Cytomegalovirus (cmv) antibody igg at UPMC Carlisle
361 Alexander Spring Road, Carlisle, PA · UPMC · · NPI 1689107328
$81.00
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.
$135.00
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.
$14.25 with Highmark BCBS of PA vs $113.90 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 | Freedom Blue Medicare Advantage | $14.25 | ↓ -82% |
| Highmark BCBS of PA | Community Blue Medicare Advantage/Complete Blue Medicare Advantage/Security Blue Medicare Advantage/Together Blue Medicare Advantage | $14.25 | ↓ -82% |
| Humana | Medicare | $14.39 | ↓ -82% |
| UPMC Work Partners | Workers Comp | $14.89 | ↓ -82% |
| Aetna | Medicare | $15.01 | ↓ -81% |
| Geisinger | Medicare | $15.11 | ↓ -81% |
| Cigna | Medicare | $15.11 | ↓ -81% |
| United Healthcare | Medicare | $15.40 | ↓ -81% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $15.54 | ↓ -81% |
| Prime Net | Managed Medicare | $18.36 | ↓ -77% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $19.83 | ↓ -76% |
| United Healthcare | Commercial | $21.35 | ↓ -74% |
| Keystone Autism Services | ACAP | $23.02 | ↓ -72% |
| Highmark Wholecare (prev Gateway) | Medicaid | $25.18 | ↓ -69% |
| UPMC Health Plan | Managed Medicaid | $25.78 | ↓ -68% |
| United Healthcare Community Plan for Families | PA Medicaid | $25.98 | ↓ -68% |
| Capital Blue Cross | Medicare Advantage | $26.80 | ↓ -67% |
| Keystone Health Plan | Medicare Advantage | $26.80 | ↓ -67% |
| Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $27.01 | ↓ -67% |
| Geisinger | Medicaid/CHIP | $28.88 | ↓ -64% |
| PA Health & Wellness | PA Medicaid HMO | $33.79 | ↓ -58% |
| Cigna | Commercial | $37.40 | ↓ -54% |
| Highmark BCBS of PA | Community Blue PPO | $40.47 | ↓ -50% |
| Highmark BCBS of PA | CHIP - Managed Care | $42.19 | ↓ -48% |
| Highmark BCBS of PA | Commercial | $44.97 | ↓ -44% |
| Prime Net | Legacy Commercial | $52.26 | ↓ -35% |
| Prime Net | ACO | $52.66 | ↓ -35% |
| Aetna | ACO | $52.66 | ↓ -35% |
| Prime Net | NonGateKeeper | $62.31 | ↓ -23% |
| Aetna | Commercial | $62.71 | ↓ -23% |
| Prime Net | GateKeeper | $62.71 | ↓ -23% |
| UPMC Health Plan | CHIP | $70.78 | ↓ -13% |
| Capital Blue Cross | CHIP | $73.30 | ↓ -10% |
| Keystone Health Plan | Commercial | $73.30 | ↓ -10% |
| Capital Blue Cross | Commercial | $73.30 | ↓ -10% |
| Wellspan Population Health | PPO | $87.10 | ↑ +8% |
| Geisinger | Commercial | $87.74 | ↑ +8% |
| UPMC Health Plan | Commercial | $93.80 | ↑ +16% |
| Prime Net | FH-Medical Rental | $101.30 | ↑ +25% |
| Multiplan | PPO (Includes PHCS and Humana as Payers) | $113.90 | ↑ +41% |
Visitor-reported prices
Comments
Cytomegalovirus (cmv) antibody igg at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $164.40 | $14.22 – $219.20 |
| UPMC Bedford | Everett | $91.20 | $5.19 – $136.80 |
| UPMC Cole | Coudersport | $119.40 | $9.35 – $159.20 |
| UPMC Community Osteopathic | Harrisburg | $81.00 | $14.25 – $113.90 |
| UPMC East | Monroeville | $214.80 | $14.22 – $286.40 |
| UPMC Hamot | Erie | $261.00 | $14.22 – $27.73 |
| UPMC Northwest | Seneca | $71.40 | $13.05 – $22.80 |
| UPMC Hanover | Hanover | $81.00 | $14.25 – $27.01 |