Cystatin c at UPMC Carlisle
361 Alexander Spring Road, Carlisle, PA · UPMC · · NPI 1689107328
$94.20
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.
$157.00
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.
$15.20 with AmeriHealth Caritas vs $133.45 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 |
|---|---|---|---|
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $15.20 | ↓ -84% |
| Highmark BCBS of PA | Freedom Blue Medicare Advantage | $18.33 | ↓ -81% |
| Highmark BCBS of PA | Community Blue Medicare Advantage/Complete Blue Medicare Advantage/Security Blue Medicare Advantage/Together Blue Medicare Advantage | $18.33 | ↓ -81% |
| Humana | Medicare | $18.52 | ↓ -80% |
| UPMC Work Partners | Workers Comp | $19.16 | ↓ -80% |
| Highmark Wholecare (prev Gateway) | Medicaid | $19.30 | ↓ -80% |
| Aetna | Medicare | $19.32 | ↓ -79% |
| Cigna | Medicare | $19.45 | ↓ -79% |
| Geisinger | Medicare | $19.45 | ↓ -79% |
| UPMC Health Plan | Managed Medicaid | $19.76 | ↓ -79% |
| United Healthcare | Medicare | $19.82 | ↓ -79% |
| United Healthcare Community Plan for Families | PA Medicaid | $19.91 | ↓ -79% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $20.00 | ↓ -79% |
| Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $20.70 | ↓ -78% |
| United Healthcare | Commercial | $21.22 | ↓ -77% |
| Prime Net | Managed Medicare | $21.51 | ↓ -77% |
| Geisinger | Medicaid/CHIP | $22.14 | ↓ -76% |
| PA Health & Wellness | PA Medicaid HMO | $25.90 | ↓ -73% |
| Keystone Autism Services | ACAP | $29.63 | ↓ -69% |
| Capital Blue Cross | Medicare Advantage | $31.40 | ↓ -67% |
| Keystone Health Plan | Medicare Advantage | $31.40 | ↓ -67% |
| Cigna | Commercial | $48.16 | ↓ -49% |
| Highmark BCBS of PA | Community Blue PPO | $52.09 | ↓ -45% |
| Highmark BCBS of PA | CHIP - Managed Care | $54.29 | ↓ -42% |
| Highmark BCBS of PA | Commercial | $57.88 | ↓ -39% |
| Prime Net | Legacy Commercial | $61.23 | ↓ -35% |
| Prime Net | ACO | $61.70 | ↓ -35% |
| Aetna | ACO | $61.70 | ↓ -35% |
| Prime Net | NonGateKeeper | $73.00 | ↓ -23% |
| Aetna | Commercial | $73.48 | ↓ -22% |
| Prime Net | GateKeeper | $73.48 | ↓ -22% |
| Capital Blue Cross | Commercial | $85.88 | ↓ -9% |
| Capital Blue Cross | CHIP | $85.88 | ↓ -9% |
| Keystone Health Plan | Commercial | $85.88 | ↓ -9% |
| Wellspan Population Health | PPO | $102.05 | ↑ +8% |
| Geisinger | Commercial | $102.80 | ↑ +9% |
| UPMC Health Plan | Commercial | $109.90 | ↑ +17% |
| Prime Net | FH-Medical Rental | $118.69 | ↑ +26% |
| UPMC Health Plan | CHIP | $123.20 | ↑ +31% |
| Multiplan | PPO (Includes PHCS and Humana as Payers) | $133.45 | ↑ +42% |
Visitor-reported prices
Comments
Cystatin c at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $108.00 | $15.20 – $144.00 |
| UPMC Bedford | Everett | $78.60 | $6.68 – $117.90 |
| UPMC Community Osteopathic | Harrisburg | $94.20 | $15.20 – $133.45 |
| UPMC East | Monroeville | $272.40 | $15.20 – $363.20 |
| UPMC Hamot | Erie | $205.80 | $15.20 – $35.32 |
| UPMC Northwest | Seneca | $119.40 | $16.72 – $20.00 |
| UPMC Hanover | Hanover | $94.20 | $15.20 – $29.63 |
| UPMC Horizon-Greenville | Greenville | $130.20 | $15.20 – $34.75 |