Antithrombin iii activity at UPMC Carlisle
361 Alexander Spring Road, Carlisle, PA · UPMC · · NPI 1689107328
$60.00
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.
?
What you pay up front if you don't use insurance.
$100.00
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.
?
The hospital's undiscounted list price — almost no one pays this.
$9.40 with AmeriHealth Caritas vs $85.00 with Multiplan — same scan, same building. Share
Negotiated rates by payer
?
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 →
?
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 | $9.40 | ↓ -84% |
| Highmark BCBS of PA | Freedom Blue Medicare Advantage | $11.73 | ↓ -80% |
| Highmark BCBS of PA | Community Blue Medicare Advantage/Complete Blue Medicare Advantage/Security Blue Medicare Advantage/Together Blue Medicare Advantage | $11.73 | ↓ -80% |
| Humana | Medicare | $11.85 | ↓ -80% |
| Highmark Wholecare (prev Gateway) | Medicaid | $11.94 | ↓ -80% |
| UPMC Health Plan | Managed Medicaid | $12.22 | ↓ -80% |
| UPMC Work Partners | Workers Comp | $12.26 | ↓ -80% |
| United Healthcare Community Plan for Families | PA Medicaid | $12.31 | ↓ -79% |
| Aetna | Medicare | $12.36 | ↓ -79% |
| Geisinger | Medicare | $12.44 | ↓ -79% |
| Cigna | Medicare | $12.44 | ↓ -79% |
| United Healthcare | Medicare | $12.68 | ↓ -79% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $12.80 | ↓ -79% |
| Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $12.80 | ↓ -79% |
| Geisinger | Medicaid/CHIP | $13.69 | ↓ -77% |
| Prime Net | Managed Medicare | $13.70 | ↓ -77% |
| PA Health & Wellness | PA Medicaid HMO | $16.02 | ↓ -73% |
| Keystone Autism Services | ACAP | $18.96 | ↓ -68% |
| Capital Blue Cross | Medicare Advantage | $20.00 | ↓ -67% |
| Keystone Health Plan | Medicare Advantage | $20.00 | ↓ -67% |
| United Healthcare | Commercial | $28.04 | ↓ -53% |
| Cigna | Commercial | $30.80 | ↓ -49% |
| Highmark BCBS of PA | Community Blue PPO | $33.33 | ↓ -44% |
| Highmark BCBS of PA | CHIP - Managed Care | $34.74 | ↓ -42% |
| UPMC Health Plan | CHIP | $36.57 | ↓ -39% |
| Highmark BCBS of PA | Commercial | $37.03 | ↓ -38% |
| Prime Net | Legacy Commercial | $39.00 | ↓ -35% |
| Aetna | ACO | $39.30 | ↓ -35% |
| Prime Net | ACO | $39.30 | ↓ -35% |
| Prime Net | NonGateKeeper | $46.50 | ↓ -23% |
| Aetna | Commercial | $46.80 | ↓ -22% |
| Prime Net | GateKeeper | $46.80 | ↓ -22% |
| Capital Blue Cross | Commercial | $54.70 | ↓ -9% |
| Capital Blue Cross | CHIP | $54.70 | ↓ -9% |
| Keystone Health Plan | Commercial | $54.70 | ↓ -9% |
| Wellspan Population Health | PPO | $65.00 | ↑ +8% |
| Geisinger | Commercial | $65.48 | ↑ +9% |
| UPMC Health Plan | Commercial | $70.00 | ↑ +17% |
| Prime Net | FH-Medical Rental | $75.60 | ↑ +26% |
| Multiplan | PPO (Includes PHCS and Humana as Payers) | $85.00 | ↑ +42% |
Visitor-reported prices
Comments
Antithrombin iii activity at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $275.40 | $9.40 – $367.20 |
| UPMC Bedford | Everett | $60.00 | $4.28 – $90.00 |
| UPMC Cole | Coudersport | $40.80 | $7.70 – $54.40 |
| UPMC Community Osteopathic | Harrisburg | $60.00 | $9.40 – $85.00 |
| UPMC East | Monroeville | $121.20 | $9.40 – $161.60 |
| UPMC Hamot | Erie | $292.80 | $9.40 – $15.63 |
| UPMC Northwest | Seneca | $89.40 | $10.15 – $12.80 |
| UPMC Hanover | Hanover | $60.00 | $9.40 – $18.96 |