Infectious agent nucleic acid respiratory virus multiplex amplified probe 3-5 targets at UPMC Carlisle
361 Alexander Spring Road, Carlisle, PA · UPMC · · NPI 1689107328
$793.80
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.
$1,323.00
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.
$84.24 with United Healthcare vs $1,124.55 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 | $84.24 | ↓ -89% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $141.07 | ↓ -82% |
| Highmark BCBS of PA | Community Blue Medicare Advantage/Complete Blue Medicare Advantage/Security Blue Medicare Advantage/Together Blue Medicare Advantage | $141.20 | ↓ -82% |
| Highmark BCBS of PA | Freedom Blue Medicare Advantage | $141.20 | ↓ -82% |
| Humana | Medicare | $142.63 | ↓ -82% |
| UPMC Work Partners | Workers Comp | $147.52 | ↓ -81% |
| Aetna | Medicare | $148.76 | ↓ -81% |
| Cigna | Medicare | $149.76 | ↓ -81% |
| Geisinger | Medicare | $149.76 | ↓ -81% |
| United Healthcare | Medicare | $152.61 | ↓ -81% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $154.04 | ↓ -81% |
| Highmark Wholecare (prev Gateway) | Medicaid | $179.16 | ↓ -77% |
| Prime Net | Managed Medicare | $181.25 | ↓ -77% |
| UPMC Health Plan | Managed Medicaid | $183.39 | ↓ -77% |
| United Healthcare Community Plan for Families | PA Medicaid | $184.80 | ↓ -77% |
| Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $192.14 | ↓ -76% |
| Geisinger | Medicaid/CHIP | $205.48 | ↓ -74% |
| Keystone Autism Services | ACAP | $228.21 | ↓ -71% |
| PA Health & Wellness | PA Medicaid HMO | $240.41 | ↓ -70% |
| Capital Blue Cross | Medicare Advantage | $264.60 | ↓ -67% |
| Keystone Health Plan | Medicare Advantage | $264.60 | ↓ -67% |
| Cigna | Commercial | $370.84 | ↓ -53% |
| Highmark BCBS of PA | Community Blue PPO | $401.16 | ↓ -49% |
| Highmark BCBS of PA | CHIP - Managed Care | $418.13 | ↓ -47% |
| Highmark BCBS of PA | Commercial | $445.73 | ↓ -44% |
| Prime Net | Legacy Commercial | $515.97 | ↓ -35% |
| Aetna | ACO | $519.94 | ↓ -34% |
| Prime Net | ACO | $519.94 | ↓ -34% |
| UPMC Health Plan | CHIP | $594.72 | ↓ -25% |
| Prime Net | NonGateKeeper | $615.20 | ↓ -22% |
| Aetna | Commercial | $619.16 | ↓ -22% |
| Prime Net | GateKeeper | $619.16 | ↓ -22% |
| Capital Blue Cross | Commercial | $723.68 | ↓ -9% |
| Capital Blue Cross | CHIP | $723.68 | ↓ -9% |
| Keystone Health Plan | Commercial | $723.68 | ↓ -9% |
| Wellspan Population Health | PPO | $859.95 | ↑ +8% |
| Geisinger | Commercial | $866.30 | ↑ +9% |
| UPMC Health Plan | Commercial | $926.10 | ↑ +17% |
| Prime Net | FH-Medical Rental | $1,000.19 | ↑ +26% |
| Multiplan | PPO (Includes PHCS and Humana as Payers) | $1,124.55 | ↑ +42% |
Visitor-reported prices
Comments
Infectious agent nucleic acid respiratory virus multiplex amplified probe 3-5 targets at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $745.80 | $140.96 – $994.40 |
| UPMC Bedford | Everett | $924.60 | $51.46 – $1,386.90 |
| UPMC Community Osteopathic | Harrisburg | $793.80 | $141.07 – $1,124.55 |
| UPMC East | Monroeville | $667.20 | $140.96 – $889.60 |
| UPMC Hamot | Erie | $838.20 | $140.96 – $196.07 |
| UPMC Northwest | Seneca | $951.60 | $129.35 – $162.23 |
| UPMC Hanover | Hanover | $793.80 | $84.24 – $228.21 |
| UPMC Horizon-Greenville | Greenville | $505.20 | $127.70 – $243.12 |