Electrolyte panel at UPMC Carlisle
361 Alexander Spring Road, Carlisle, PA · UPMC · · NPI 1689107328
$45.60
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.
$76.00
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.
$6.94 with Highmark BCBS of PA vs $64.60 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 | $6.94 | ↓ -85% |
| Highmark BCBS of PA | Community Blue Medicare Advantage/Complete Blue Medicare Advantage/Security Blue Medicare Advantage/Together Blue Medicare Advantage | $6.94 | ↓ -85% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $7.00 | ↓ -85% |
| Humana | Medicare | $7.01 | ↓ -85% |
| UPMC Work Partners | Workers Comp | $7.25 | ↓ -84% |
| Aetna | Medicare | $7.31 | ↓ -84% |
| Geisinger | Medicare | $7.36 | ↓ -84% |
| Cigna | Medicare | $7.36 | ↓ -84% |
| United Healthcare | Medicare | $7.50 | ↓ -84% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $7.57 | ↓ -83% |
| Highmark Wholecare (prev Gateway) | Medicaid | $8.89 | ↓ -81% |
| UPMC Health Plan | Managed Medicaid | $9.10 | ↓ -80% |
| United Healthcare Community Plan for Families | PA Medicaid | $9.17 | ↓ -80% |
| Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $9.53 | ↓ -79% |
| Geisinger | Medicaid/CHIP | $10.20 | ↓ -78% |
| Prime Net | Managed Medicare | $10.41 | ↓ -77% |
| Keystone Autism Services | ACAP | $11.22 | ↓ -75% |
| PA Health & Wellness | PA Medicaid HMO | $11.93 | ↓ -74% |
| Keystone Health Plan | Medicare Advantage | $15.20 | ↓ -67% |
| Capital Blue Cross | Medicare Advantage | $15.20 | ↓ -67% |
| Cigna | Commercial | $18.24 | ↓ -60% |
| Highmark BCBS of PA | Community Blue PPO | $19.72 | ↓ -57% |
| Highmark BCBS of PA | CHIP - Managed Care | $20.55 | ↓ -55% |
| Highmark BCBS of PA | Commercial | $21.91 | ↓ -52% |
| Prime Net | Legacy Commercial | $29.64 | ↓ -35% |
| Aetna | ACO | $29.87 | ↓ -34% |
| Prime Net | ACO | $29.87 | ↓ -34% |
| Prime Net | NonGateKeeper | $35.34 | ↓ -23% |
| Aetna | Commercial | $35.57 | ↓ -22% |
| Prime Net | GateKeeper | $35.57 | ↓ -22% |
| Capital Blue Cross | Commercial | $41.57 | ↓ -9% |
| Keystone Health Plan | Commercial | $41.57 | ↓ -9% |
| Capital Blue Cross | CHIP | $41.57 | ↓ -9% |
| Wellspan Population Health | PPO | $49.40 | ↑ +8% |
| Geisinger | Commercial | $49.76 | ↑ +9% |
| UPMC Health Plan | Commercial | $53.20 | ↑ +17% |
| United Healthcare | Commercial | $57.02 | ↑ +25% |
| Prime Net | FH-Medical Rental | $57.46 | ↑ +26% |
| UPMC Health Plan | CHIP | $58.35 | ↑ +28% |
| Multiplan | PPO (Includes PHCS and Humana as Payers) | $64.60 | ↑ +42% |
Visitor-reported prices
Comments
Electrolyte panel at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $115.80 | $6.92 – $154.40 |
| UPMC Bedford | Everett | $49.80 | $2.53 – $74.70 |
| UPMC Cole | Coudersport | $66.60 | $4.56 – $88.80 |
| UPMC Community Osteopathic | Harrisburg | $45.60 | $6.94 – $58.35 |
| UPMC East | Monroeville | $138.60 | $6.92 – $184.80 |
| UPMC Hamot | Erie | $144.60 | $6.92 – $18.01 |
| UPMC Northwest | Seneca | $51.00 | $6.36 – $8.05 |
| UPMC Hanover | Hanover | $45.60 | $6.94 – $11.22 |