11-desoxycortisol - sendout at UPMC Carlisle
361 Alexander Spring Road, Carlisle, PA · UPMC · · NPI 1689107328
$148.20
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.
$247.00
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.
$14.66 with Prime Net vs $126.22 with UPMC Health Plan — 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 | $14.66 | ↓ -90% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $17.50 | ↓ -88% |
| Keystone Health Plan | Medicare Advantage | $21.40 | ↓ -86% |
| Capital Blue Cross | Medicare Advantage | $21.40 | ↓ -86% |
| Highmark Wholecare (prev Gateway) | Medicaid | $22.23 | ↓ -85% |
| UPMC Health Plan | Managed Medicaid | $22.75 | ↓ -85% |
| United Healthcare Community Plan for Families | PA Medicaid | $22.93 | ↓ -85% |
| Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $23.84 | ↓ -84% |
| Geisinger | Medicaid/CHIP | $25.49 | ↓ -83% |
| Highmark BCBS of PA | Community Blue Medicare Advantage/Complete Blue Medicare Advantage/Security Blue Medicare Advantage/Together Blue Medicare Advantage | $28.99 | ↓ -80% |
| Highmark BCBS of PA | Freedom Blue Medicare Advantage | $28.99 | ↓ -80% |
| Humana | Medicare | $29.28 | ↓ -80% |
| PA Health & Wellness | PA Medicaid HMO | $29.82 | ↓ -80% |
| UPMC Work Partners | Workers Comp | $30.29 | ↓ -80% |
| Aetna | Medicare | $30.54 | ↓ -79% |
| Cigna | Medicare | $30.74 | ↓ -79% |
| Geisinger | Medicare | $30.74 | ↓ -79% |
| United Healthcare | Medicare | $31.33 | ↓ -79% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $31.62 | ↓ -79% |
| Prime Net | Legacy Commercial | $41.73 | ↓ -72% |
| Aetna | ACO | $42.05 | ↓ -72% |
| Prime Net | ACO | $42.05 | ↓ -72% |
| United Healthcare | Commercial | $45.90 | ↓ -69% |
| Keystone Autism Services | ACAP | $46.85 | ↓ -68% |
| Prime Net | NonGateKeeper | $49.76 | ↓ -66% |
| Aetna | Commercial | $50.08 | ↓ -66% |
| Prime Net | GateKeeper | $50.08 | ↓ -66% |
| Capital Blue Cross | Commercial | $58.53 | ↓ -61% |
| Capital Blue Cross | CHIP | $58.53 | ↓ -61% |
| Keystone Health Plan | Commercial | $58.53 | ↓ -61% |
| Wellspan Population Health | PPO | $69.55 | ↓ -53% |
| Geisinger | Commercial | $70.06 | ↓ -53% |
| UPMC Health Plan | Commercial | $74.90 | ↓ -49% |
| Cigna | Commercial | $76.12 | ↓ -49% |
| Prime Net | FH-Medical Rental | $80.89 | ↓ -45% |
| Highmark BCBS of PA | Community Blue PPO | $82.35 | ↓ -44% |
| Highmark BCBS of PA | CHIP - Managed Care | $85.84 | ↓ -42% |
| Multiplan | PPO (Includes PHCS and Humana as Payers) | $90.95 | ↓ -39% |
| Highmark BCBS of PA | Commercial | $91.50 | ↓ -38% |
| UPMC Health Plan | CHIP | $126.22 | ↓ -15% |
Visitor-reported prices
Comments
11-desoxycortisol - sendout at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $493.80 | $17.50 – $658.40 |
| UPMC Bedford | Everett | $257.40 | $10.56 – $386.10 |
| UPMC Community Osteopathic | Harrisburg | $148.20 | $17.50 – $126.22 |
| UPMC Hamot | Erie | $269.40 | $17.50 – $46.79 |
| UPMC Hanover | Hanover | $148.20 | $17.50 – $46.85 |
| UPMC Horizon-Greenville | Greenville | $192.60 | $17.50 – $54.94 |
| UPMC Jameson | New Castle | $83.40 | $19.25 – $47.61 |
| UPMC Lititz | Lititz | $148.20 | $17.50 – $46.85 |