Antibody lymphocytic choriomeningitis at UPMC Carlisle
361 Alexander Spring Road, Carlisle, PA · UPMC · · NPI 1689107328
$46.20
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.
$77.00
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.
$6.58 with Prime Net vs $64.12 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 | $6.58 | ↓ -86% |
| Capital Blue Cross | Medicare Advantage | $9.60 | ↓ -79% |
| Keystone Health Plan | Medicare Advantage | $9.60 | ↓ -79% |
| Highmark BCBS of PA | Freedom Blue Medicare Advantage | $12.74 | ↓ -72% |
| Highmark BCBS of PA | Community Blue Medicare Advantage/Complete Blue Medicare Advantage/Security Blue Medicare Advantage/Together Blue Medicare Advantage | $12.74 | ↓ -72% |
| Humana | Medicare | $12.87 | ↓ -72% |
| UPMC Work Partners | Workers Comp | $13.31 | ↓ -71% |
| Aetna | Medicare | $13.42 | ↓ -71% |
| Geisinger | Medicare | $13.51 | ↓ -71% |
| Cigna | Medicare | $13.51 | ↓ -71% |
| United Healthcare | Medicare | $13.77 | ↓ -70% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $13.90 | ↓ -70% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $17.79 | ↓ -61% |
| Prime Net | Legacy Commercial | $18.72 | ↓ -59% |
| Prime Net | ACO | $18.86 | ↓ -59% |
| Aetna | ACO | $18.86 | ↓ -59% |
| United Healthcare | Commercial | $19.54 | ↓ -58% |
| Keystone Autism Services | ACAP | $20.59 | ↓ -55% |
| Prime Net | NonGateKeeper | $22.32 | ↓ -52% |
| Aetna | Commercial | $22.46 | ↓ -51% |
| Prime Net | GateKeeper | $22.46 | ↓ -51% |
| Highmark Wholecare (prev Gateway) | Medicaid | $22.59 | ↓ -51% |
| UPMC Health Plan | Managed Medicaid | $23.13 | ↓ -50% |
| United Healthcare Community Plan for Families | PA Medicaid | $23.30 | ↓ -50% |
| Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $24.23 | ↓ -48% |
| Geisinger | Medicaid/CHIP | $25.91 | ↓ -44% |
| Capital Blue Cross | CHIP | $26.26 | ↓ -43% |
| Keystone Health Plan | Commercial | $26.26 | ↓ -43% |
| Capital Blue Cross | Commercial | $26.26 | ↓ -43% |
| PA Health & Wellness | PA Medicaid HMO | $30.32 | ↓ -34% |
| Wellspan Population Health | PPO | $31.20 | ↓ -32% |
| Geisinger | Commercial | $31.43 | ↓ -32% |
| Cigna | Commercial | $33.48 | ↓ -28% |
| UPMC Health Plan | Commercial | $33.60 | ↓ -27% |
| Highmark BCBS of PA | Community Blue PPO | $36.20 | ↓ -22% |
| Prime Net | FH-Medical Rental | $36.29 | ↓ -21% |
| Highmark BCBS of PA | CHIP - Managed Care | $37.73 | ↓ -18% |
| Highmark BCBS of PA | Commercial | $40.22 | ↓ -13% |
| Multiplan | PPO (Includes PHCS and Humana as Payers) | $40.80 | ↓ -12% |
| UPMC Health Plan | CHIP | $64.12 | ↑ +39% |
Visitor-reported prices
Comments
Antibody lymphocytic choriomeningitis at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $130.20 | $12.72 – $173.60 |
| UPMC Bedford | Everett | $156.00 | $4.64 – $234.00 |
| UPMC Community Osteopathic | Harrisburg | $46.20 | $9.60 – $64.12 |
| UPMC East | Monroeville | $192.00 | $12.72 – $256.00 |
| UPMC Hamot | Erie | $163.20 | $12.72 – $24.89 |
| UPMC Northwest | Seneca | $146.40 | $11.67 – $20.46 |
| UPMC Hanover | Hanover | $46.20 | $12.74 – $24.23 |
| UPMC Horizon-Greenville | Greenville | $156.60 | $11.52 – $24.73 |