Alpha-fetoprotein afp-l3 frac & total at UPMC Carlisle
361 Alexander Spring Road, Carlisle, PA · UPMC · · NPI 1689107328
$326.40
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.
$544.00
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.
$24.85 with United Healthcare vs $792.68 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 |
|---|---|---|---|
| United Healthcare | Commercial | $24.85 | ↓ -92% |
| Highmark BCBS of PA | Community Blue Medicare Advantage/Complete Blue Medicare Advantage/Security Blue Medicare Advantage/Together Blue Medicare Advantage | $63.77 | ↓ -80% |
| Highmark BCBS of PA | Freedom Blue Medicare Advantage | $63.77 | ↓ -80% |
| Humana | Medicare | $64.41 | ↓ -80% |
| UPMC Work Partners | Workers Comp | $66.62 | ↓ -80% |
| Aetna | Medicare | $67.18 | ↓ -79% |
| Cigna | Medicare | $67.63 | ↓ -79% |
| Geisinger | Medicare | $67.63 | ↓ -79% |
| United Healthcare | Medicare | $68.92 | ↓ -79% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $69.56 | ↓ -79% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $70.82 | ↓ -78% |
| Prime Net | Managed Medicare | $74.53 | ↓ -77% |
| Highmark Wholecare (prev Gateway) | Medicaid | $89.94 | ↓ -72% |
| UPMC Health Plan | Managed Medicaid | $92.07 | ↓ -72% |
| United Healthcare Community Plan for Families | PA Medicaid | $92.77 | ↓ -72% |
| Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $96.46 | ↓ -70% |
| Keystone Autism Services | ACAP | $103.06 | ↓ -68% |
| Geisinger | Medicaid/CHIP | $103.16 | ↓ -68% |
| Keystone Health Plan | Medicare Advantage | $108.80 | ↓ -67% |
| Capital Blue Cross | Medicare Advantage | $108.80 | ↓ -67% |
| PA Health & Wellness | PA Medicaid HMO | $120.69 | ↓ -63% |
| Cigna | Commercial | $167.48 | ↓ -49% |
| Highmark BCBS of PA | Community Blue PPO | $181.16 | ↓ -44% |
| Highmark BCBS of PA | CHIP - Managed Care | $188.82 | ↓ -42% |
| Highmark BCBS of PA | Commercial | $201.29 | ↓ -38% |
| Prime Net | Legacy Commercial | $212.16 | ↓ -35% |
| Aetna | ACO | $213.79 | ↓ -35% |
| Prime Net | ACO | $213.79 | ↓ -35% |
| Prime Net | NonGateKeeper | $252.96 | ↓ -23% |
| Aetna | Commercial | $254.59 | ↓ -22% |
| Prime Net | GateKeeper | $254.59 | ↓ -22% |
| Capital Blue Cross | Commercial | $297.57 | ↓ -9% |
| Keystone Health Plan | Commercial | $297.57 | ↓ -9% |
| Capital Blue Cross | CHIP | $297.57 | ↓ -9% |
| Wellspan Population Health | PPO | $353.60 | ↑ +8% |
| Geisinger | Commercial | $356.21 | ↑ +9% |
| UPMC Health Plan | Commercial | $380.80 | ↑ +17% |
| Prime Net | FH-Medical Rental | $411.26 | ↑ +26% |
| Multiplan | PPO (Includes PHCS and Humana as Payers) | $462.40 | ↑ +42% |
| UPMC Health Plan | CHIP | $792.68 | ↑ +143% |
Visitor-reported prices
Comments
Alpha-fetoprotein afp-l3 frac & total at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $1,284.00 | $63.66 – $1,712.00 |
| UPMC Bedford | Everett | $1,509.60 | $23.24 – $2,264.40 |
| UPMC Community Osteopathic | Harrisburg | $326.40 | $63.77 – $792.68 |
| UPMC East | Monroeville | $1,293.00 | $63.66 – $1,724.00 |
| UPMC Hamot | Erie | $903.60 | $63.66 – $167.27 |
| UPMC Northwest | Seneca | $570.00 | $58.41 – $81.44 |
| UPMC Hanover | Hanover | $326.40 | $24.85 – $103.06 |
| UPMC Horizon-Greenville | Greenville | $1,424.40 | $57.67 – $120.87 |