Assay toxin or antitoxin at UPMC Carlisle
361 Alexander Spring Road, Carlisle, PA · UPMC · · NPI 1689107328
$110.40
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.
?
What you pay up front if you don't use insurance.
$184.00
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.
$6.32 with United Healthcare vs $156.40 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 |
|---|---|---|---|
| United Healthcare | Commercial | $6.32 | ↓ -94% |
| Highmark BCBS of PA | Community Blue Medicare Advantage/Complete Blue Medicare Advantage/Security Blue Medicare Advantage/Together Blue Medicare Advantage | $19.54 | ↓ -82% |
| Highmark BCBS of PA | Freedom Blue Medicare Advantage | $19.54 | ↓ -82% |
| Humana | Medicare | $19.74 | ↓ -82% |
| UPMC Work Partners | Workers Comp | $20.42 | ↓ -82% |
| Aetna | Medicare | $20.59 | ↓ -81% |
| Cigna | Medicare | $20.73 | ↓ -81% |
| Geisinger | Medicare | $20.73 | ↓ -81% |
| United Healthcare | Medicare | $21.12 | ↓ -81% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $21.32 | ↓ -81% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $22.38 | ↓ -80% |
| Prime Net | Managed Medicare | $25.21 | ↓ -77% |
| Highmark Wholecare (prev Gateway) | Medicaid | $28.42 | ↓ -74% |
| UPMC Health Plan | Managed Medicaid | $29.09 | ↓ -74% |
| United Healthcare Community Plan for Families | PA Medicaid | $29.32 | ↓ -73% |
| Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $30.48 | ↓ -72% |
| Keystone Autism Services | ACAP | $31.58 | ↓ -71% |
| Geisinger | Medicaid/CHIP | $32.60 | ↓ -70% |
| Keystone Health Plan | Medicare Advantage | $36.80 | ↓ -67% |
| Capital Blue Cross | Medicare Advantage | $36.80 | ↓ -67% |
| PA Health & Wellness | PA Medicaid HMO | $38.14 | ↓ -65% |
| Cigna | Commercial | $51.32 | ↓ -54% |
| Highmark BCBS of PA | Community Blue PPO | $55.52 | ↓ -50% |
| Highmark BCBS of PA | CHIP - Managed Care | $57.87 | ↓ -48% |
| Highmark BCBS of PA | Commercial | $61.69 | ↓ -44% |
| Prime Net | Legacy Commercial | $71.76 | ↓ -35% |
| Aetna | ACO | $72.31 | ↓ -35% |
| Prime Net | ACO | $72.31 | ↓ -35% |
| UPMC Health Plan | CHIP | $78.62 | ↓ -29% |
| Prime Net | NonGateKeeper | $85.56 | ↓ -23% |
| Aetna | Commercial | $86.11 | ↓ -22% |
| Prime Net | GateKeeper | $86.11 | ↓ -22% |
| Capital Blue Cross | Commercial | $100.65 | ↓ -9% |
| Capital Blue Cross | CHIP | $100.65 | ↓ -9% |
| Keystone Health Plan | Commercial | $100.65 | ↓ -9% |
| Wellspan Population Health | PPO | $119.60 | ↑ +8% |
| Geisinger | Commercial | $120.48 | ↑ +9% |
| UPMC Health Plan | Commercial | $128.80 | ↑ +17% |
| Prime Net | FH-Medical Rental | $139.10 | ↑ +26% |
| Multiplan | PPO (Includes PHCS and Humana as Payers) | $156.40 | ↑ +42% |
Visitor-reported prices
Comments
Assay toxin or antitoxin at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $161.40 | $19.51 – $215.20 |
| UPMC Community Osteopathic | Harrisburg | $110.40 | $19.54 – $156.40 |
| UPMC Hanover | Hanover | $110.40 | $6.32 – $31.58 |
| UPMC Lititz | Lititz | $110.40 | $6.32 – $31.58 |
| UPMC Magee | Pittsburgh | $204.00 | $18.47 – $38.14 |
| UPMC Memorial | York | $110.40 | $6.32 – $126.19 |
| UPMC Muncy | Muncy | $154.20 | $19.51 – $38.14 |
| UPMC Somerset | Somerset | $110.40 | $19.51 – $31.11 |