H pylori (c-13) breath at UPMC Carlisle
361 Alexander Spring Road, Carlisle, PA · UPMC · · NPI 1689107328
$340.80
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.
?
What you pay up front if you don't use insurance.
$568.00
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.
$32.27 with United Healthcare vs $482.80 with Multiplan — 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 |
|---|---|---|---|
| United Healthcare | Commercial | $32.27 | ↓ -91% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $60.10 | ↓ -82% |
| Highmark BCBS of PA | Freedom Blue Medicare Advantage | $66.69 | ↓ -80% |
| Highmark BCBS of PA | Community Blue Medicare Advantage/Complete Blue Medicare Advantage/Security Blue Medicare Advantage/Together Blue Medicare Advantage | $66.69 | ↓ -80% |
| Humana | Medicare | $67.36 | ↓ -80% |
| UPMC Work Partners | Workers Comp | $69.67 | ↓ -80% |
| Aetna | Medicare | $70.26 | ↓ -79% |
| Geisinger | Medicare | $70.73 | ↓ -79% |
| Cigna | Medicare | $70.73 | ↓ -79% |
| United Healthcare | Medicare | $72.08 | ↓ -79% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $72.75 | ↓ -79% |
| Highmark Wholecare (prev Gateway) | Medicaid | $76.33 | ↓ -78% |
| Prime Net | Managed Medicare | $77.82 | ↓ -77% |
| UPMC Health Plan | Managed Medicaid | $78.13 | ↓ -77% |
| United Healthcare Community Plan for Families | PA Medicaid | $78.73 | ↓ -77% |
| Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $81.86 | ↓ -76% |
| Geisinger | Medicaid/CHIP | $87.54 | ↓ -74% |
| PA Health & Wellness | PA Medicaid HMO | $102.42 | ↓ -70% |
| Keystone Autism Services | ACAP | $107.78 | ↓ -68% |
| Capital Blue Cross | Medicare Advantage | $113.60 | ↓ -67% |
| Keystone Health Plan | Medicare Advantage | $113.60 | ↓ -67% |
| Cigna | Commercial | $175.12 | ↓ -49% |
| Highmark BCBS of PA | Community Blue PPO | $189.46 | ↓ -44% |
| Highmark BCBS of PA | CHIP - Managed Care | $197.47 | ↓ -42% |
| Highmark BCBS of PA | Commercial | $210.51 | ↓ -38% |
| Prime Net | Legacy Commercial | $221.52 | ↓ -35% |
| Prime Net | ACO | $223.22 | ↓ -35% |
| Aetna | ACO | $223.22 | ↓ -35% |
| Prime Net | NonGateKeeper | $264.12 | ↓ -23% |
| Aetna | Commercial | $265.82 | ↓ -22% |
| Prime Net | GateKeeper | $265.82 | ↓ -22% |
| Capital Blue Cross | CHIP | $310.70 | ↓ -9% |
| Keystone Health Plan | Commercial | $310.70 | ↓ -9% |
| Capital Blue Cross | Commercial | $310.70 | ↓ -9% |
| UPMC Health Plan | CHIP | $342.83 | ↑ +1% |
| Wellspan Population Health | PPO | $369.20 | ↑ +8% |
| Geisinger | Commercial | $371.93 | ↑ +9% |
| UPMC Health Plan | Commercial | $397.60 | ↑ +17% |
| Prime Net | FH-Medical Rental | $429.41 | ↑ +26% |
| Multiplan | PPO (Includes PHCS and Humana as Payers) | $482.80 | ↑ +42% |
Visitor-reported prices
Comments
H pylori (c-13) breath at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $341.40 | $60.10 – $455.20 |
| UPMC Bedford | Everett | $256.80 | $24.30 – $385.20 |
| UPMC Community Osteopathic | Harrisburg | $340.80 | $60.10 – $482.80 |
| UPMC Hamot | Erie | $642.60 | $60.10 – $115.25 |
| UPMC Northwest | Seneca | $346.80 | $61.09 – $72.75 |
| UPMC Hanover | Hanover | $340.80 | $32.27 – $107.78 |
| UPMC Horizon-Greenville | Greenville | $338.40 | $60.10 – $126.40 |
| UPMC Jameson | New Castle | $256.80 | $66.11 – $117.28 |