Cell count w differential body fluid at UPMC Carlisle
361 Alexander Spring Road, Carlisle, PA · UPMC · · NPI 1689107328
$40.80
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.
$68.00
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.
$5.54 with Highmark BCBS of PA vs $57.80 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 | $5.54 | ↓ -86% |
| Highmark BCBS of PA | Freedom Blue Medicare Advantage | $5.54 | ↓ -86% |
| Humana | Medicare | $5.60 | ↓ -86% |
| UPMC Work Partners | Workers Comp | $5.80 | ↓ -86% |
| Aetna | Medicare | $5.84 | ↓ -86% |
| Cigna | Medicare | $5.88 | ↓ -86% |
| Geisinger | Medicare | $5.88 | ↓ -86% |
| United Healthcare | Medicare | $5.99 | ↓ -85% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $6.05 | ↓ -85% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $7.00 | ↓ -83% |
| United Healthcare | Commercial | $7.00 | ↓ -83% |
| Highmark Wholecare (prev Gateway) | Medicaid | $8.89 | ↓ -78% |
| Keystone Autism Services | ACAP | $8.96 | ↓ -78% |
| UPMC Health Plan | Managed Medicaid | $9.10 | ↓ -78% |
| United Healthcare Community Plan for Families | PA Medicaid | $9.17 | ↓ -78% |
| Prime Net | Managed Medicare | $9.32 | ↓ -77% |
| Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $9.53 | ↓ -77% |
| Geisinger | Medicaid/CHIP | $10.20 | ↓ -75% |
| PA Health & Wellness | PA Medicaid HMO | $11.93 | ↓ -71% |
| Keystone Health Plan | Medicare Advantage | $13.60 | ↓ -67% |
| Capital Blue Cross | Medicare Advantage | $13.60 | ↓ -67% |
| Cigna | Commercial | $14.56 | ↓ -64% |
| Highmark BCBS of PA | Community Blue PPO | $15.75 | ↓ -61% |
| Highmark BCBS of PA | CHIP - Managed Care | $16.42 | ↓ -60% |
| Highmark BCBS of PA | Commercial | $17.50 | ↓ -57% |
| Prime Net | Legacy Commercial | $26.52 | ↓ -35% |
| Prime Net | ACO | $26.72 | ↓ -35% |
| Aetna | ACO | $26.72 | ↓ -35% |
| Prime Net | NonGateKeeper | $31.62 | ↓ -23% |
| Aetna | Commercial | $31.82 | ↓ -22% |
| Prime Net | GateKeeper | $31.82 | ↓ -22% |
| UPMC Health Plan | CHIP | $32.42 | ↓ -21% |
| Capital Blue Cross | CHIP | $37.20 | ↓ -9% |
| Keystone Health Plan | Commercial | $37.20 | ↓ -9% |
| Capital Blue Cross | Commercial | $37.20 | ↓ -9% |
| Wellspan Population Health | PPO | $44.20 | ↑ +8% |
| Geisinger | Commercial | $44.53 | ↑ +9% |
| UPMC Health Plan | Commercial | $47.60 | ↑ +17% |
| Prime Net | FH-Medical Rental | $51.41 | ↑ +26% |
| Multiplan | PPO (Includes PHCS and Humana as Payers) | $57.80 | ↑ +42% |
Visitor-reported prices
Comments
Cell count w differential body fluid at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $121.80 | $5.54 – $162.40 |
| UPMC Bedford | Everett | $41.40 | $2.02 – $62.10 |
| UPMC Cole | Coudersport | $55.80 | $3.64 – $74.40 |
| UPMC Community Osteopathic | Harrisburg | $40.80 | $5.54 – $57.80 |
| UPMC East | Monroeville | $115.80 | $5.54 – $154.40 |
| UPMC Hamot | Erie | $179.40 | $5.54 – $14.98 |
| UPMC Northwest | Seneca | $58.80 | $5.08 – $8.05 |
| UPMC Hanover | Hanover | $40.80 | $5.54 – $9.53 |