Ghs antibodies (torch) igm at UPMC Carlisle
361 Alexander Spring Road, Carlisle, PA · UPMC · · NPI 1689107328
$52.20
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.
$87.00
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.
$11.92 with Prime Net vs $88.26 with UPMC Health Plan — 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 | $11.92 | ↓ -77% |
| Highmark BCBS of PA | Community Blue Medicare Advantage/Complete Blue Medicare Advantage/Security Blue Medicare Advantage/Together Blue Medicare Advantage | $14.25 | ↓ -73% |
| Highmark BCBS of PA | Freedom Blue Medicare Advantage | $14.25 | ↓ -73% |
| Humana | Medicare | $14.39 | ↓ -72% |
| UPMC Work Partners | Workers Comp | $14.89 | ↓ -71% |
| Aetna | Medicare | $15.01 | ↓ -71% |
| Cigna | Medicare | $15.11 | ↓ -71% |
| Geisinger | Medicare | $15.11 | ↓ -71% |
| United Healthcare | Medicare | $15.40 | ↓ -70% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $15.54 | ↓ -70% |
| Capital Blue Cross | Medicare Advantage | $17.40 | ↓ -67% |
| Keystone Health Plan | Medicare Advantage | $17.40 | ↓ -67% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $19.83 | ↓ -62% |
| Keystone Autism Services | ACAP | $23.02 | ↓ -56% |
| Highmark Wholecare (prev Gateway) | Medicaid | $25.18 | ↓ -52% |
| United Healthcare | Commercial | $25.43 | ↓ -51% |
| UPMC Health Plan | Managed Medicaid | $25.78 | ↓ -51% |
| United Healthcare Community Plan for Families | PA Medicaid | $25.98 | ↓ -50% |
| Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $27.01 | ↓ -48% |
| Geisinger | Medicaid/CHIP | $28.88 | ↓ -45% |
| PA Health & Wellness | PA Medicaid HMO | $33.79 | ↓ -35% |
| Prime Net | Legacy Commercial | $33.93 | ↓ -35% |
| Prime Net | ACO | $34.19 | ↓ -35% |
| Aetna | ACO | $34.19 | ↓ -35% |
| Cigna | Commercial | $37.40 | ↓ -28% |
| Prime Net | NonGateKeeper | $40.45 | ↓ -23% |
| Highmark BCBS of PA | Community Blue PPO | $40.47 | ↓ -22% |
| Aetna | Commercial | $40.72 | ↓ -22% |
| Prime Net | GateKeeper | $40.72 | ↓ -22% |
| Highmark BCBS of PA | CHIP - Managed Care | $42.19 | ↓ -19% |
| Highmark BCBS of PA | Commercial | $44.97 | ↓ -14% |
| Capital Blue Cross | CHIP | $47.59 | ↓ -9% |
| Capital Blue Cross | Commercial | $47.59 | ↓ -9% |
| Keystone Health Plan | Commercial | $47.59 | ↓ -9% |
| Wellspan Population Health | PPO | $56.55 | ↑ +8% |
| Geisinger | Commercial | $56.97 | ↑ +9% |
| UPMC Health Plan | Commercial | $60.90 | ↑ +17% |
| Prime Net | FH-Medical Rental | $65.77 | ↑ +26% |
| Multiplan | PPO (Includes PHCS and Humana as Payers) | $73.95 | ↑ +42% |
| UPMC Health Plan | CHIP | $88.26 | ↑ +69% |
Visitor-reported prices
Comments
Ghs antibodies (torch) igm at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $126.00 | $14.22 – $168.00 |
| UPMC Community Osteopathic | Harrisburg | $81.00 | $14.25 – $88.26 |
| UPMC Northwest | Seneca | $62.40 | $13.05 – $22.80 |
| UPMC Hanover | Hanover | $52.20 | $14.25 – $27.01 |
| UPMC Jameson | New Castle | $70.80 | $14.22 – $28.22 |
| UPMC Kane | Kane | $178.20 | $14.22 – $62.11 |
| UPMC Lititz | Lititz | $52.20 | $14.25 – $27.01 |
| UPMC Magee | Pittsburgh | $90.60 | $13.47 – $33.79 |