Assay of interleukin-6 (il-6) at UPMC Carlisle
361 Alexander Spring Road, Carlisle, PA · UPMC · · NPI 1689107328
$87.60
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.
$146.00
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.
$9.50 with AmeriHealth Caritas vs $124.10 with Multiplan — 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 | $9.50 | ↓ -89% |
| United Healthcare Community Plan for Families | PA Medicaid | $13.79 | ↓ -84% |
| Highmark BCBS of PA | Community Blue Medicare Advantage/Complete Blue Medicare Advantage/Security Blue Medicare Advantage/Together Blue Medicare Advantage | $17.10 | ↓ -80% |
| Highmark BCBS of PA | Freedom Blue Medicare Advantage | $17.10 | ↓ -80% |
| Humana | Medicare | $17.27 | ↓ -80% |
| UPMC Work Partners | Workers Comp | $17.86 | ↓ -80% |
| Aetna | Medicare | $18.01 | ↓ -79% |
| Geisinger | Medicare | $18.13 | ↓ -79% |
| Cigna | Medicare | $18.13 | ↓ -79% |
| United Healthcare | Medicare | $18.48 | ↓ -79% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $18.65 | ↓ -79% |
| Prime Net | Managed Medicare | $20.00 | ↓ -77% |
| United Healthcare | Commercial | $23.78 | ↓ -73% |
| Keystone Autism Services | ACAP | $27.63 | ↓ -68% |
| Keystone Health Plan | Medicare Advantage | $29.20 | ↓ -67% |
| Capital Blue Cross | Medicare Advantage | $29.20 | ↓ -67% |
| Highmark BCBS of PA | Community Blue PPO | $48.57 | ↓ -45% |
| Highmark BCBS of PA | CHIP - Managed Care | $50.63 | ↓ -42% |
| Highmark BCBS of PA | Commercial | $53.97 | ↓ -38% |
| Prime Net | Legacy Commercial | $56.94 | ↓ -35% |
| Aetna | ACO | $57.38 | ↓ -34% |
| Prime Net | ACO | $57.38 | ↓ -34% |
| Prime Net | NonGateKeeper | $67.89 | ↓ -23% |
| Aetna | Commercial | $68.33 | ↓ -22% |
| Prime Net | GateKeeper | $68.33 | ↓ -22% |
| UPMC Health Plan | CHIP | $73.02 | ↓ -17% |
| Capital Blue Cross | Commercial | $79.86 | ↓ -9% |
| Capital Blue Cross | CHIP | $79.86 | ↓ -9% |
| Keystone Health Plan | Commercial | $79.86 | ↓ -9% |
| Geisinger | Medicaid/CHIP | $80.30 | ↓ -8% |
| PA Health & Wellness | PA Medicaid HMO | $80.30 | ↓ -8% |
| Wellspan Population Health | PPO | $94.90 | ↑ +8% |
| Geisinger | Commercial | $95.60 | ↑ +9% |
| UPMC Health Plan | Commercial | $102.20 | ↑ +17% |
| Prime Net | FH-Medical Rental | $110.38 | ↑ +26% |
| Cigna | Commercial | $113.88 | ↑ +30% |
| Multiplan | PPO (Includes PHCS and Humana as Payers) | $124.10 | ↑ +42% |
Visitor-reported prices
Comments
Assay of interleukin-6 (il-6) at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $136.80 | $7.32 – $182.40 |
| UPMC Bedford | Everett | $100.20 | $6.23 – $150.30 |
| UPMC Community Osteopathic | Harrisburg | $87.60 | $13.79 – $124.10 |
| UPMC East | Monroeville | $194.40 | $7.39 – $259.20 |
| UPMC Hamot | Erie | $271.20 | $7.32 – $18.65 |
| UPMC Northwest | Seneca | $67.20 | $15.66 – $18.65 |
| UPMC Hanover | Hanover | $87.60 | $13.79 – $73.02 |
| UPMC Horizon-Greenville | Greenville | $138.00 | $11.84 – $18.65 |