Mayo immunoassay c1 esterase inhibitor antibody quantitative at UPMC Carlisle
361 Alexander Spring Road, Carlisle, PA · UPMC · · NPI 1689107328
$87.60
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.
$146.00
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.
$6.85 with Prime Net vs $80.42 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 |
|---|---|---|---|
| Prime Net | Managed Medicare | $6.85 | ↓ -92% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $9.50 | ↓ -89% |
| Capital Blue Cross | Medicare Advantage | $10.00 | ↓ -89% |
| Keystone Health Plan | Medicare Advantage | $10.00 | ↓ -89% |
| United Healthcare Community Plan for Families | PA Medicaid | $13.79 | ↓ -84% |
| Highmark BCBS of PA | Community Blue Medicare Advantage/Complete Blue Medicare Advantage/Security Blue Medicare Advantage/Together Blue Medicare Advantage | $17.10 | ↓ -80% |
| Highmark BCBS of PA | Freedom Blue Medicare Advantage | $17.10 | ↓ -80% |
| Humana | Medicare | $17.27 | ↓ -80% |
| UPMC Work Partners | Workers Comp | $17.86 | ↓ -80% |
| Aetna | Medicare | $18.01 | ↓ -79% |
| Geisinger | Medicare | $18.13 | ↓ -79% |
| Cigna | Medicare | $18.13 | ↓ -79% |
| United Healthcare | Medicare | $18.48 | ↓ -79% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $18.65 | ↓ -79% |
| Prime Net | Legacy Commercial | $19.50 | ↓ -78% |
| Aetna | ACO | $19.65 | ↓ -78% |
| Prime Net | ACO | $19.65 | ↓ -78% |
| United Healthcare | Commercial | $22.08 | ↓ -75% |
| Prime Net | NonGateKeeper | $23.25 | ↓ -73% |
| Prime Net | GateKeeper | $23.40 | ↓ -73% |
| Aetna | Commercial | $23.40 | ↓ -73% |
| Capital Blue Cross | CHIP | $27.35 | ↓ -69% |
| Keystone Health Plan | Commercial | $27.35 | ↓ -69% |
| Capital Blue Cross | Commercial | $27.35 | ↓ -69% |
| PA Health & Wellness | PA Medicaid HMO | $27.50 | ↓ -69% |
| Geisinger | Medicaid/CHIP | $27.50 | ↓ -69% |
| Keystone Autism Services | ACAP | $27.63 | ↓ -68% |
| Wellspan Population Health | PPO | $32.50 | ↓ -63% |
| Geisinger | Commercial | $32.74 | ↓ -63% |
| UPMC Health Plan | Commercial | $35.00 | ↓ -60% |
| Prime Net | FH-Medical Rental | $37.80 | ↓ -57% |
| Multiplan | PPO (Includes PHCS and Humana as Payers) | $42.50 | ↓ -51% |
| Cigna | Commercial | $44.92 | ↓ -49% |
| Highmark BCBS of PA | Community Blue PPO | $48.57 | ↓ -45% |
| Highmark BCBS of PA | CHIP - Managed Care | $50.63 | ↓ -42% |
| Highmark BCBS of PA | Commercial | $53.97 | ↓ -38% |
| UPMC Health Plan | CHIP | $80.42 | ↓ -8% |
Visitor-reported prices
Comments
Mayo immunoassay c1 esterase inhibitor antibody quantitative at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $136.80 | $17.07 – $182.40 |
| UPMC Bedford | Everett | $100.20 | $6.23 – $150.30 |
| UPMC Cole | Coudersport | $61.80 | $11.23 – $82.40 |
| UPMC Community Osteopathic | Harrisburg | $87.60 | $10.00 – $80.42 |
| UPMC East | Monroeville | $194.40 | $17.07 – $244.80 |
| UPMC Hamot | Erie | $271.20 | $17.07 – $25.02 |
| UPMC Northwest | Seneca | $67.20 | $15.66 – $18.65 |
| UPMC Hanover | Hanover | $87.60 | $13.79 – $80.42 |