Infect ag genotype na hiv-1 other region at UPMC Carlisle
361 Alexander Spring Road, Carlisle, PA · UPMC · · NPI 1689107328
$716.40
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.
$1,194.00
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.
$18.10 with United Healthcare vs $1,014.90 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 |
|---|---|---|---|
| United Healthcare | Commercial | $18.10 | ↓ -97% |
| Highmark BCBS of PA | Community Blue Medicare Advantage/Complete Blue Medicare Advantage/Security Blue Medicare Advantage/Together Blue Medicare Advantage | $127.44 | ↓ -82% |
| Highmark BCBS of PA | Freedom Blue Medicare Advantage | $127.44 | ↓ -82% |
| Humana | Medicare | $128.73 | ↓ -82% |
| UPMC Work Partners | Workers Comp | $133.14 | ↓ -81% |
| Aetna | Medicare | $134.27 | ↓ -81% |
| Cigna | Medicare | $135.17 | ↓ -81% |
| Geisinger | Medicare | $135.17 | ↓ -81% |
| United Healthcare | Medicare | $137.74 | ↓ -81% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $139.03 | ↓ -81% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $144.91 | ↓ -80% |
| Prime Net | Managed Medicare | $163.58 | ↓ -77% |
| Highmark Wholecare (prev Gateway) | Medicaid | $184.04 | ↓ -74% |
| UPMC Health Plan | Managed Medicaid | $188.38 | ↓ -74% |
| United Healthcare Community Plan for Families | PA Medicaid | $189.83 | ↓ -74% |
| Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $197.37 | ↓ -72% |
| Keystone Autism Services | ACAP | $205.97 | ↓ -71% |
| Geisinger | Medicaid/CHIP | $211.08 | ↓ -71% |
| Capital Blue Cross | Medicare Advantage | $238.80 | ↓ -67% |
| Keystone Health Plan | Medicare Advantage | $238.80 | ↓ -67% |
| PA Health & Wellness | PA Medicaid HMO | $246.96 | ↓ -66% |
| UPMC Health Plan | CHIP | $324.24 | ↓ -55% |
| Cigna | Commercial | $334.68 | ↓ -53% |
| Highmark BCBS of PA | Community Blue PPO | $362.07 | ↓ -49% |
| Highmark BCBS of PA | CHIP - Managed Care | $377.38 | ↓ -47% |
| Highmark BCBS of PA | Commercial | $402.29 | ↓ -44% |
| Prime Net | Legacy Commercial | $465.66 | ↓ -35% |
| Prime Net | ACO | $469.24 | ↓ -35% |
| Aetna | ACO | $469.24 | ↓ -35% |
| Prime Net | NonGateKeeper | $555.21 | ↓ -23% |
| Aetna | Commercial | $558.79 | ↓ -22% |
| Prime Net | GateKeeper | $558.79 | ↓ -22% |
| Capital Blue Cross | Commercial | $653.12 | ↓ -9% |
| Capital Blue Cross | CHIP | $653.12 | ↓ -9% |
| Keystone Health Plan | Commercial | $653.12 | ↓ -9% |
| Wellspan Population Health | PPO | $776.10 | ↑ +8% |
| Geisinger | Commercial | $781.83 | ↑ +9% |
| UPMC Health Plan | Commercial | $835.80 | ↑ +17% |
| Prime Net | FH-Medical Rental | $902.66 | ↑ +26% |
| Multiplan | PPO (Includes PHCS and Humana as Payers) | $1,014.90 | ↑ +42% |
Visitor-reported prices
Comments
Infect ag genotype na hiv-1 other region at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $1,672.20 | $127.22 – $2,229.60 |
| UPMC Bedford | Everett | $1,872.60 | $46.45 – $2,808.90 |
| UPMC Community Osteopathic | Harrisburg | $716.40 | $127.44 – $1,014.90 |
| UPMC East | Monroeville | $1,132.80 | $89.19 – $1,510.40 |
| UPMC Hamot | Erie | $1,108.20 | $127.22 – $336.70 |
| UPMC Northwest | Seneca | $1,768.80 | $90.02 – $166.65 |
| UPMC Hanover | Hanover | $716.40 | $18.10 – $205.97 |
| UPMC Horizon-Greenville | Greenville | $1,114.20 | $90.31 – $241.56 |