Infectious agent nucleic acid quantification hiv-1 at UPMC Carlisle
361 Alexander Spring Road, Carlisle, PA · UPMC · · NPI 1689107328
$474.60
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.
?
What you pay up front if you don't use insurance.
$791.00
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.
$52.00 with United Healthcare vs $672.35 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 | $52.00 | ↓ -89% |
| Highmark BCBS of PA | Community Blue Medicare Advantage/Complete Blue Medicare Advantage/Security Blue Medicare Advantage/Together Blue Medicare Advantage | $84.25 | ↓ -82% |
| Highmark BCBS of PA | Freedom Blue Medicare Advantage | $84.25 | ↓ -82% |
| Humana | Medicare | $85.10 | ↓ -82% |
| UPMC Work Partners | Workers Comp | $88.01 | ↓ -81% |
| Aetna | Medicare | $88.76 | ↓ -81% |
| Cigna | Medicare | $89.36 | ↓ -81% |
| Geisinger | Medicare | $89.36 | ↓ -81% |
| United Healthcare | Medicare | $91.06 | ↓ -81% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $91.91 | ↓ -81% |
| Prime Net | Managed Medicare | $108.37 | ↓ -77% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $116.09 | ↓ -76% |
| Keystone Autism Services | ACAP | $136.16 | ↓ -71% |
| Highmark Wholecare (prev Gateway) | Medicaid | $147.43 | ↓ -69% |
| UPMC Health Plan | Managed Medicaid | $150.92 | ↓ -68% |
| United Healthcare Community Plan for Families | PA Medicaid | $152.08 | ↓ -68% |
| Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $158.11 | ↓ -67% |
| Keystone Health Plan | Medicare Advantage | $158.20 | ↓ -67% |
| Capital Blue Cross | Medicare Advantage | $158.20 | ↓ -67% |
| Geisinger | Medicaid/CHIP | $169.10 | ↓ -64% |
| PA Health & Wellness | PA Medicaid HMO | $197.84 | ↓ -58% |
| Cigna | Commercial | $221.28 | ↓ -53% |
| Highmark BCBS of PA | Community Blue PPO | $239.35 | ↓ -50% |
| Highmark BCBS of PA | CHIP - Managed Care | $249.48 | ↓ -47% |
| Highmark BCBS of PA | Commercial | $265.95 | ↓ -44% |
| Prime Net | Legacy Commercial | $308.49 | ↓ -35% |
| Prime Net | ACO | $310.86 | ↓ -35% |
| Aetna | ACO | $310.86 | ↓ -35% |
| Prime Net | NonGateKeeper | $367.81 | ↓ -23% |
| Aetna | Commercial | $370.19 | ↓ -22% |
| Prime Net | GateKeeper | $370.19 | ↓ -22% |
| Capital Blue Cross | Commercial | $432.68 | ↓ -9% |
| Capital Blue Cross | CHIP | $432.68 | ↓ -9% |
| Keystone Health Plan | Commercial | $432.68 | ↓ -9% |
| Wellspan Population Health | PPO | $514.15 | ↑ +8% |
| Geisinger | Commercial | $517.95 | ↑ +9% |
| UPMC Health Plan | Commercial | $553.70 | ↑ +17% |
| Prime Net | FH-Medical Rental | $598.00 | ↑ +26% |
| UPMC Health Plan | CHIP | $653.41 | ↑ +38% |
| Multiplan | PPO (Includes PHCS and Humana as Payers) | $672.35 | ↑ +42% |
Visitor-reported prices
Comments
Infectious agent nucleic acid quantification hiv-1 at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $607.80 | $84.10 – $810.40 |
| UPMC Bedford | Everett | $516.60 | $30.70 – $774.90 |
| UPMC Community Osteopathic | Harrisburg | $474.60 | $84.25 – $672.35 |
| UPMC East | Monroeville | $1,743.00 | $84.10 – $2,324.00 |
| UPMC Hamot | Erie | $582.60 | $84.10 – $225.86 |
| UPMC Northwest | Seneca | $754.20 | $77.18 – $133.50 |
| UPMC Hanover | Hanover | $474.60 | $52.00 – $158.11 |
| UPMC Horizon-Greenville | Greenville | $642.60 | $76.19 – $161.35 |