Gardner vag dna quant at UPMC Carlisle
361 Alexander Spring Road, Carlisle, PA · UPMC · · NPI 1689107328
$232.80
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.
$388.00
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.
$22.97 with AmeriHealth Caritas vs $329.80 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 |
|---|---|---|---|
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $22.97 | ↓ -90% |
| United Healthcare Community Plan for Families | PA Medicaid | $33.37 | ↓ -86% |
| Highmark BCBS of PA | Freedom Blue Medicare Advantage | $41.34 | ↓ -82% |
| Highmark BCBS of PA | Community Blue Medicare Advantage/Complete Blue Medicare Advantage/Security Blue Medicare Advantage/Together Blue Medicare Advantage | $41.34 | ↓ -82% |
| Humana | Medicare | $41.76 | ↓ -82% |
| UPMC Work Partners | Workers Comp | $43.19 | ↓ -81% |
| Aetna | Medicare | $43.56 | ↓ -81% |
| Geisinger | Medicare | $43.85 | ↓ -81% |
| Cigna | Medicare | $43.85 | ↓ -81% |
| United Healthcare | Medicare | $44.68 | ↓ -81% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $45.10 | ↓ -81% |
| United Healthcare | Commercial | $52.00 | ↓ -78% |
| Prime Net | Managed Medicare | $53.16 | ↓ -77% |
| Keystone Autism Services | ACAP | $66.82 | ↓ -71% |
| Keystone Health Plan | Medicare Advantage | $77.60 | ↓ -67% |
| Capital Blue Cross | Medicare Advantage | $77.60 | ↓ -67% |
| Cigna | Commercial | $108.56 | ↓ -53% |
| Highmark BCBS of PA | Community Blue PPO | $117.45 | ↓ -50% |
| Highmark BCBS of PA | CHIP - Managed Care | $122.42 | ↓ -47% |
| Highmark BCBS of PA | Commercial | $130.50 | ↓ -44% |
| Prime Net | Legacy Commercial | $151.32 | ↓ -35% |
| Aetna | ACO | $152.48 | ↓ -35% |
| Prime Net | ACO | $152.48 | ↓ -35% |
| Prime Net | NonGateKeeper | $180.42 | ↓ -23% |
| Aetna | Commercial | $181.58 | ↓ -22% |
| Prime Net | GateKeeper | $181.58 | ↓ -22% |
| Capital Blue Cross | Commercial | $212.24 | ↓ -9% |
| Capital Blue Cross | CHIP | $212.24 | ↓ -9% |
| Keystone Health Plan | Commercial | $212.24 | ↓ -9% |
| Geisinger | Medicaid/CHIP | $213.40 | ↓ -8% |
| PA Health & Wellness | PA Medicaid HMO | $213.40 | ↓ -8% |
| Wellspan Population Health | PPO | $252.20 | ↑ +8% |
| Geisinger | Commercial | $254.06 | ↑ +9% |
| UPMC Health Plan | Commercial | $271.60 | ↑ +17% |
| Prime Net | FH-Medical Rental | $293.33 | ↑ +26% |
| UPMC Health Plan | CHIP | $308.00 | ↑ +32% |
| Multiplan | PPO (Includes PHCS and Humana as Payers) | $329.80 | ↑ +42% |
Visitor-reported prices
Comments
Gardner vag dna quant at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $544.80 | $41.27 – $726.40 |
| UPMC Bedford | Everett | $615.60 | $15.07 – $923.40 |
| UPMC Cole | Coudersport | $192.60 | $27.14 – $256.80 |
| UPMC Community Osteopathic | Harrisburg | $232.80 | $33.37 – $329.80 |
| UPMC Hanover | Hanover | $232.80 | $33.37 – $308.00 |
| UPMC Horizon-Greenville | Greenville | $325.80 | $37.39 – $78.36 |
| UPMC Jameson | New Castle | $289.80 | $29.29 – $112.76 |
| UPMC Lititz | Lititz | $232.80 | $33.37 – $308.00 |