Infectious agent nucleic acid multiplex amplified probe gi pathogen 12-25 targets at UPMC Carlisle
361 Alexander Spring Road, Carlisle, PA · UPMC · · NPI 1689107328
$876.60
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.
$1,461.00
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.
$200.16 with Prime Net vs $3,298.34 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 | $200.16 | ↓ -77% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $229.23 | ↓ -74% |
| Capital Blue Cross | Medicare Advantage | $292.20 | ↓ -67% |
| Keystone Health Plan | Medicare Advantage | $292.20 | ↓ -67% |
| United Healthcare | Commercial | $316.19 | ↓ -64% |
| United Healthcare Community Plan for Families | PA Medicaid | $333.05 | ↓ -62% |
| Highmark BCBS of PA | Community Blue Medicare Advantage/Complete Blue Medicare Advantage/Security Blue Medicare Advantage/Together Blue Medicare Advantage | $412.61 | ↓ -53% |
| Highmark BCBS of PA | Freedom Blue Medicare Advantage | $412.61 | ↓ -53% |
| Humana | Medicare | $416.78 | ↓ -52% |
| UPMC Work Partners | Workers Comp | $431.07 | ↓ -51% |
| Aetna | Medicare | $434.70 | ↓ -50% |
| Geisinger | Medicare | $437.62 | ↓ -50% |
| Cigna | Medicare | $437.62 | ↓ -50% |
| United Healthcare | Medicare | $445.95 | ↓ -49% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $450.12 | ↓ -49% |
| Prime Net | Legacy Commercial | $569.79 | ↓ -35% |
| Aetna | ACO | $574.17 | ↓ -35% |
| Prime Net | ACO | $574.17 | ↓ -35% |
| Keystone Autism Services | ACAP | $666.85 | ↓ -24% |
| Prime Net | NonGateKeeper | $679.37 | ↓ -22% |
| Prime Net | GateKeeper | $683.75 | ↓ -22% |
| Aetna | Commercial | $683.75 | ↓ -22% |
| Capital Blue Cross | CHIP | $799.17 | ↓ -9% |
| Keystone Health Plan | Commercial | $799.17 | ↓ -9% |
| Capital Blue Cross | Commercial | $799.17 | ↓ -9% |
| Geisinger | Medicaid/CHIP | $803.55 | ↓ -8% |
| PA Health & Wellness | PA Medicaid HMO | $803.55 | ↓ -8% |
| Wellspan Population Health | PPO | $949.65 | ↑ +8% |
| Geisinger | Commercial | $956.66 | ↑ +9% |
| UPMC Health Plan | Commercial | $1,022.70 | ↑ +17% |
| Cigna | Commercial | $1,083.64 | ↑ +24% |
| Prime Net | FH-Medical Rental | $1,104.52 | ↑ +26% |
| Highmark BCBS of PA | Community Blue PPO | $1,172.24 | ↑ +34% |
| Highmark BCBS of PA | CHIP - Managed Care | $1,221.83 | ↑ +39% |
| Multiplan | PPO (Includes PHCS and Humana as Payers) | $1,241.85 | ↑ +42% |
| Highmark BCBS of PA | Commercial | $1,302.48 | ↑ +49% |
| UPMC Health Plan | CHIP | $3,298.34 | ↑ +276% |
Visitor-reported prices
Comments
Infectious agent nucleic acid multiplex amplified probe gi pathogen 12-25 targets at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $438.00 | $365.00 – $584.00 |
| UPMC Community Osteopathic | Harrisburg | $876.60 | $292.20 – $3,298.34 |
| UPMC East | Monroeville | $454.20 | $249.81 – $605.60 |
| UPMC Hamot | Erie | $462.00 | $383.38 – $450.12 |
| UPMC Northwest | Seneca | $454.20 | $377.98 – $450.12 |
| UPMC Hanover | Hanover | $876.60 | $316.19 – $3,298.34 |
| UPMC Horizon-Greenville | Greenville | $454.20 | $373.14 – $619.90 |
| UPMC Jameson | New Castle | $454.20 | $292.38 – $450.12 |