Cell count body fluid at UPMC Carlisle
361 Alexander Spring Road, Carlisle, PA · UPMC · · NPI 1689107328
$33.00
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.
?
What you pay up front if you don't use insurance.
$55.00
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.
?
The hospital's undiscounted list price — almost no one pays this.
$4.50 with AmeriHealth Caritas vs $155.02 with United Healthcare — same scan, same building. Share
Negotiated rates by payer
?
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 →
?
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 |
|---|---|---|---|
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $4.50 | ↓ -86% |
| Highmark BCBS of PA | Freedom Blue Medicare Advantage | $4.67 | ↓ -86% |
| Highmark BCBS of PA | Community Blue Medicare Advantage/Complete Blue Medicare Advantage/Security Blue Medicare Advantage/Together Blue Medicare Advantage | $4.67 | ↓ -86% |
| Humana | Medicare | $4.72 | ↓ -86% |
| UPMC Work Partners | Workers Comp | $4.88 | ↓ -85% |
| Aetna | Medicare | $4.92 | ↓ -85% |
| Geisinger | Medicare | $4.96 | ↓ -85% |
| Cigna | Medicare | $4.96 | ↓ -85% |
| United Healthcare | Medicare | $5.05 | ↓ -85% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $5.10 | ↓ -85% |
| Highmark Wholecare (prev Gateway) | Medicaid | $5.71 | ↓ -83% |
| UPMC Health Plan | Managed Medicaid | $5.85 | ↓ -82% |
| United Healthcare Community Plan for Families | PA Medicaid | $5.89 | ↓ -82% |
| Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $6.13 | ↓ -81% |
| Geisinger | Medicaid/CHIP | $6.55 | ↓ -80% |
| Prime Net | Managed Medicare | $7.54 | ↓ -77% |
| Keystone Autism Services | ACAP | $7.55 | ↓ -77% |
| PA Health & Wellness | PA Medicaid HMO | $7.67 | ↓ -77% |
| Keystone Health Plan | Medicare Advantage | $11.00 | ↓ -67% |
| Capital Blue Cross | Medicare Advantage | $11.00 | ↓ -67% |
| Cigna | Commercial | $12.28 | ↓ -63% |
| Highmark BCBS of PA | Community Blue PPO | $13.28 | ↓ -60% |
| Highmark BCBS of PA | CHIP - Managed Care | $13.84 | ↓ -58% |
| Highmark BCBS of PA | Commercial | $14.75 | ↓ -55% |
| Prime Net | Legacy Commercial | $21.45 | ↓ -35% |
| Aetna | ACO | $21.61 | ↓ -35% |
| Prime Net | ACO | $21.61 | ↓ -35% |
| Prime Net | NonGateKeeper | $25.57 | ↓ -23% |
| Aetna | Commercial | $25.74 | ↓ -22% |
| Prime Net | GateKeeper | $25.74 | ↓ -22% |
| Keystone Health Plan | Commercial | $30.09 | ↓ -9% |
| Capital Blue Cross | CHIP | $30.09 | ↓ -9% |
| Capital Blue Cross | Commercial | $30.09 | ↓ -9% |
| UPMC Health Plan | CHIP | $31.64 | ↓ -4% |
| Wellspan Population Health | PPO | $35.75 | ↑ +8% |
| Geisinger | Commercial | $36.01 | ↑ +9% |
| UPMC Health Plan | Commercial | $38.50 | ↑ +17% |
| Prime Net | FH-Medical Rental | $41.58 | ↑ +26% |
| Multiplan | PPO (Includes PHCS and Humana as Payers) | $46.75 | ↑ +42% |
| United Healthcare | Commercial | $155.02 | ↑ +370% |
Visitor-reported prices
Comments
Cell count body fluid at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $55.20 | $4.50 – $73.60 |
| UPMC Bedford | Everett | $33.00 | $1.70 – $49.50 |
| UPMC Cole | Coudersport | $37.80 | $3.07 – $50.40 |
| UPMC Community Osteopathic | Harrisburg | $33.00 | $4.50 – $46.75 |
| UPMC East | Monroeville | $70.80 | $4.50 – $94.40 |
| UPMC Hanover | Hanover | $33.00 | $4.50 – $7.55 |
| UPMC Horizon-Greenville | Greenville | $37.20 | $4.23 – $8.86 |
| UPMC Jameson | New Castle | $56.40 | $4.66 – $9.31 |