Mayo c1 esterase inhibitor at UPMC Carlisle
361 Alexander Spring Road, Carlisle, PA · UPMC · · NPI 1689107328
$124.80
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.
$208.00
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.
$7.48 with AmeriHealth Caritas vs $96.90 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 |
|---|---|---|---|
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $7.48 | ↓ -94% |
| United Healthcare Community Plan for Families | PA Medicaid | $10.87 | ↓ -91% |
| Highmark BCBS of PA | Community Blue Medicare Advantage/Complete Blue Medicare Advantage/Security Blue Medicare Advantage/Together Blue Medicare Advantage | $13.46 | ↓ -89% |
| Highmark BCBS of PA | Freedom Blue Medicare Advantage | $13.46 | ↓ -89% |
| Humana | Medicare | $13.60 | ↓ -89% |
| UPMC Work Partners | Workers Comp | $14.07 | ↓ -89% |
| Aetna | Medicare | $14.18 | ↓ -89% |
| Geisinger | Medicare | $14.28 | ↓ -89% |
| Cigna | Medicare | $14.28 | ↓ -89% |
| United Healthcare | Medicare | $14.55 | ↓ -88% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $14.69 | ↓ -88% |
| Prime Net | Managed Medicare | $15.62 | ↓ -87% |
| Keystone Autism Services | ACAP | $21.76 | ↓ -83% |
| Capital Blue Cross | Medicare Advantage | $22.80 | ↓ -82% |
| Keystone Health Plan | Medicare Advantage | $22.80 | ↓ -82% |
| Cigna | Commercial | $35.36 | ↓ -72% |
| Highmark BCBS of PA | Community Blue PPO | $38.25 | ↓ -69% |
| Highmark BCBS of PA | CHIP - Managed Care | $39.87 | ↓ -68% |
| Highmark BCBS of PA | Commercial | $42.50 | ↓ -66% |
| Prime Net | Legacy Commercial | $44.46 | ↓ -64% |
| Aetna | ACO | $44.80 | ↓ -64% |
| Prime Net | ACO | $44.80 | ↓ -64% |
| United Healthcare | Commercial | $50.28 | ↓ -60% |
| Prime Net | NonGateKeeper | $53.01 | ↓ -58% |
| Prime Net | GateKeeper | $53.35 | ↓ -57% |
| Aetna | Commercial | $53.35 | ↓ -57% |
| Keystone Health Plan | Commercial | $62.36 | ↓ -50% |
| Capital Blue Cross | Commercial | $62.36 | ↓ -50% |
| Capital Blue Cross | CHIP | $62.36 | ↓ -50% |
| PA Health & Wellness | PA Medicaid HMO | $62.70 | ↓ -50% |
| Geisinger | Medicaid/CHIP | $62.70 | ↓ -50% |
| UPMC Health Plan | CHIP | $68.26 | ↓ -45% |
| Wellspan Population Health | PPO | $74.10 | ↓ -41% |
| Geisinger | Commercial | $74.65 | ↓ -40% |
| UPMC Health Plan | Commercial | $79.80 | ↓ -36% |
| Prime Net | FH-Medical Rental | $86.18 | ↓ -31% |
| Multiplan | PPO (Includes PHCS and Humana as Payers) | $96.90 | ↓ -22% |
Visitor-reported prices
Comments
Mayo c1 esterase inhibitor at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $67.80 | $13.44 – $90.40 |
| UPMC Bedford | Everett | $58.80 | $4.91 – $88.20 |
| UPMC Cole | Coudersport | $186.60 | $8.84 – $248.80 |
| UPMC Community Osteopathic | Harrisburg | $124.80 | $10.87 – $68.85 |
| UPMC East | Monroeville | $202.80 | $13.44 – $270.40 |
| UPMC Hamot | Erie | $198.00 | $13.44 – $26.30 |
| UPMC Northwest | Seneca | $96.60 | $12.33 – $14.69 |
| UPMC Hanover | Hanover | $124.80 | $10.87 – $68.26 |