Cytopathology cervical/vaginal thin layer auto screen/manual rescreen/review at UPMC Carlisle
361 Alexander Spring Road, Carlisle, PA · UPMC · · NPI 1689107328
$64.20
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.
$107.00
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.
$14.66 with Prime Net vs $108.64 with UPMC Health Plan — 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 | $14.66 | ↓ -77% |
| Keystone Health Plan | Medicare Advantage | $21.40 | ↓ -67% |
| Capital Blue Cross | Medicare Advantage | $21.40 | ↓ -67% |
| Highmark BCBS of PA | Community Blue Medicare Advantage/Complete Blue Medicare Advantage/Security Blue Medicare Advantage/Together Blue Medicare Advantage | $26.34 | ↓ -59% |
| Highmark BCBS of PA | Freedom Blue Medicare Advantage | $26.34 | ↓ -59% |
| Humana | Medicare | $26.61 | ↓ -59% |
| UPMC Work Partners | Workers Comp | $27.52 | ↓ -57% |
| Aetna | Medicare | $27.75 | ↓ -57% |
| Cigna | Medicare | $27.94 | ↓ -56% |
| Geisinger | Medicare | $27.94 | ↓ -56% |
| United Healthcare | Medicare | $28.47 | ↓ -56% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $28.74 | ↓ -55% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $29.55 | ↓ -54% |
| Highmark Wholecare (prev Gateway) | Medicaid | $37.53 | ↓ -42% |
| UPMC Health Plan | Managed Medicaid | $38.41 | ↓ -40% |
| United Healthcare Community Plan for Families | PA Medicaid | $38.71 | ↓ -40% |
| Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $40.25 | ↓ -37% |
| Prime Net | Legacy Commercial | $41.73 | ↓ -35% |
| Aetna | ACO | $42.05 | ↓ -35% |
| Prime Net | ACO | $42.05 | ↓ -35% |
| Keystone Autism Services | ACAP | $42.58 | ↓ -34% |
| Geisinger | Medicaid/CHIP | $43.04 | ↓ -33% |
| Prime Net | NonGateKeeper | $49.76 | ↓ -22% |
| Prime Net | GateKeeper | $50.08 | ↓ -22% |
| Aetna | Commercial | $50.08 | ↓ -22% |
| PA Health & Wellness | PA Medicaid HMO | $50.36 | ↓ -22% |
| Capital Blue Cross | CHIP | $58.53 | ↓ -9% |
| Keystone Health Plan | Commercial | $58.53 | ↓ -9% |
| Capital Blue Cross | Commercial | $58.53 | ↓ -9% |
| Cigna | Commercial | $69.20 | ↑ +8% |
| Wellspan Population Health | PPO | $69.55 | ↑ +8% |
| Geisinger | Commercial | $70.06 | ↑ +9% |
| Highmark BCBS of PA | Community Blue PPO | $74.84 | ↑ +17% |
| UPMC Health Plan | Commercial | $74.90 | ↑ +17% |
| Highmark BCBS of PA | CHIP - Managed Care | $78.01 | ↑ +22% |
| Prime Net | FH-Medical Rental | $80.89 | ↑ +26% |
| Highmark BCBS of PA | Commercial | $83.16 | ↑ +30% |
| Multiplan | PPO (Includes PHCS and Humana as Payers) | $90.95 | ↑ +42% |
| UPMC Health Plan | CHIP | $108.64 | ↑ +69% |
Visitor-reported prices
Comments
Cytopathology cervical/vaginal thin layer auto screen/manual rescreen/review at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $102.00 | $26.30 – $136.00 |
| UPMC Bedford | Everett | $78.00 | $9.60 – $117.00 |
| UPMC Cole | Coudersport | $121.80 | $17.30 – $162.40 |
| UPMC Community Osteopathic | Harrisburg | $110.40 | $21.40 – $108.64 |
| UPMC East | Monroeville | $78.00 | $26.30 – $104.00 |
| UPMC Northwest | Seneca | $78.00 | $24.13 – $33.98 |
| UPMC Hanover | Hanover | $64.20 | $26.34 – $42.58 |
| UPMC Horizon-Greenville | Greenville | $78.00 | $23.82 – $49.93 |