Infectious agent nucleic acid amplified probe cns pathogen 12-25 targets at UPMC Carlisle
361 Alexander Spring Road, Carlisle, PA · UPMC · · NPI 1689107328
$3,829.20
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.
$6,382.00
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.
$66.89 with United Healthcare vs $5,424.70 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 | $66.89 | ↓ -98% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $229.23 | ↓ -94% |
| United Healthcare Community Plan for Families | PA Medicaid | $333.05 | ↓ -91% |
| Highmark BCBS of PA | Freedom Blue Medicare Advantage | $412.61 | ↓ -89% |
| Highmark BCBS of PA | Community Blue Medicare Advantage/Complete Blue Medicare Advantage/Security Blue Medicare Advantage/Together Blue Medicare Advantage | $412.61 | ↓ -89% |
| Humana | Medicare | $416.78 | ↓ -89% |
| UPMC Work Partners | Workers Comp | $431.07 | ↓ -89% |
| Aetna | Medicare | $434.70 | ↓ -89% |
| Cigna | Medicare | $437.62 | ↓ -89% |
| Geisinger | Medicare | $437.62 | ↓ -89% |
| United Healthcare | Medicare | $445.95 | ↓ -88% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $450.12 | ↓ -88% |
| Keystone Autism Services | ACAP | $666.85 | ↓ -83% |
| Prime Net | Managed Medicare | $874.33 | ↓ -77% |
| Cigna | Commercial | $1,083.64 | ↓ -72% |
| Highmark BCBS of PA | Community Blue PPO | $1,172.24 | ↓ -69% |
| Highmark BCBS of PA | CHIP - Managed Care | $1,221.83 | ↓ -68% |
| Capital Blue Cross | Medicare Advantage | $1,276.40 | ↓ -67% |
| Keystone Health Plan | Medicare Advantage | $1,276.40 | ↓ -67% |
| Highmark BCBS of PA | Commercial | $1,302.48 | ↓ -66% |
| UPMC Health Plan | CHIP | $2,479.29 | ↓ -35% |
| Prime Net | Legacy Commercial | $2,488.98 | ↓ -35% |
| Aetna | ACO | $2,508.13 | ↓ -34% |
| Prime Net | ACO | $2,508.13 | ↓ -34% |
| Prime Net | NonGateKeeper | $2,967.63 | ↓ -23% |
| Aetna | Commercial | $2,986.78 | ↓ -22% |
| Prime Net | GateKeeper | $2,986.78 | ↓ -22% |
| Keystone Health Plan | Commercial | $3,490.95 | ↓ -9% |
| Capital Blue Cross | CHIP | $3,490.95 | ↓ -9% |
| Capital Blue Cross | Commercial | $3,490.95 | ↓ -9% |
| Geisinger | Medicaid/CHIP | $3,510.10 | ↓ -8% |
| PA Health & Wellness | PA Medicaid HMO | $3,510.10 | ↓ -8% |
| Wellspan Population Health | PPO | $4,148.30 | ↑ +8% |
| Geisinger | Commercial | $4,178.93 | ↑ +9% |
| UPMC Health Plan | Commercial | $4,467.40 | ↑ +17% |
| Prime Net | FH-Medical Rental | $4,824.79 | ↑ +26% |
| Multiplan | PPO (Includes PHCS and Humana as Payers) | $5,424.70 | ↑ +42% |
Visitor-reported prices
Comments
Infectious agent nucleic acid amplified probe cns pathogen 12-25 targets at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $1,824.00 | $370.76 – $2,432.00 |
| UPMC Bedford | Everett | $2,193.00 | $150.37 – $3,289.50 |
| UPMC Community Osteopathic | Harrisburg | $3,829.20 | $333.05 – $5,424.70 |
| UPMC East | Monroeville | $1,408.80 | $374.29 – $1,878.40 |
| UPMC Hamot | Erie | $1,920.60 | $370.76 – $450.12 |
| UPMC Northwest | Seneca | $2,298.60 | $377.98 – $450.12 |
| UPMC Hanover | Hanover | $3,829.20 | $66.89 – $2,479.29 |
| UPMC Horizon-Greenville | Greenville | $1,402.80 | $373.14 – $599.50 |