Coagulation time activated teg at UPMC Carlisle
361 Alexander Spring Road, Carlisle, PA · UPMC · · NPI 1689107328
$13.20
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.
?
What you pay up front if you don't use insurance.
$22.00
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.
$2.19 with Prime Net vs $39.54 with UPMC Health Plan — 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 |
|---|---|---|---|
| Prime Net | Managed Medicare | $2.19 | ↓ -83% |
| Keystone Health Plan | Medicare Advantage | $3.20 | ↓ -76% |
| Capital Blue Cross | Medicare Advantage | $3.20 | ↓ -76% |
| Highmark BCBS of PA | Community Blue Medicare Advantage/Complete Blue Medicare Advantage/Security Blue Medicare Advantage/Together Blue Medicare Advantage | $4.24 | ↓ -68% |
| Highmark BCBS of PA | Freedom Blue Medicare Advantage | $4.24 | ↓ -68% |
| Humana | Medicare | $4.28 | ↓ -68% |
| UPMC Work Partners | Workers Comp | $4.43 | ↓ -66% |
| Aetna | Medicare | $4.46 | ↓ -66% |
| Geisinger | Medicare | $4.49 | ↓ -66% |
| Cigna | Medicare | $4.49 | ↓ -66% |
| United Healthcare | Medicare | $4.58 | ↓ -65% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $4.62 | ↓ -65% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $5.27 | ↓ -60% |
| Prime Net | Legacy Commercial | $6.24 | ↓ -53% |
| Prime Net | ACO | $6.29 | ↓ -52% |
| Aetna | ACO | $6.29 | ↓ -52% |
| United Healthcare | Commercial | $6.38 | ↓ -52% |
| Highmark Wholecare (prev Gateway) | Medicaid | $6.69 | ↓ -49% |
| Keystone Autism Services | ACAP | $6.85 | ↓ -48% |
| UPMC Health Plan | Managed Medicaid | $6.85 | ↓ -48% |
| United Healthcare Community Plan for Families | PA Medicaid | $6.90 | ↓ -48% |
| Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $7.18 | ↓ -46% |
| Prime Net | NonGateKeeper | $7.44 | ↓ -44% |
| Aetna | Commercial | $7.49 | ↓ -43% |
| Prime Net | GateKeeper | $7.49 | ↓ -43% |
| Geisinger | Medicaid/CHIP | $7.68 | ↓ -42% |
| Capital Blue Cross | Commercial | $8.75 | ↓ -34% |
| Capital Blue Cross | CHIP | $8.75 | ↓ -34% |
| Keystone Health Plan | Commercial | $8.75 | ↓ -34% |
| PA Health & Wellness | PA Medicaid HMO | $8.98 | ↓ -32% |
| Wellspan Population Health | PPO | $10.40 | ↓ -21% |
| Geisinger | Commercial | $10.48 | ↓ -21% |
| Cigna | Commercial | $11.12 | ↓ -16% |
| UPMC Health Plan | Commercial | $11.20 | ↓ -15% |
| Highmark BCBS of PA | Community Blue PPO | $12.04 | ↓ -9% |
| Prime Net | FH-Medical Rental | $12.10 | ↓ -8% |
| Highmark BCBS of PA | CHIP - Managed Care | $12.55 | ↓ -5% |
| Highmark BCBS of PA | Commercial | $13.38 | ↑ +1% |
| Multiplan | PPO (Includes PHCS and Humana as Payers) | $13.60 | ↑ +3% |
| UPMC Health Plan | CHIP | $39.54 | ↑ +200% |
Visitor-reported prices
Comments
Coagulation time activated teg at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $25.20 | $4.23 – $33.60 |
| UPMC Community Osteopathic | Harrisburg | $13.20 | $3.20 – $39.54 |
| UPMC East | Monroeville | $43.80 | $4.23 – $58.40 |
| UPMC Hamot | Erie | $36.00 | $4.23 – $11.56 |
| UPMC Hanover | Hanover | $13.20 | $4.24 – $7.18 |
| UPMC Jameson | New Castle | $47.40 | $4.23 – $11.77 |
| UPMC Lititz | Lititz | $13.20 | $4.24 – $7.18 |
| UPMC Magee | Pittsburgh | $38.40 | $4.01 – $11.67 |