Drug test(s) presumptive any class instrument chemistry analyzers at UPMC Carlisle
361 Alexander Spring Road, Carlisle, PA · UPMC · · NPI 1689107328
$159.60
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.
$266.00
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.
$21.55 with United Healthcare vs $416.02 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 |
|---|---|---|---|
| United Healthcare | Commercial | $21.55 | ↓ -86% |
| Prime Net | Managed Medicare | $27.95 | ↓ -82% |
| Capital Blue Cross | Medicare Advantage | $40.80 | ↓ -74% |
| Keystone Health Plan | Medicare Advantage | $40.80 | ↓ -74% |
| Highmark BCBS of PA | Freedom Blue Medicare Advantage | $61.52 | ↓ -61% |
| Highmark BCBS of PA | Community Blue Medicare Advantage/Complete Blue Medicare Advantage/Security Blue Medicare Advantage/Together Blue Medicare Advantage | $61.52 | ↓ -61% |
| Humana | Medicare | $62.14 | ↓ -61% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $63.85 | ↓ -60% |
| UPMC Work Partners | Workers Comp | $64.27 | ↓ -60% |
| Aetna | Medicare | $64.81 | ↓ -59% |
| Geisinger | Medicare | $65.25 | ↓ -59% |
| Cigna | Medicare | $65.25 | ↓ -59% |
| United Healthcare | Medicare | $66.49 | ↓ -58% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $67.11 | ↓ -58% |
| Prime Net | Legacy Commercial | $79.56 | ↓ -50% |
| Aetna | ACO | $80.17 | ↓ -50% |
| Prime Net | ACO | $80.17 | ↓ -50% |
| Highmark Wholecare (prev Gateway) | Medicaid | $81.09 | ↓ -49% |
| UPMC Health Plan | Managed Medicaid | $83.00 | ↓ -48% |
| United Healthcare Community Plan for Families | PA Medicaid | $83.64 | ↓ -48% |
| Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $86.96 | ↓ -46% |
| Geisinger | Medicaid/CHIP | $93.00 | ↓ -42% |
| Prime Net | NonGateKeeper | $94.86 | ↓ -41% |
| Aetna | Commercial | $95.47 | ↓ -40% |
| Prime Net | GateKeeper | $95.47 | ↓ -40% |
| Keystone Autism Services | ACAP | $99.42 | ↓ -38% |
| PA Health & Wellness | PA Medicaid HMO | $108.81 | ↓ -32% |
| Capital Blue Cross | CHIP | $111.59 | ↓ -30% |
| Keystone Health Plan | Commercial | $111.59 | ↓ -30% |
| Capital Blue Cross | Commercial | $111.59 | ↓ -30% |
| Wellspan Population Health | PPO | $132.60 | ↓ -17% |
| Geisinger | Commercial | $133.58 | ↓ -16% |
| UPMC Health Plan | Commercial | $142.80 | ↓ -11% |
| Prime Net | FH-Medical Rental | $154.22 | ↓ -3% |
| Cigna | Commercial | $161.56 | ↑ +1% |
| Multiplan | PPO (Includes PHCS and Humana as Payers) | $173.40 | ↑ +9% |
| Highmark BCBS of PA | Community Blue PPO | $174.77 | ↑ +10% |
| Highmark BCBS of PA | CHIP - Managed Care | $182.17 | ↑ +14% |
| Highmark BCBS of PA | Commercial | $194.19 | ↑ +22% |
| UPMC Health Plan | CHIP | $416.02 | ↑ +161% |
Visitor-reported prices
Comments
Drug test(s) presumptive any class instrument chemistry analyzers at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $399.60 | $51.75 – $532.80 |
| UPMC Bedford | Everett | $327.00 | $22.42 – $490.50 |
| UPMC Cole | Coudersport | $265.80 | $40.39 – $354.40 |
| UPMC Community Osteopathic | Harrisburg | $212.40 | $34.20 – $416.02 |
| UPMC East | Monroeville | $292.80 | $52.24 – $212.80 |
| UPMC Hamot | Erie | $151.80 | $51.75 – $88.75 |
| UPMC Northwest | Seneca | $239.40 | $56.35 – $73.43 |
| UPMC Hanover | Hanover | $159.60 | $21.55 – $99.42 |