Infectious agent nucleic acid multiplex amplified probe gi pathogen 6-11 targets at UPMC Carlisle
361 Alexander Spring Road, Carlisle, PA · UPMC · · NPI 1689107328
$553.20
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.
$922.00
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.
$126.31 with Prime Net vs $1,310.29 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 | $126.31 | ↓ -77% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $144.64 | ↓ -74% |
| Capital Blue Cross | Medicare Advantage | $184.40 | ↓ -67% |
| Keystone Health Plan | Medicare Advantage | $184.40 | ↓ -67% |
| United Healthcare | Commercial | $190.06 | ↓ -66% |
| United Healthcare Community Plan for Families | PA Medicaid | $210.15 | ↓ -62% |
| Highmark BCBS of PA | Community Blue Medicare Advantage/Complete Blue Medicare Advantage/Security Blue Medicare Advantage/Together Blue Medicare Advantage | $260.36 | ↓ -53% |
| Highmark BCBS of PA | Freedom Blue Medicare Advantage | $260.36 | ↓ -53% |
| Humana | Medicare | $262.99 | ↓ -52% |
| UPMC Work Partners | Workers Comp | $272.01 | ↓ -51% |
| Aetna | Medicare | $274.30 | ↓ -50% |
| Geisinger | Medicare | $276.14 | ↓ -50% |
| Cigna | Medicare | $276.14 | ↓ -50% |
| United Healthcare | Medicare | $281.40 | ↓ -49% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $284.03 | ↓ -49% |
| Prime Net | Legacy Commercial | $359.58 | ↓ -35% |
| Aetna | ACO | $362.35 | ↓ -34% |
| Prime Net | ACO | $362.35 | ↓ -34% |
| Keystone Autism Services | ACAP | $420.78 | ↓ -24% |
| Prime Net | NonGateKeeper | $428.73 | ↓ -23% |
| Prime Net | GateKeeper | $431.50 | ↓ -22% |
| Aetna | Commercial | $431.50 | ↓ -22% |
| Capital Blue Cross | CHIP | $504.33 | ↓ -9% |
| Keystone Health Plan | Commercial | $504.33 | ↓ -9% |
| Capital Blue Cross | Commercial | $504.33 | ↓ -9% |
| Geisinger | Medicaid/CHIP | $507.10 | ↓ -8% |
| PA Health & Wellness | PA Medicaid HMO | $507.10 | ↓ -8% |
| Wellspan Population Health | PPO | $599.30 | ↑ +8% |
| Geisinger | Commercial | $603.73 | ↑ +9% |
| UPMC Health Plan | Commercial | $645.40 | ↑ +17% |
| Cigna | Commercial | $683.76 | ↑ +24% |
| Prime Net | FH-Medical Rental | $697.03 | ↑ +26% |
| Highmark BCBS of PA | Community Blue PPO | $739.69 | ↑ +34% |
| Highmark BCBS of PA | CHIP - Managed Care | $770.98 | ↑ +39% |
| Multiplan | PPO (Includes PHCS and Humana as Payers) | $783.70 | ↑ +42% |
| Highmark BCBS of PA | Commercial | $821.87 | ↑ +49% |
| UPMC Health Plan | CHIP | $1,310.29 | ↑ +137% |
Visitor-reported prices
Comments
Infectious agent nucleic acid multiplex amplified probe gi pathogen 6-11 targets at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $968.40 | $196.33 – $1,291.20 |
| UPMC Bedford | Everett | $1,230.60 | $94.89 – $1,845.90 |
| UPMC Community Osteopathic | Harrisburg | $553.20 | $184.40 – $1,310.29 |
| UPMC East | Monroeville | $793.20 | $198.20 – $1,057.60 |
| UPMC Hamot | Erie | $1,088.40 | $196.33 – $284.03 |
| UPMC Northwest | Seneca | $1,008.00 | $238.51 – $284.03 |
| UPMC Hanover | Hanover | $553.20 | $190.06 – $1,310.29 |
| UPMC Horizon-Greenville | Greenville | $728.40 | $235.45 – $317.45 |