healthcosts.net
Blood Clotting (PTT) Test at UPMC Carlisle
361 Alexander Spring Road, Carlisle, PA · UPMC · · NPI 1689107328
$30.60
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.
$51.00
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.
$5.95 with Highmark BCBS of PA vs $43.35 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 |
|---|---|---|---|
| Highmark BCBS of PA | Community Blue Medicare Advantage/Complete Blue Medicare Advantage/Security Blue Medicare Advantage/Together Blue Medicare Advantage | $5.95 | ↓ -81% |
| Highmark BCBS of PA | Freedom Blue Medicare Advantage | $5.95 | ↓ -81% |
| Humana | Medicare | $6.01 | ↓ -80% |
| UPMC Work Partners | Workers Comp | $6.22 | ↓ -80% |
| Aetna | Medicare | $6.27 | ↓ -80% |
| Cigna | Medicare | $6.31 | ↓ -79% |
| Geisinger | Medicare | $6.31 | ↓ -79% |
| United Healthcare | Medicare | $6.43 | ↓ -79% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $6.49 | ↓ -79% |
| Prime Net | Managed Medicare | $6.99 | ↓ -77% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $7.50 | ↓ -75% |
| Highmark Wholecare (prev Gateway) | Medicaid | $9.53 | ↓ -69% |
| Keystone Autism Services | ACAP | $9.62 | ↓ -69% |
| UPMC Health Plan | Managed Medicaid | $9.75 | ↓ -68% |
| United Healthcare Community Plan for Families | PA Medicaid | $9.82 | ↓ -68% |
| Keystone Health Plan | Medicare Advantage | $10.20 | ↓ -67% |
| Capital Blue Cross | Medicare Advantage | $10.20 | ↓ -67% |
| Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $10.21 | ↓ -67% |
| Geisinger | Medicaid/CHIP | $10.92 | ↓ -64% |
| PA Health & Wellness | PA Medicaid HMO | $12.78 | ↓ -58% |
| United Healthcare | Commercial | $14.27 | ↓ -53% |
| Cigna | Commercial | $15.64 | ↓ -49% |
| Highmark BCBS of PA | Community Blue PPO | $16.90 | ↓ -45% |
| Highmark BCBS of PA | CHIP - Managed Care | $17.62 | ↓ -42% |
| Highmark BCBS of PA | Commercial | $18.78 | ↓ -39% |
| Prime Net | Legacy Commercial | $19.89 | ↓ -35% |
| Aetna | ACO | $20.04 | ↓ -35% |
| Prime Net | ACO | $20.04 | ↓ -35% |
| Prime Net | NonGateKeeper | $23.71 | ↓ -23% |
| Prime Net | GateKeeper | $23.87 | ↓ -22% |
| Aetna | Commercial | $23.87 | ↓ -22% |
| UPMC Health Plan | CHIP | $25.31 | ↓ -17% |
| Capital Blue Cross | CHIP | $27.90 | ↓ -9% |
| Keystone Health Plan | Commercial | $27.90 | ↓ -9% |
| Capital Blue Cross | Commercial | $27.90 | ↓ -9% |
| Wellspan Population Health | PPO | $33.15 | ↑ +8% |
| Geisinger | Commercial | $33.39 | ↑ +9% |
| UPMC Health Plan | Commercial | $35.70 | ↑ +17% |
| Prime Net | FH-Medical Rental | $38.56 | ↑ +26% |
| Multiplan | PPO (Includes PHCS and Humana as Payers) | $43.35 | ↑ +42% |
Visitor-reported prices
Comments
Blood Clotting (PTT) Test at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC East | Monroeville | $89.40 | $5.94 – $119.20 |
| UPMC Passavant-McCandless | Pittsburgh | $131.40 | $5.59 – $186.15 |
| UPMC Hamot | Erie | $133.80 | $5.94 – $156.10 |
| UPMC Lititz | Lititz | $30.60 | $5.95 – $43.35 |
| UPMC Altoona | Altoona | $85.20 | $5.94 – $108.00 |
| UPMC Bedford | Everett | $41.40 | $2.17 – $62.10 |
| UPMC Cole | Coudersport | $44.40 | $3.91 – $59.20 |
| UPMC Community Osteopathic | Harrisburg | $34.80 | $5.95 – $43.35 |