Mayo covid-19 antibody nucleocapsid total at UPMC Carlisle
361 Alexander Spring Road, Carlisle, PA · UPMC · · NPI 1689107328
$123.00
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.
$205.00
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.
$11.16 with AmeriHealth Caritas vs $131.66 with Highmark BCBS of PA — 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 | $11.16 | ↓ -91% |
| Highmark Wholecare (prev Gateway) | Medicaid | $14.17 | ↓ -88% |
| UPMC Health Plan | Managed Medicaid | $14.51 | ↓ -88% |
| United Healthcare Community Plan for Families | PA Medicaid | $14.62 | ↓ -88% |
| Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $15.20 | ↓ -88% |
| Geisinger | Medicaid/CHIP | $16.26 | ↓ -87% |
| PA Health & Wellness | PA Medicaid HMO | $19.02 | ↓ -85% |
| Prime Net | Managed Medicare | $19.32 | ↓ -84% |
| United Healthcare | Commercial | $19.54 | ↓ -84% |
| Keystone Health Plan | Medicare Advantage | $28.20 | ↓ -77% |
| Capital Blue Cross | Medicare Advantage | $28.20 | ↓ -77% |
| Highmark BCBS of PA | Freedom Blue Medicare Advantage | $41.71 | ↓ -66% |
| Highmark BCBS of PA | Community Blue Medicare Advantage/Complete Blue Medicare Advantage/Security Blue Medicare Advantage/Together Blue Medicare Advantage | $41.71 | ↓ -66% |
| Humana | Medicare | $42.13 | ↓ -66% |
| UPMC Work Partners | Workers Comp | $43.58 | ↓ -65% |
| Aetna | Medicare | $43.94 | ↓ -64% |
| Cigna | Medicare | $44.24 | ↓ -64% |
| Geisinger | Medicare | $44.24 | ↓ -64% |
| United Healthcare | Medicare | $45.08 | ↓ -63% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $45.50 | ↓ -63% |
| Prime Net | Legacy Commercial | $54.99 | ↓ -55% |
| Aetna | ACO | $55.41 | ↓ -55% |
| Prime Net | ACO | $55.41 | ↓ -55% |
| Prime Net | NonGateKeeper | $65.56 | ↓ -47% |
| Aetna | Commercial | $65.99 | ↓ -46% |
| Prime Net | GateKeeper | $65.99 | ↓ -46% |
| Keystone Autism Services | ACAP | $67.41 | ↓ -45% |
| Capital Blue Cross | CHIP | $77.13 | ↓ -37% |
| Keystone Health Plan | Commercial | $77.13 | ↓ -37% |
| Capital Blue Cross | Commercial | $77.13 | ↓ -37% |
| UPMC Health Plan | CHIP | $78.40 | ↓ -36% |
| Wellspan Population Health | PPO | $91.65 | ↓ -25% |
| Geisinger | Commercial | $92.33 | ↓ -25% |
| UPMC Health Plan | Commercial | $98.70 | ↓ -20% |
| Prime Net | FH-Medical Rental | $106.60 | ↓ -13% |
| Cigna | Commercial | $109.98 | ↓ -11% |
| Highmark BCBS of PA | Community Blue PPO | $118.49 | ↓ -4% |
| Multiplan | PPO (Includes PHCS and Humana as Payers) | $119.85 | ↓ -3% |
| Highmark BCBS of PA | CHIP - Managed Care | $123.51 | ↑ +0% |
| Highmark BCBS of PA | Commercial | $131.66 | ↑ +7% |
Visitor-reported prices
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Mayo covid-19 antibody nucleocapsid total at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $123.00 | $11.16 – $164.00 |
| UPMC Bedford | Everett | $123.00 | $11.16 – $184.50 |
| UPMC Cole | Coudersport | $151.20 | $11.72 – $201.60 |
| UPMC Community Osteopathic | Harrisburg | $123.00 | $11.16 – $119.85 |
| UPMC East | Monroeville | $130.20 | $11.16 – $164.00 |
| UPMC Hamot | Erie | $123.00 | $11.16 – $78.31 |
| UPMC Northwest | Seneca | $123.00 | $12.28 – $44.24 |
| UPMC Hanover | Hanover | $123.00 | $11.16 – $67.41 |