Euglobulin lysis at UPMC Carlisle
361 Alexander Spring Road, Carlisle, PA · UPMC · · NPI 1689107328
$30.60
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.
?
What you pay up front if you don't use insurance.
$51.00
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.
?
The hospital's undiscounted list price — almost no one pays this.
$5.00 with AmeriHealth Caritas vs $46.20 with UPMC Health Plan — same scan, same building. Share
Negotiated rates by payer
?
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 →
?
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 |
|---|---|---|---|
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $5.00 | ↓ -84% |
| United Healthcare | Commercial | $5.52 | ↓ -82% |
| Highmark Wholecare (prev Gateway) | Medicaid | $6.35 | ↓ -79% |
| UPMC Health Plan | Managed Medicaid | $6.50 | ↓ -79% |
| United Healthcare Community Plan for Families | PA Medicaid | $6.55 | ↓ -79% |
| Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $6.81 | ↓ -78% |
| Prime Net | Managed Medicare | $6.99 | ↓ -77% |
| Geisinger | Medicaid/CHIP | $7.28 | ↓ -76% |
| Highmark BCBS of PA | Freedom Blue Medicare Advantage | $8.33 | ↓ -73% |
| Highmark BCBS of PA | Community Blue Medicare Advantage/Complete Blue Medicare Advantage/Security Blue Medicare Advantage/Together Blue Medicare Advantage | $8.33 | ↓ -73% |
| Humana | Medicare | $8.41 | ↓ -73% |
| PA Health & Wellness | PA Medicaid HMO | $8.52 | ↓ -72% |
| UPMC Work Partners | Workers Comp | $8.69 | ↓ -72% |
| Aetna | Medicare | $8.77 | ↓ -71% |
| Geisinger | Medicare | $8.83 | ↓ -71% |
| Cigna | Medicare | $8.83 | ↓ -71% |
| United Healthcare | Medicare | $9.00 | ↓ -71% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $9.08 | ↓ -70% |
| Capital Blue Cross | Medicare Advantage | $10.20 | ↓ -67% |
| Keystone Health Plan | Medicare Advantage | $10.20 | ↓ -67% |
| Keystone Autism Services | ACAP | $13.46 | ↓ -56% |
| Prime Net | Legacy Commercial | $19.89 | ↓ -35% |
| Aetna | ACO | $20.04 | ↓ -35% |
| Prime Net | ACO | $20.04 | ↓ -35% |
| Cigna | Commercial | $21.88 | ↓ -28% |
| Highmark BCBS of PA | Community Blue PPO | $23.65 | ↓ -23% |
| Prime Net | NonGateKeeper | $23.71 | ↓ -23% |
| Aetna | Commercial | $23.87 | ↓ -22% |
| Prime Net | GateKeeper | $23.87 | ↓ -22% |
| Highmark BCBS of PA | CHIP - Managed Care | $24.65 | ↓ -19% |
| Highmark BCBS of PA | Commercial | $26.28 | ↓ -14% |
| Capital Blue Cross | CHIP | $27.90 | ↓ -9% |
| Capital Blue Cross | Commercial | $27.90 | ↓ -9% |
| Keystone Health Plan | Commercial | $27.90 | ↓ -9% |
| Wellspan Population Health | PPO | $33.15 | ↑ +8% |
| Geisinger | Commercial | $33.39 | ↑ +9% |
| UPMC Health Plan | Commercial | $35.70 | ↑ +17% |
| Prime Net | FH-Medical Rental | $38.56 | ↑ +26% |
| Multiplan | PPO (Includes PHCS and Humana as Payers) | $43.35 | ↑ +42% |
| UPMC Health Plan | CHIP | $46.20 | ↑ +51% |
Visitor-reported prices
Comments
Euglobulin lysis at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Community Osteopathic | Harrisburg | $30.60 | $5.00 – $46.20 |
| UPMC Hamot | Erie | $102.00 | $5.00 – $18.96 |
| UPMC Northwest | Seneca | $61.80 | $5.50 – $8.83 |
| UPMC Hanover | Hanover | $30.60 | $5.00 – $13.46 |
| UPMC Lititz | Lititz | $30.60 | $5.00 – $13.46 |
| UPMC Magee | Pittsburgh | $67.20 | $5.50 – $19.14 |
| UPMC McKeesport | Mckeesport | $90.60 | $5.50 – $19.14 |
| UPMC Memorial | York | $30.60 | $5.00 – $54.50 |