healthcosts.net
Ehrlicha chaffeensis amp prb at UPMC Carlisle
361 Alexander Spring Road, Carlisle, PA · UPMC · · NPI 1689107328
$70.80
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.
$118.00
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.
$16.17 with Prime Net vs $617.46 with United Healthcare — 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 | $16.17 | ↓ -77% |
| Capital Blue Cross | Medicare Advantage | $23.60 | ↓ -67% |
| Keystone Health Plan | Medicare Advantage | $23.60 | ↓ -67% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $28.07 | ↓ -60% |
| Highmark BCBS of PA | Freedom Blue Medicare Advantage | $34.74 | ↓ -51% |
| Highmark BCBS of PA | Community Blue Medicare Advantage/Complete Blue Medicare Advantage/Security Blue Medicare Advantage/Together Blue Medicare Advantage | $34.74 | ↓ -51% |
| Humana | Medicare | $35.09 | ↓ -50% |
| Highmark Wholecare (prev Gateway) | Medicaid | $35.65 | ↓ -50% |
| UPMC Work Partners | Workers Comp | $36.29 | ↓ -49% |
| UPMC Health Plan | Managed Medicaid | $36.49 | ↓ -48% |
| Aetna | Medicare | $36.60 | ↓ -48% |
| United Healthcare Community Plan for Families | PA Medicaid | $36.77 | ↓ -48% |
| Geisinger | Medicare | $36.84 | ↓ -48% |
| Cigna | Medicare | $36.84 | ↓ -48% |
| United Healthcare | Medicare | $37.55 | ↓ -47% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $37.90 | ↓ -46% |
| Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $38.23 | ↓ -46% |
| Geisinger | Medicaid/CHIP | $40.89 | ↓ -42% |
| Prime Net | Legacy Commercial | $46.02 | ↓ -35% |
| Prime Net | ACO | $46.37 | ↓ -35% |
| Aetna | ACO | $46.37 | ↓ -35% |
| PA Health & Wellness | PA Medicaid HMO | $47.84 | ↓ -32% |
| Prime Net | NonGateKeeper | $54.87 | ↓ -23% |
| Aetna | Commercial | $55.22 | ↓ -22% |
| Prime Net | GateKeeper | $55.22 | ↓ -22% |
| Keystone Autism Services | ACAP | $56.14 | ↓ -21% |
| Capital Blue Cross | Commercial | $64.55 | ↓ -9% |
| Keystone Health Plan | Commercial | $64.55 | ↓ -9% |
| Capital Blue Cross | CHIP | $64.55 | ↓ -9% |
| Wellspan Population Health | PPO | $76.70 | ↑ +8% |
| Geisinger | Commercial | $77.27 | ↑ +9% |
| UPMC Health Plan | CHIP | $82.60 | ↑ +17% |
| UPMC Health Plan | Commercial | $82.60 | ↑ +17% |
| Prime Net | FH-Medical Rental | $89.21 | ↑ +26% |
| Cigna | Commercial | $92.04 | ↑ +30% |
| Highmark BCBS of PA | Community Blue PPO | $98.69 | ↑ +39% |
| Multiplan | PPO (Includes PHCS and Humana as Payers) | $100.30 | ↑ +42% |
| Highmark BCBS of PA | CHIP - Managed Care | $102.87 | ↑ +45% |
| Highmark BCBS of PA | Commercial | $109.66 | ↑ +55% |
| United Healthcare | Commercial | $617.46 | ↑ +772% |
Visitor-reported prices
Comments
Ehrlicha chaffeensis amp prb at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $457.20 | $13.98 – $609.60 |
| UPMC Bedford | Everett | $201.00 | $12.66 – $301.50 |
| UPMC Northwest | Seneca | $189.00 | $30.88 – $267.75 |
| UPMC Mercy | Pittsburgh | $355.80 | $13.98 – $533.70 |
| UPMC Muncy | Muncy | $290.40 | $30.88 – $387.20 |
| UPMC Passavant-McCandless | Pittsburgh | $372.00 | $14.11 – $469.20 |
| UPMC Presbyterian | Pittsburgh | $451.20 | $14.11 – $602.65 |
| UPMC Somerset | Somerset | $70.80 | $13.84 – $88.50 |