Vutrisiran 25 mg/0.5 ml subcutaneous syringe at UPMC Carlisle
361 Alexander Spring Road, Carlisle, PA · UPMC · · NPI 1689107328
$143,221.20
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.
$238,702.00
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.
$4,953.60 with Highmark BCBS of PA vs $202,896.70 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 | $4,953.60 | ↓ -97% |
| Highmark BCBS of PA | Freedom Blue Medicare Advantage | $4,953.60 | ↓ -97% |
| Humana | Medicare | $5,003.64 | ↓ -97% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $5,003.64 | ↓ -97% |
| PA Health & Wellness | PA Medicaid HMO | $5,003.64 | ↓ -97% |
| Geisinger | Medicaid/CHIP | $5,003.64 | ↓ -97% |
| Highmark Wholecare (prev Gateway) | Medicaid | $5,103.71 | ↓ -96% |
| Aetna | Medicare | $5,218.80 | ↓ -96% |
| Cigna | Medicare | $5,253.82 | ↓ -96% |
| Geisinger | Medicare | $5,253.82 | ↓ -96% |
| United Healthcare | Medicare | $5,353.89 | ↓ -96% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $5,403.93 | ↓ -96% |
| UPMC Health Plan | Managed Medicaid | $5,504.00 | ↓ -96% |
| UPMC Health Plan | CHIP | $6,154.48 | ↓ -96% |
| Cigna | Commercial | $6,975.81 | ↓ -95% |
| Keystone Autism Services | ACAP | $8,005.82 | ↓ -94% |
| Highmark BCBS of PA | Community Blue PPO | $14,073.24 | ↓ -90% |
| Highmark BCBS of PA | CHIP - Managed Care | $14,668.67 | ↓ -90% |
| Highmark BCBS of PA | Commercial | $15,636.88 | ↓ -89% |
| Prime Net | Managed Medicare | $32,702.17 | ↓ -77% |
| United Healthcare | Commercial | $34,742.98 | ↓ -76% |
| Keystone Health Plan | Medicare Advantage | $47,740.40 | ↓ -67% |
| Capital Blue Cross | Medicare Advantage | $47,740.40 | ↓ -67% |
| Capital Blue Cross | Commercial | $76,623.34 | ↓ -47% |
| Keystone Health Plan | Commercial | $76,623.34 | ↓ -47% |
| Capital Blue Cross | CHIP | $76,623.34 | ↓ -47% |
| Prime Net | Legacy Commercial | $93,093.78 | ↓ -35% |
| Aetna | ACO | $93,809.89 | ↓ -34% |
| Prime Net | ACO | $93,809.89 | ↓ -34% |
| UPMC Work Partners | Workers Comp | $97,199.45 | ↓ -32% |
| Prime Net | NonGateKeeper | $110,996.43 | ↓ -23% |
| Aetna | Commercial | $111,712.54 | ↓ -22% |
| Prime Net | GateKeeper | $111,712.54 | ↓ -22% |
| Wellspan Population Health | PPO | $155,156.30 | ↑ +8% |
| Geisinger | Commercial | $156,302.07 | ↑ +9% |
| UPMC Health Plan | Commercial | $167,091.40 | ↑ +17% |
| Prime Net | FH-Medical Rental | $180,458.71 | ↑ +26% |
| Multiplan | PPO (Includes PHCS and Humana as Payers) | $202,896.70 | ↑ +42% |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
| Tricare | East Region | not published by hospital | — |
Visitor-reported prices
Comments
Vutrisiran 25 mg/0.5 ml subcutaneous syringe at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Bedford | Everett | $9,373.80 | $1,805.31 – $14,060.70 |
| UPMC Community Osteopathic | Harrisburg | $143,221.20 | $3,506.67 – $202,896.70 |
| UPMC Northwest | Seneca | $9,373.80 | $3,159.30 – $5,403.93 |
| UPMC Hanover | Hanover | $143,221.20 | $4,953.60 – $8,005.82 |
| UPMC Lititz | Lititz | $143,221.20 | $4,953.60 – $8,005.82 |
| UPMC Magee | Pittsburgh | $13,248.60 | $2,126.09 – $5,403.93 |
| UPMC McKeesport | Mckeesport | $9,373.80 | $2,126.09 – $5,504.00 |
| UPMC Memorial | York | $143,221.20 | $1,716.51 – $8,005.82 |