +429% |
| Highmark BCBS of PA | Commercial | $7,380.92 | ↑ +464% |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
| Tricare | East Region | not published by hospital | — |
Visitor-reported prices
Comments
Varicella-zoster immue globin im at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Community Osteopathic | Harrisburg | $1,309.20 | $10.50 – $2,527.15 |
| UPMC Hanover | Hanover | $1,309.20 | $10.50 – $3,778.91 |
| UPMC Lititz | Lititz | $1,309.20 | $10.50 – $3,778.91 |
| UPMC Magee | Pittsburgh | $3,055.80 | $11.00 – $2,550.77 |
| UPMC Memorial | York | $1,309.20 | $10.50 – $3,778.91 |
| UPMC Presbyterian | Pittsburgh | $2,109.00 | $11.00 – $2,598.00 |
| UPMC Somerset | Somerset | $1,309.20 | $11.00 – $2,361.82 |