Ziprasidone 20 mg/ml (final concentration) intramuscular solution at UPMC Carlisle
361 Alexander Spring Road, Carlisle, PA · UPMC · · NPI 1689107328
$38.40
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.
$64.00
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.
$6.44 with Prime Net vs $39.95 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 |
|---|---|---|---|
| Prime Net | Managed Medicare | $6.44 | ↓ -83% |
| Geisinger | Medicaid/CHIP | $6.83 | ↓ -82% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $6.83 | ↓ -82% |
| PA Health & Wellness | PA Medicaid HMO | $6.83 | ↓ -82% |
| Highmark Wholecare (prev Gateway) | Medicaid | $6.96 | ↓ -82% |
| UPMC Health Plan | Managed Medicaid | $7.51 | ↓ -80% |
| Aetna | Medicare | $7.75 | ↓ -80% |
| UPMC Health Plan | CHIP | $8.40 | ↓ -78% |
| Keystone Health Plan | Medicare Advantage | $9.40 | ↓ -76% |
| Capital Blue Cross | Medicare Advantage | $9.40 | ↓ -76% |
| Cigna | Commercial | $13.76 | ↓ -64% |
| Capital Blue Cross | Commercial | $15.09 | ↓ -61% |
| Capital Blue Cross | CHIP | $15.09 | ↓ -61% |
| Keystone Health Plan | Commercial | $15.09 | ↓ -61% |
| Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $17.94 | ↓ -53% |
| Prime Net | Legacy Commercial | $18.33 | ↓ -52% |
| Prime Net | ACO | $18.47 | ↓ -52% |
| Aetna | ACO | $18.47 | ↓ -52% |
| UPMC Work Partners | Workers Comp | $19.14 | ↓ -50% |
| Prime Net | NonGateKeeper | $21.86 | ↓ -43% |
| Prime Net | GateKeeper | $22.00 | ↓ -43% |
| Aetna | Commercial | $22.00 | ↓ -43% |
| United Healthcare | Commercial | $28.95 | ↓ -25% |
| Wellspan Population Health | PPO | $30.55 | ↓ -20% |
| Geisinger | Commercial | $30.78 | ↓ -20% |
| UPMC Health Plan | Commercial | $32.90 | ↓ -14% |
| Prime Net | FH-Medical Rental | $35.53 | ↓ -7% |
| Multiplan | PPO (Includes PHCS and Humana as Payers) | $39.95 | ↑ +4% |
Visitor-reported prices
Comments
Ziprasidone 20 mg/ml (final concentration) intramuscular solution at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $61.80 | $4.31 – $40.80 |
| UPMC Cole | Coudersport | $176.40 | $6.83 – $235.20 |
| UPMC Community Osteopathic | Harrisburg | $38.40 | $6.83 – $64.35 |
| UPMC East | Monroeville | $345.60 | $4.31 – $230.40 |
| UPMC Northwest | Seneca | $146.40 | $4.31 – $100.30 |
| UPMC Hanover | Hanover | $38.40 | $6.83 – $17.94 |
| UPMC Horizon-Greenville | Greenville | $231.00 | $4.31 – $98.49 |
| UPMC Jameson | New Castle | $102.00 | $4.31 – $39.33 |