Cardiolipin antibody iga at UPMC Carlisle
361 Alexander Spring Road, Carlisle, PA · UPMC · · NPI 1689107328
$142.20
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.
$237.00
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.
$25.20 with Highmark BCBS of PA vs $177.65 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 | Freedom Blue Medicare Advantage | $25.20 | ↓ -82% |
| Highmark BCBS of PA | Community Blue Medicare Advantage/Complete Blue Medicare Advantage/Security Blue Medicare Advantage/Together Blue Medicare Advantage | $25.20 | ↓ -82% |
| Humana | Medicare | $25.45 | ↓ -82% |
| UPMC Work Partners | Workers Comp | $26.32 | ↓ -81% |
| Aetna | Medicare | $26.54 | ↓ -81% |
| Geisinger | Medicare | $26.72 | ↓ -81% |
| Cigna | Medicare | $26.72 | ↓ -81% |
| United Healthcare | Medicare | $27.23 | ↓ -81% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $27.49 | ↓ -81% |
| Prime Net | Managed Medicare | $28.63 | ↓ -80% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $35.16 | ↓ -75% |
| United Healthcare | Commercial | $37.70 | ↓ -73% |
| Keystone Autism Services | ACAP | $40.72 | ↓ -71% |
| Keystone Health Plan | Medicare Advantage | $41.80 | ↓ -71% |
| Capital Blue Cross | Medicare Advantage | $41.80 | ↓ -71% |
| Highmark Wholecare (prev Gateway) | Medicaid | $44.65 | ↓ -69% |
| UPMC Health Plan | Managed Medicaid | $45.71 | ↓ -68% |
| United Healthcare Community Plan for Families | PA Medicaid | $46.06 | ↓ -68% |
| Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $47.89 | ↓ -66% |
| Geisinger | Medicaid/CHIP | $51.21 | ↓ -64% |
| PA Health & Wellness | PA Medicaid HMO | $59.92 | ↓ -58% |
| Cigna | Commercial | $66.16 | ↓ -53% |
| Highmark BCBS of PA | Community Blue PPO | $71.58 | ↓ -50% |
| Highmark BCBS of PA | CHIP - Managed Care | $74.61 | ↓ -48% |
| Highmark BCBS of PA | Commercial | $79.53 | ↓ -44% |
| Prime Net | Legacy Commercial | $81.51 | ↓ -43% |
| Prime Net | ACO | $82.14 | ↓ -42% |
| Aetna | ACO | $82.14 | ↓ -42% |
| Prime Net | NonGateKeeper | $97.19 | ↓ -32% |
| Aetna | Commercial | $97.81 | ↓ -31% |
| Prime Net | GateKeeper | $97.81 | ↓ -31% |
| Capital Blue Cross | Commercial | $114.32 | ↓ -20% |
| Capital Blue Cross | CHIP | $114.32 | ↓ -20% |
| Keystone Health Plan | Commercial | $114.32 | ↓ -20% |
| Wellspan Population Health | PPO | $135.85 | ↓ -4% |
| Geisinger | Commercial | $136.85 | ↓ -4% |
| UPMC Health Plan | Commercial | $146.30 | ↑ +3% |
| UPMC Health Plan | CHIP | $153.33 | ↑ +8% |
| Prime Net | FH-Medical Rental | $158.00 | ↑ +11% |
| Multiplan | PPO (Includes PHCS and Humana as Payers) | $177.65 | ↑ +25% |
Visitor-reported prices
Comments
Cardiolipin antibody iga at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $136.80 | $25.16 – $182.40 |
| UPMC Bedford | Everett | $125.40 | $9.18 – $188.10 |
| UPMC Cole | Coudersport | $345.00 | $16.54 – $460.00 |
| UPMC Community Osteopathic | Harrisburg | $146.40 | $25.20 – $177.65 |
| UPMC East | Monroeville | $388.20 | $25.16 – $488.00 |
| UPMC Hamot | Erie | $177.60 | $25.16 – $50.26 |
| UPMC Northwest | Seneca | $129.60 | $23.08 – $40.43 |
| UPMC Hanover | Hanover | $142.20 | $25.20 – $47.89 |