Culture typing nucleic acid probe amplified per culture/isolate 6 or more targets at UPMC Carlisle
361 Alexander Spring Road, Carlisle, PA · UPMC · · NPI 1689107328
$459.00
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.
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What you pay up front if you don't use insurance.
$765.00
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.
$104.81 with Prime Net vs $681.46 with Highmark BCBS of PA — 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 |
|---|---|---|---|
| Prime Net | Managed Medicare | $104.81 | ↓ -77% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $119.93 | ↓ -74% |
| Capital Blue Cross | Medicare Advantage | $153.00 | ↓ -67% |
| Keystone Health Plan | Medicare Advantage | $153.00 | ↓ -67% |
| United Healthcare | Commercial | $170.90 | ↓ -63% |
| United Healthcare Community Plan for Families | PA Medicaid | $174.26 | ↓ -62% |
| Highmark BCBS of PA | Community Blue Medicare Advantage/Complete Blue Medicare Advantage/Security Blue Medicare Advantage/Together Blue Medicare Advantage | $215.88 | ↓ -53% |
| Highmark BCBS of PA | Freedom Blue Medicare Advantage | $215.88 | ↓ -53% |
| Humana | Medicare | $218.06 | ↓ -52% |
| UPMC Work Partners | Workers Comp | $225.54 | ↓ -51% |
| Aetna | Medicare | $227.44 | ↓ -50% |
| Geisinger | Medicare | $228.96 | ↓ -50% |
| Cigna | Medicare | $228.96 | ↓ -50% |
| United Healthcare | Medicare | $233.32 | ↓ -49% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $235.50 | ↓ -49% |
| Prime Net | Legacy Commercial | $298.35 | ↓ -35% |
| Aetna | ACO | $300.64 | ↓ -35% |
| Prime Net | ACO | $300.64 | ↓ -35% |
| Keystone Autism Services | ACAP | $348.90 | ↓ -24% |
| Prime Net | NonGateKeeper | $355.73 | ↓ -22% |
| Prime Net | GateKeeper | $358.02 | ↓ -22% |
| Aetna | Commercial | $358.02 | ↓ -22% |
| Capital Blue Cross | CHIP | $418.45 | ↓ -9% |
| Keystone Health Plan | Commercial | $418.45 | ↓ -9% |
| Capital Blue Cross | Commercial | $418.45 | ↓ -9% |
| Geisinger | Medicaid/CHIP | $420.75 | ↓ -8% |
| PA Health & Wellness | PA Medicaid HMO | $420.75 | ↓ -8% |
| Wellspan Population Health | PPO | $497.25 | ↑ +8% |
| Geisinger | Commercial | $500.92 | ↑ +9% |
| UPMC Health Plan | Commercial | $535.50 | ↑ +17% |
| UPMC Health Plan | CHIP | $535.50 | ↑ +17% |
| Prime Net | FH-Medical Rental | $578.34 | ↑ +26% |
| Cigna | Commercial | $596.70 | ↑ +30% |
| Highmark BCBS of PA | Community Blue PPO | $613.32 | ↑ +34% |
| Highmark BCBS of PA | CHIP - Managed Care | $639.26 | ↑ +39% |
| Multiplan | PPO (Includes PHCS and Humana as Payers) | $650.25 | ↑ +42% |
| Highmark BCBS of PA | Commercial | $681.46 | ↑ +48% |
Visitor-reported prices
Comments
Culture typing nucleic acid probe amplified per culture/isolate 6 or more targets at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Cole | Coudersport | $181.80 | $53.00 – $242.40 |
| UPMC Community Osteopathic | Harrisburg | $459.00 | $153.00 – $650.25 |
| UPMC Hanover | Hanover | $459.00 | $170.90 – $348.90 |
| UPMC Lititz | Lititz | $459.00 | $170.90 – $348.90 |
| UPMC Memorial | York | $459.00 | $75.36 – $1,080.40 |
| UPMC Somerset | Somerset | $459.00 | $91.52 – $235.48 |
| Uniontown Hospital | Uniontown | $352.00 | $218.06 – $508.08 |