Carcinoembryonic ag (cea) at UPMC Carlisle
361 Alexander Spring Road, Carlisle, PA · UPMC · · NPI 1689107328
$96.60
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.
$161.00
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.
$16.88 with United Healthcare vs $136.85 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 |
|---|---|---|---|
| United Healthcare | Commercial | $16.88 | ↓ -83% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $17.00 | ↓ -82% |
| Highmark BCBS of PA | Freedom Blue Medicare Advantage | $18.77 | ↓ -81% |
| Highmark BCBS of PA | Community Blue Medicare Advantage/Complete Blue Medicare Advantage/Security Blue Medicare Advantage/Together Blue Medicare Advantage | $18.77 | ↓ -81% |
| Humana | Medicare | $18.96 | ↓ -80% |
| UPMC Work Partners | Workers Comp | $19.60 | ↓ -80% |
| Aetna | Medicare | $19.78 | ↓ -80% |
| Geisinger | Medicare | $19.91 | ↓ -79% |
| Cigna | Medicare | $19.91 | ↓ -79% |
| United Healthcare | Medicare | $20.29 | ↓ -79% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $20.48 | ↓ -79% |
| Highmark Wholecare (prev Gateway) | Medicaid | $21.59 | ↓ -78% |
| Prime Net | Managed Medicare | $22.06 | ↓ -77% |
| UPMC Health Plan | Managed Medicaid | $22.10 | ↓ -77% |
| United Healthcare Community Plan for Families | PA Medicaid | $22.27 | ↓ -77% |
| Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $23.15 | ↓ -76% |
| Geisinger | Medicaid/CHIP | $24.76 | ↓ -74% |
| PA Health & Wellness | PA Medicaid HMO | $28.97 | ↓ -70% |
| Keystone Autism Services | ACAP | $30.34 | ↓ -69% |
| Capital Blue Cross | Medicare Advantage | $32.20 | ↓ -67% |
| Keystone Health Plan | Medicare Advantage | $32.20 | ↓ -67% |
| Cigna | Commercial | $49.28 | ↓ -49% |
| Highmark BCBS of PA | Community Blue PPO | $53.33 | ↓ -45% |
| Highmark BCBS of PA | CHIP - Managed Care | $55.58 | ↓ -42% |
| Highmark BCBS of PA | Commercial | $59.25 | ↓ -39% |
| Prime Net | Legacy Commercial | $62.79 | ↓ -35% |
| Prime Net | ACO | $63.27 | ↓ -35% |
| Aetna | ACO | $63.27 | ↓ -35% |
| Prime Net | NonGateKeeper | $74.86 | ↓ -23% |
| Aetna | Commercial | $75.35 | ↓ -22% |
| Prime Net | GateKeeper | $75.35 | ↓ -22% |
| Capital Blue Cross | Commercial | $88.07 | ↓ -9% |
| Capital Blue Cross | CHIP | $88.07 | ↓ -9% |
| Keystone Health Plan | Commercial | $88.07 | ↓ -9% |
| Wellspan Population Health | PPO | $104.65 | ↑ +8% |
| Geisinger | Commercial | $105.42 | ↑ +9% |
| UPMC Health Plan | Commercial | $112.70 | ↑ +17% |
| UPMC Health Plan | CHIP | $113.74 | ↑ +18% |
| Prime Net | FH-Medical Rental | $121.72 | ↑ +26% |
| Multiplan | PPO (Includes PHCS and Humana as Payers) | $136.85 | ↑ +42% |
Visitor-reported prices
Comments
Carcinoembryonic ag (cea) at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $201.60 | $17.00 – $268.80 |
| UPMC Bedford | Everett | $91.20 | $6.84 – $136.80 |
| UPMC Cole | Coudersport | $129.60 | $12.32 – $172.80 |
| UPMC Community Osteopathic | Harrisburg | $96.60 | $16.60 – $113.74 |
| UPMC East | Monroeville | $283.20 | $17.00 – $377.60 |
| UPMC Hamot | Erie | $241.20 | $17.00 – $36.60 |
| UPMC Northwest | Seneca | $96.60 | $17.19 – $20.48 |
| UPMC Hanover | Hanover | $96.60 | $16.88 – $30.34 |