Mayo ffspg allergen clam igg at UPMC Carlisle
361 Alexander Spring Road, Carlisle, PA · UPMC · · NPI 1689107328
$43.80
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.
$73.00
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.
$5.78 with AmeriHealth Caritas vs $69.50 with UPMC Health Plan — 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 | $5.78 | ↓ -87% |
| Highmark Wholecare (prev Gateway) | Medicaid | $7.34 | ↓ -83% |
| UPMC Health Plan | Managed Medicaid | $7.51 | ↓ -83% |
| United Healthcare Community Plan for Families | PA Medicaid | $7.57 | ↓ -83% |
| Highmark BCBS of PA | Community Blue Medicare Advantage/Complete Blue Medicare Advantage/Security Blue Medicare Advantage/Together Blue Medicare Advantage | $7.74 | ↓ -82% |
| Highmark BCBS of PA | Freedom Blue Medicare Advantage | $7.74 | ↓ -82% |
| Humana | Medicare | $7.82 | ↓ -82% |
| Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $7.87 | ↓ -82% |
| UPMC Work Partners | Workers Comp | $8.09 | ↓ -82% |
| Aetna | Medicare | $8.16 | ↓ -81% |
| Geisinger | Medicare | $8.21 | ↓ -81% |
| Cigna | Medicare | $8.21 | ↓ -81% |
| United Healthcare | Medicare | $8.37 | ↓ -81% |
| Geisinger | Medicaid/CHIP | $8.42 | ↓ -81% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $8.45 | ↓ -81% |
| PA Health & Wellness | PA Medicaid HMO | $9.85 | ↓ -78% |
| Prime Net | Managed Medicare | $10.00 | ↓ -77% |
| United Healthcare | Commercial | $10.34 | ↓ -76% |
| Keystone Autism Services | ACAP | $12.51 | ↓ -71% |
| Capital Blue Cross | Medicare Advantage | $14.60 | ↓ -67% |
| Keystone Health Plan | Medicare Advantage | $14.60 | ↓ -67% |
| Cigna | Commercial | $20.32 | ↓ -54% |
| Highmark BCBS of PA | Community Blue PPO | $21.99 | ↓ -50% |
| Highmark BCBS of PA | CHIP - Managed Care | $22.93 | ↓ -48% |
| Highmark BCBS of PA | Commercial | $24.44 | ↓ -44% |
| Prime Net | Legacy Commercial | $28.47 | ↓ -35% |
| Prime Net | ACO | $28.69 | ↓ -34% |
| Aetna | ACO | $28.69 | ↓ -34% |
| Prime Net | NonGateKeeper | $33.95 | ↓ -22% |
| Aetna | Commercial | $34.16 | ↓ -22% |
| Prime Net | GateKeeper | $34.16 | ↓ -22% |
| Capital Blue Cross | Commercial | $39.93 | ↓ -9% |
| Capital Blue Cross | CHIP | $39.93 | ↓ -9% |
| Keystone Health Plan | Commercial | $39.93 | ↓ -9% |
| Wellspan Population Health | PPO | $47.45 | ↑ +8% |
| Geisinger | Commercial | $47.80 | ↑ +9% |
| UPMC Health Plan | Commercial | $51.10 | ↑ +17% |
| Prime Net | FH-Medical Rental | $55.19 | ↑ +26% |
| Multiplan | PPO (Includes PHCS and Humana as Payers) | $62.05 | ↑ +42% |
| UPMC Health Plan | CHIP | $69.50 | ↑ +59% |
Visitor-reported prices
Comments
Mayo ffspg allergen clam igg at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $51.00 | $5.78 – $68.00 |
| UPMC Bedford | Everett | $84.60 | $2.82 – $126.90 |
| UPMC Community Osteopathic | Harrisburg | $43.80 | $5.78 – $69.50 |
| UPMC East | Monroeville | $108.00 | $5.78 – $144.00 |
| UPMC Hamot | Erie | $87.60 | $5.78 – $13.87 |
| UPMC Northwest | Seneca | $46.80 | $6.36 – $8.45 |
| UPMC Hanover | Hanover | $43.80 | $5.78 – $12.51 |
| UPMC Horizon-Greenville | Greenville | $39.60 | $5.78 – $14.67 |