Yttrium y-90 ibritumomab ther at UPMC Carlisle
361 Alexander Spring Road, Carlisle, PA · UPMC · · NPI 1689107328
$123,585.60
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.
$205,976.00
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.
$28,218.71 with Prime Net vs $177,582.40 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 | $28,218.71 | ↓ -77% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $31,253.50 | ↓ -75% |
| Capital Blue Cross | Medicare Advantage | $41,195.20 | ↓ -67% |
| Keystone Health Plan | Medicare Advantage | $41,195.20 | ↓ -67% |
| Highmark BCBS of PA | Community Blue Medicare Advantage/Complete Blue Medicare Advantage/Security Blue Medicare Advantage/Together Blue Medicare Advantage | $56,256.30 | ↓ -54% |
| Highmark BCBS of PA | Freedom Blue Medicare Advantage | $56,256.30 | ↓ -54% |
| Humana | Medicare | $56,824.55 | ↓ -54% |
| Aetna | Medicare | $59,268.01 | ↓ -52% |
| Cigna | Medicare | $59,665.78 | ↓ -52% |
| Geisinger | Medicare | $59,665.78 | ↓ -52% |
| United Healthcare | Medicare | $60,802.27 | ↓ -51% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $61,370.51 | ↓ -50% |
| Prime Net | Legacy Commercial | $80,330.64 | ↓ -35% |
| Aetna | ACO | $80,948.57 | ↓ -34% |
| Prime Net | ACO | $80,948.57 | ↓ -34% |
| Cigna | Commercial | $88,838.14 | ↓ -28% |
| Keystone Autism Services | ACAP | $90,919.28 | ↓ -26% |
| Prime Net | NonGateKeeper | $95,778.84 | ↓ -23% |
| Prime Net | GateKeeper | $96,396.77 | ↓ -22% |
| Aetna | Commercial | $96,396.77 | ↓ -22% |
| Keystone Health Plan | Commercial | $112,668.87 | ↓ -9% |
| Capital Blue Cross | CHIP | $112,668.87 | ↓ -9% |
| Capital Blue Cross | Commercial | $112,668.87 | ↓ -9% |
| Geisinger | Medicaid/CHIP | $113,286.80 | ↓ -8% |
| PA Health & Wellness | PA Medicaid HMO | $113,286.80 | ↓ -8% |
| UPMC Health Plan | CHIP | $114,681.39 | ↓ -7% |
| United Healthcare | Commercial | $126,881.22 | ↑ +3% |
| Wellspan Population Health | PPO | $133,884.40 | ↑ +8% |
| Geisinger | Commercial | $134,873.08 | ↑ +9% |
| UPMC Health Plan | Commercial | $144,183.20 | ↑ +17% |
| Prime Net | FH-Medical Rental | $155,717.86 | ↑ +26% |
| Highmark BCBS of PA | Community Blue PPO | $159,824.73 | ↑ +29% |
| Highmark BCBS of PA | CHIP - Managed Care | $166,586.85 | ↑ +35% |
| Multiplan | PPO (Includes PHCS and Humana as Payers) | $175,079.60 | ↑ +42% |
| Highmark BCBS of PA | Commercial | $177,582.40 | ↑ +44% |
| Tricare | East Region | not published by hospital | — |
| UPMC Work Partners | Workers Comp | not published by hospital | — |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
Visitor-reported prices
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Yttrium y-90 ibritumomab ther at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Community Osteopathic | Harrisburg | $123,585.60 | $41,195.20 – $175,079.60 |
| UPMC Hanover | Hanover | $123,585.60 | $56,256.30 – $114,681.39 |
| UPMC Lititz | Lititz | $123,585.60 | $56,256.30 – $114,681.39 |
| UPMC Memorial | York | $123,585.60 | $36,325.02 – $114,681.39 |
| UPMC Muncy | Muncy | $94,667.40 | $23,666.85 – $142,001.10 |
| UPMC Somerset | Somerset | $123,585.60 | $44,117.51 – $61,364.83 |
| UPMC Wellsboro | Wellsboro | $114,488.00 | not published |