Beta-amyloid 1-42 at UPMC Carlisle
361 Alexander Spring Road, Carlisle, PA · UPMC · · NPI 1689107328
$94.80
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.
$158.00
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.
$21.65 with Prime Net vs $134.30 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 |
|---|---|---|---|
| Prime Net | Managed Medicare | $21.65 | ↓ -77% |
| Aetna | Medicare | $26.07 | ↓ -73% |
| Capital Blue Cross | Medicare Advantage | $31.60 | ↓ -67% |
| Keystone Health Plan | Medicare Advantage | $31.60 | ↓ -67% |
| Prime Net | Legacy Commercial | $61.62 | ↓ -35% |
| Aetna | ACO | $62.09 | ↓ -35% |
| Prime Net | ACO | $62.09 | ↓ -35% |
| Prime Net | NonGateKeeper | $73.47 | ↓ -23% |
| Aetna | Commercial | $73.94 | ↓ -22% |
| Prime Net | GateKeeper | $73.94 | ↓ -22% |
| Capital Blue Cross | CHIP | $86.43 | ↓ -9% |
| Keystone Health Plan | Commercial | $86.43 | ↓ -9% |
| Capital Blue Cross | Commercial | $86.43 | ↓ -9% |
| Geisinger | Medicaid/CHIP | $86.90 | ↓ -8% |
| PA Health & Wellness | PA Medicaid HMO | $86.90 | ↓ -8% |
| Wellspan Population Health | PPO | $102.70 | ↑ +8% |
| Geisinger | Commercial | $103.46 | ↑ +9% |
| UPMC Health Plan | Commercial | $110.60 | ↑ +17% |
| UPMC Health Plan | CHIP | $110.60 | ↑ +17% |
| Prime Net | FH-Medical Rental | $119.45 | ↑ +26% |
| Cigna | Commercial | $123.24 | ↑ +30% |
| Multiplan | PPO (Includes PHCS and Humana as Payers) | $134.30 | ↑ +42% |
| UPMC Work Partners | Workers Comp | not published by hospital | — |
Visitor-reported prices
Comments
Beta-amyloid 1-42 at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $1,404.00 | $819.00 – $1,872.00 |
| UPMC Bedford | Everett | $1,783.80 | $743.25 – $2,675.70 |
| UPMC Community Osteopathic | Harrisburg | $94.80 | $31.60 – $134.30 |
| UPMC East | Monroeville | $1,227.60 | $511.50 – $1,636.80 |
| UPMC Northwest | Seneca | $1,670.40 | $696.00 – $2,366.40 |
| UPMC Mercy | Pittsburgh | $1,056.60 | $440.25 – $1,584.90 |
| UPMC Muncy | Muncy | $1,404.00 | $351.00 – $2,106.00 |
| UPMC Passavant-McCandless | Pittsburgh | $1,226.40 | $511.00 – $1,737.40 |