Bacterial meningitis antigen at UPMC Carlisle
361 Alexander Spring Road, Carlisle, PA · UPMC · · NPI 1689107328
$42.60
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.
$71.00
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.
$9.73 with Prime Net vs $63.78 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 | $9.73 | ↓ -77% |
| Highmark BCBS of PA | Freedom Blue Medicare Advantage | $11.42 | ↓ -73% |
| Highmark BCBS of PA | Community Blue Medicare Advantage/Complete Blue Medicare Advantage/Security Blue Medicare Advantage/Together Blue Medicare Advantage | $11.42 | ↓ -73% |
| Humana | Medicare | $11.54 | ↓ -73% |
| UPMC Work Partners | Workers Comp | $11.93 | ↓ -72% |
| Aetna | Medicare | $12.04 | ↓ -72% |
| Cigna | Medicare | $12.12 | ↓ -72% |
| Geisinger | Medicare | $12.12 | ↓ -72% |
| United Healthcare | Medicare | $12.35 | ↓ -71% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $12.46 | ↓ -71% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $14.08 | ↓ -67% |
| Capital Blue Cross | Medicare Advantage | $14.20 | ↓ -67% |
| Keystone Health Plan | Medicare Advantage | $14.20 | ↓ -67% |
| Highmark Wholecare (prev Gateway) | Medicaid | $17.88 | ↓ -58% |
| UPMC Health Plan | Managed Medicaid | $18.30 | ↓ -57% |
| United Healthcare Community Plan for Families | PA Medicaid | $18.44 | ↓ -57% |
| Keystone Autism Services | ACAP | $18.46 | ↓ -57% |
| Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $19.18 | ↓ -55% |
| Geisinger | Medicaid/CHIP | $20.51 | ↓ -52% |
| PA Health & Wellness | PA Medicaid HMO | $24.00 | ↓ -44% |
| United Healthcare | Commercial | $26.14 | ↓ -39% |
| Prime Net | Legacy Commercial | $27.69 | ↓ -35% |
| Aetna | ACO | $27.90 | ↓ -35% |
| Prime Net | ACO | $27.90 | ↓ -35% |
| Cigna | Commercial | $30.00 | ↓ -30% |
| Highmark BCBS of PA | Community Blue PPO | $32.46 | ↓ -24% |
| Prime Net | NonGateKeeper | $33.02 | ↓ -22% |
| Aetna | Commercial | $33.23 | ↓ -22% |
| Prime Net | GateKeeper | $33.23 | ↓ -22% |
| Highmark BCBS of PA | CHIP - Managed Care | $33.83 | ↓ -21% |
| Highmark BCBS of PA | Commercial | $36.06 | ↓ -15% |
| Capital Blue Cross | CHIP | $38.84 | ↓ -9% |
| Capital Blue Cross | Commercial | $38.84 | ↓ -9% |
| Keystone Health Plan | Commercial | $38.84 | ↓ -9% |
| Wellspan Population Health | PPO | $46.15 | ↑ +8% |
| Geisinger | Commercial | $46.49 | ↑ +9% |
| UPMC Health Plan | Commercial | $49.70 | ↑ +17% |
| Prime Net | FH-Medical Rental | $53.68 | ↑ +26% |
| Multiplan | PPO (Includes PHCS and Humana as Payers) | $60.35 | ↑ +42% |
| UPMC Health Plan | CHIP | $63.78 | ↑ +50% |
Visitor-reported prices
Comments
Bacterial meningitis antigen at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $100.80 | $11.40 – $134.40 |
| UPMC Bedford | Everett | $46.80 | $4.16 – $70.20 |
| UPMC Cole | Coudersport | $105.00 | $7.50 – $140.00 |
| UPMC Community Osteopathic | Harrisburg | $42.60 | $11.42 – $63.78 |
| UPMC East | Monroeville | $153.00 | $11.40 – $204.00 |
| UPMC Hamot | Erie | $45.00 | $11.40 – $19.68 |
| UPMC Northwest | Seneca | $236.40 | $10.47 – $16.19 |
| UPMC Hanover | Hanover | $42.60 | $11.42 – $19.18 |