Mayo fat/lipids feces quantitative at UPMC Carlisle
361 Alexander Spring Road, Carlisle, PA · UPMC · · NPI 1689107328
$85.80
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.
?
What you pay up front if you don't use insurance.
$143.00
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.
$4.02 with AmeriHealth Caritas vs $121.55 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 |
|---|---|---|---|
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $4.02 | ↓ -95% |
| Highmark Wholecare (prev Gateway) | Medicaid | $5.11 | ↓ -94% |
| UPMC Health Plan | Managed Medicaid | $5.23 | ↓ -94% |
| United Healthcare Community Plan for Families | PA Medicaid | $5.27 | ↓ -94% |
| Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $5.48 | ↓ -94% |
| Geisinger | Medicaid/CHIP | $5.86 | ↓ -93% |
| PA Health & Wellness | PA Medicaid HMO | $6.85 | ↓ -92% |
| United Healthcare | Commercial | $7.55 | ↓ -91% |
| Highmark BCBS of PA | Freedom Blue Medicare Advantage | $16.63 | ↓ -81% |
| Highmark BCBS of PA | Community Blue Medicare Advantage/Complete Blue Medicare Advantage/Security Blue Medicare Advantage/Together Blue Medicare Advantage | $16.63 | ↓ -81% |
| Humana | Medicare | $16.80 | ↓ -80% |
| UPMC Work Partners | Workers Comp | $17.37 | ↓ -80% |
| Aetna | Medicare | $17.52 | ↓ -80% |
| Geisinger | Medicare | $17.64 | ↓ -79% |
| Cigna | Medicare | $17.64 | ↓ -79% |
| United Healthcare | Medicare | $17.98 | ↓ -79% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $18.14 | ↓ -79% |
| Prime Net | Managed Medicare | $19.59 | ↓ -77% |
| Keystone Autism Services | ACAP | $26.88 | ↓ -69% |
| Capital Blue Cross | Medicare Advantage | $28.60 | ↓ -67% |
| Keystone Health Plan | Medicare Advantage | $28.60 | ↓ -67% |
| Cigna | Commercial | $43.68 | ↓ -49% |
| Highmark BCBS of PA | Community Blue PPO | $47.25 | ↓ -45% |
| Highmark BCBS of PA | CHIP - Managed Care | $49.25 | ↓ -43% |
| Highmark BCBS of PA | Commercial | $52.50 | ↓ -39% |
| Prime Net | Legacy Commercial | $55.77 | ↓ -35% |
| Prime Net | ACO | $56.20 | ↓ -34% |
| Aetna | ACO | $56.20 | ↓ -34% |
| Prime Net | NonGateKeeper | $66.50 | ↓ -22% |
| Aetna | Commercial | $66.92 | ↓ -22% |
| Prime Net | GateKeeper | $66.92 | ↓ -22% |
| Capital Blue Cross | CHIP | $78.22 | ↓ -9% |
| Keystone Health Plan | Commercial | $78.22 | ↓ -9% |
| Capital Blue Cross | Commercial | $78.22 | ↓ -9% |
| UPMC Health Plan | CHIP | $86.02 | ↑ +0% |
| Wellspan Population Health | PPO | $92.95 | ↑ +8% |
| Geisinger | Commercial | $93.64 | ↑ +9% |
| UPMC Health Plan | Commercial | $100.10 | ↑ +17% |
| Prime Net | FH-Medical Rental | $108.11 | ↑ +26% |
| Multiplan | PPO (Includes PHCS and Humana as Payers) | $121.55 | ↑ +42% |
Visitor-reported prices
Comments
Mayo fat/lipids feces quantitative at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $246.60 | $4.02 – $328.80 |
| UPMC Bedford | Everett | $129.60 | $4.02 – $194.40 |
| UPMC Cole | Coudersport | $115.80 | $4.22 – $154.40 |
| UPMC Community Osteopathic | Harrisburg | $85.80 | $4.02 – $121.55 |
| UPMC East | Monroeville | $251.40 | $4.02 – $335.20 |
| UPMC Hamot | Erie | $183.00 | $4.02 – $32.47 |
| UPMC Northwest | Seneca | $110.40 | $4.42 – $17.64 |
| UPMC Hanover | Hanover | $85.80 | $4.02 – $26.88 |