Fibrin degradation products at UPMC Carlisle
361 Alexander Spring Road, Carlisle, PA · UPMC · · NPI 1689107328
$34.20
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.
$57.00
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.
$6.82 with Highmark BCBS of PA vs $48.45 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 | $6.82 | ↓ -80% |
| Highmark BCBS of PA | Community Blue Medicare Advantage/Complete Blue Medicare Advantage/Security Blue Medicare Advantage/Together Blue Medicare Advantage | $6.82 | ↓ -80% |
| Humana | Medicare | $6.89 | ↓ -80% |
| UPMC Work Partners | Workers Comp | $7.13 | ↓ -79% |
| Aetna | Medicare | $7.19 | ↓ -79% |
| Geisinger | Medicare | $7.23 | ↓ -79% |
| Cigna | Medicare | $7.23 | ↓ -79% |
| United Healthcare | Medicare | $7.37 | ↓ -78% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $7.44 | ↓ -78% |
| Prime Net | Managed Medicare | $7.81 | ↓ -77% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $9.52 | ↓ -72% |
| Keystone Autism Services | ACAP | $11.02 | ↓ -68% |
| Keystone Health Plan | Medicare Advantage | $11.40 | ↓ -67% |
| Capital Blue Cross | Medicare Advantage | $11.40 | ↓ -67% |
| Highmark Wholecare (prev Gateway) | Medicaid | $12.09 | ↓ -65% |
| UPMC Health Plan | Managed Medicaid | $12.38 | ↓ -64% |
| United Healthcare | Commercial | $12.46 | ↓ -64% |
| United Healthcare Community Plan for Families | PA Medicaid | $12.47 | ↓ -64% |
| Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $12.97 | ↓ -62% |
| Geisinger | Medicaid/CHIP | $13.87 | ↓ -59% |
| PA Health & Wellness | PA Medicaid HMO | $16.22 | ↓ -53% |
| Cigna | Commercial | $17.92 | ↓ -48% |
| Highmark BCBS of PA | Community Blue PPO | $19.38 | ↓ -43% |
| Highmark BCBS of PA | CHIP - Managed Care | $20.20 | ↓ -41% |
| Highmark BCBS of PA | Commercial | $21.53 | ↓ -37% |
| Prime Net | Legacy Commercial | $22.23 | ↓ -35% |
| Prime Net | ACO | $22.40 | ↓ -35% |
| Aetna | ACO | $22.40 | ↓ -35% |
| Prime Net | NonGateKeeper | $26.50 | ↓ -23% |
| Aetna | Commercial | $26.68 | ↓ -22% |
| Prime Net | GateKeeper | $26.68 | ↓ -22% |
| UPMC Health Plan | CHIP | $28.22 | ↓ -17% |
| Capital Blue Cross | CHIP | $31.18 | ↓ -9% |
| Keystone Health Plan | Commercial | $31.18 | ↓ -9% |
| Capital Blue Cross | Commercial | $31.18 | ↓ -9% |
| Wellspan Population Health | PPO | $37.05 | ↑ +8% |
| Geisinger | Commercial | $37.32 | ↑ +9% |
| UPMC Health Plan | Commercial | $39.90 | ↑ +17% |
| Prime Net | FH-Medical Rental | $43.09 | ↑ +26% |
| Multiplan | PPO (Includes PHCS and Humana as Payers) | $48.45 | ↑ +42% |
Visitor-reported prices
Comments
Fibrin degradation products at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $159.00 | $6.81 – $212.00 |
| UPMC Bedford | Everett | $49.80 | $2.49 – $74.70 |
| UPMC Cole | Coudersport | $49.80 | $4.48 – $66.40 |
| UPMC Community Osteopathic | Harrisburg | $34.20 | $6.82 – $48.45 |
| UPMC East | Monroeville | $102.60 | $6.81 – $136.80 |
| UPMC Hamot | Erie | $147.60 | $6.81 – $13.29 |
| UPMC Northwest | Seneca | $45.00 | $6.25 – $10.95 |
| UPMC Hanover | Hanover | $34.20 | $6.82 – $12.97 |