Antibody elution rbc reference at UPMC Carlisle
361 Alexander Spring Road, Carlisle, PA · UPMC · · NPI 1689107328
$203.40
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.
$339.00
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.
$8.45 with AmeriHealth Caritas vs $512.30 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 |
|---|---|---|---|
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $8.45 | ↓ -96% |
| Highmark Wholecare (prev Gateway) | Medicaid | $10.73 | ↓ -95% |
| UPMC Health Plan | Managed Medicaid | $10.98 | ↓ -95% |
| United Healthcare Community Plan for Families | PA Medicaid | $11.07 | ↓ -95% |
| Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $11.51 | ↓ -94% |
| United Healthcare | Commercial | $11.72 | ↓ -94% |
| Geisinger | Medicaid/CHIP | $12.31 | ↓ -94% |
| PA Health & Wellness | PA Medicaid HMO | $14.40 | ↓ -93% |
| UPMC Work Partners | Workers Comp | $41.66 | ↓ -80% |
| Prime Net | Managed Medicare | $46.44 | ↓ -77% |
| UPMC Health Plan | CHIP | $53.03 | ↓ -74% |
| Keystone Health Plan | Medicare Advantage | $67.80 | ↓ -67% |
| Capital Blue Cross | Medicare Advantage | $67.80 | ↓ -67% |
| Cigna | Commercial | $85.40 | ↓ -58% |
| Prime Net | Legacy Commercial | $132.21 | ↓ -35% |
| Aetna | ACO | $133.23 | ↓ -34% |
| Prime Net | ACO | $133.23 | ↓ -34% |
| Prime Net | NonGateKeeper | $157.63 | ↓ -23% |
| Aetna | Commercial | $158.65 | ↓ -22% |
| Prime Net | GateKeeper | $158.65 | ↓ -22% |
| Highmark BCBS of PA | Community Blue Medicare Advantage/Complete Blue Medicare Advantage/Security Blue Medicare Advantage/Together Blue Medicare Advantage | $162.29 | ↓ -20% |
| Highmark BCBS of PA | Freedom Blue Medicare Advantage | $162.29 | ↓ -20% |
| Humana | Medicare | $163.93 | ↓ -19% |
| Aetna | Medicare | $170.98 | ↓ -16% |
| Cigna | Medicare | $172.13 | ↓ -15% |
| Geisinger | Medicare | $172.13 | ↓ -15% |
| United Healthcare | Medicare | $175.41 | ↓ -14% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $177.04 | ↓ -13% |
| Keystone Health Plan | Commercial | $185.43 | ↓ -9% |
| Capital Blue Cross | CHIP | $185.43 | ↓ -9% |
| Capital Blue Cross | Commercial | $185.43 | ↓ -9% |
| Wellspan Population Health | PPO | $220.35 | ↑ +8% |
| Geisinger | Commercial | $221.98 | ↑ +9% |
| UPMC Health Plan | Commercial | $237.30 | ↑ +17% |
| Prime Net | FH-Medical Rental | $256.28 | ↑ +26% |
| Keystone Autism Services | ACAP | $262.29 | ↑ +29% |
| Multiplan | PPO (Includes PHCS and Humana as Payers) | $288.15 | ↑ +42% |
| Highmark BCBS of PA | Community Blue PPO | $461.07 | ↑ +127% |
| Highmark BCBS of PA | CHIP - Managed Care | $480.58 | ↑ +136% |
| Highmark BCBS of PA | Commercial | $512.30 | ↑ +152% |
| Tricare | East Region | not published by hospital | — |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
Visitor-reported prices
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Antibody elution rbc reference at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $189.60 | $8.45 – $252.80 |
| UPMC Bedford | Everett | $115.20 | $8.45 – $172.80 |
| UPMC Community Osteopathic | Harrisburg | $203.40 | $8.45 – $288.15 |
| UPMC East | Monroeville | $163.80 | $8.45 – $218.40 |
| UPMC Hamot | Erie | $81.00 | $8.45 – $213.04 |
| UPMC Northwest | Seneca | $54.00 | $9.29 – $171.54 |
| UPMC Hanover | Hanover | $203.40 | $8.45 – $261.92 |
| UPMC Horizon-Greenville | Greenville | $109.20 | $8.45 – $176.44 |