Cytomegalovirus (cmv) antibody igm 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.
$16.68 with Highmark BCBS of PA 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 |
|---|---|---|---|
| Highmark BCBS of PA | Freedom Blue Medicare Advantage | $16.68 | ↓ -82% |
| Highmark BCBS of PA | Community Blue Medicare Advantage/Complete Blue Medicare Advantage/Security Blue Medicare Advantage/Together Blue Medicare Advantage | $16.68 | ↓ -82% |
| Humana | Medicare | $16.85 | ↓ -82% |
| UPMC Work Partners | Workers Comp | $17.42 | ↓ -82% |
| Aetna | Medicare | $17.57 | ↓ -81% |
| Cigna | Medicare | $17.69 | ↓ -81% |
| Geisinger | Medicare | $17.69 | ↓ -81% |
| United Healthcare | Medicare | $18.03 | ↓ -81% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $18.20 | ↓ -81% |
| United Healthcare | Commercial | $21.32 | ↓ -77% |
| Prime Net | Managed Medicare | $21.51 | ↓ -77% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $23.28 | ↓ -75% |
| Keystone Autism Services | ACAP | $26.96 | ↓ -71% |
| Highmark Wholecare (prev Gateway) | Medicaid | $29.57 | ↓ -69% |
| UPMC Health Plan | Managed Medicaid | $30.26 | ↓ -68% |
| United Healthcare Community Plan for Families | PA Medicaid | $30.50 | ↓ -68% |
| Keystone Health Plan | Medicare Advantage | $31.40 | ↓ -67% |
| Capital Blue Cross | Medicare Advantage | $31.40 | ↓ -67% |
| Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $31.71 | ↓ -66% |
| Geisinger | Medicaid/CHIP | $33.91 | ↓ -64% |
| PA Health & Wellness | PA Medicaid HMO | $39.67 | ↓ -58% |
| Cigna | Commercial | $43.80 | ↓ -54% |
| Highmark BCBS of PA | Community Blue PPO | $47.39 | ↓ -50% |
| Highmark BCBS of PA | CHIP - Managed Care | $49.40 | ↓ -48% |
| Highmark BCBS of PA | Commercial | $52.66 | ↓ -44% |
| 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 | CHIP | $85.88 | ↓ -9% |
| Keystone Health Plan | Commercial | $85.88 | ↓ -9% |
| Capital Blue Cross | Commercial | $85.88 | ↓ -9% |
| UPMC Health Plan | CHIP | $88.26 | ↓ -6% |
| 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% |
| Multiplan | PPO (Includes PHCS and Humana as Payers) | $133.45 | ↑ +42% |
Visitor-reported prices
Comments
Cytomegalovirus (cmv) antibody igm at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $148.80 | $16.65 – $198.40 |
| UPMC Bedford | Everett | $83.40 | $6.08 – $125.10 |
| UPMC Cole | Coudersport | $119.40 | $10.95 – $159.20 |
| UPMC Community Osteopathic | Harrisburg | $94.20 | $16.68 – $114.75 |
| UPMC East | Monroeville | $264.60 | $16.65 – $352.80 |
| UPMC Hamot | Erie | $268.20 | $16.65 – $33.87 |
| UPMC Northwest | Seneca | $85.20 | $15.28 – $26.77 |
| UPMC Hanover | Hanover | $94.20 | $16.68 – $31.71 |