Mayo infectious disease hepatitis c chronic six biochemical assays at UPMC Carlisle
361 Alexander Spring Road, Carlisle, PA · UPMC · · NPI 1689107328
$516.60
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.
$861.00
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.
$57.75 with AmeriHealth Caritas vs $3,888.00 with United Healthcare — 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 | $57.75 | ↓ -89% |
| Highmark BCBS of PA | Freedom Blue Medicare Advantage | $71.47 | ↓ -86% |
| Highmark BCBS of PA | Community Blue Medicare Advantage/Complete Blue Medicare Advantage/Security Blue Medicare Advantage/Together Blue Medicare Advantage | $71.47 | ↓ -86% |
| Humana | Medicare | $72.19 | ↓ -86% |
| Highmark Wholecare (prev Gateway) | Medicaid | $73.34 | ↓ -86% |
| UPMC Work Partners | Workers Comp | $74.66 | ↓ -86% |
| UPMC Health Plan | Managed Medicaid | $75.08 | ↓ -85% |
| Aetna | Medicare | $75.29 | ↓ -85% |
| United Healthcare Community Plan for Families | PA Medicaid | $75.65 | ↓ -85% |
| Geisinger | Medicare | $75.80 | ↓ -85% |
| Cigna | Medicare | $75.80 | ↓ -85% |
| United Healthcare | Medicare | $77.24 | ↓ -85% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $77.97 | ↓ -85% |
| Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $78.66 | ↓ -85% |
| Geisinger | Medicaid/CHIP | $84.12 | ↓ -84% |
| PA Health & Wellness | PA Medicaid HMO | $98.42 | ↓ -81% |
| Keystone Autism Services | ACAP | $115.50 | ↓ -78% |
| Prime Net | Managed Medicare | $117.96 | ↓ -77% |
| Keystone Health Plan | Medicare Advantage | $172.20 | ↓ -67% |
| Capital Blue Cross | Medicare Advantage | $172.20 | ↓ -67% |
| Cigna | Commercial | $187.68 | ↓ -64% |
| Highmark BCBS of PA | Community Blue PPO | $203.04 | ↓ -61% |
| Highmark BCBS of PA | CHIP - Managed Care | $211.63 | ↓ -59% |
| Highmark BCBS of PA | Commercial | $225.60 | ↓ -56% |
| UPMC Health Plan | CHIP | $248.98 | ↓ -52% |
| Prime Net | Legacy Commercial | $335.79 | ↓ -35% |
| Aetna | ACO | $338.37 | ↓ -35% |
| Prime Net | ACO | $338.37 | ↓ -35% |
| Prime Net | NonGateKeeper | $400.37 | ↓ -22% |
| Aetna | Commercial | $402.95 | ↓ -22% |
| Prime Net | GateKeeper | $402.95 | ↓ -22% |
| Capital Blue Cross | Commercial | $470.97 | ↓ -9% |
| Keystone Health Plan | Commercial | $470.97 | ↓ -9% |
| Capital Blue Cross | CHIP | $470.97 | ↓ -9% |
| Wellspan Population Health | PPO | $559.65 | ↑ +8% |
| Geisinger | Commercial | $563.78 | ↑ +9% |
| UPMC Health Plan | Commercial | $602.70 | ↑ +17% |
| Prime Net | FH-Medical Rental | $650.92 | ↑ +26% |
| Multiplan | PPO (Includes PHCS and Humana as Payers) | $731.85 | ↑ +42% |
| United Healthcare | Commercial | $3,888.00 | ↑ +653% |
Visitor-reported prices
Comments
Mayo infectious disease hepatitis c chronic six biochemical assays at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $669.00 | $44.09 – $892.00 |
| UPMC Cole | Coudersport | $235.20 | $46.92 – $313.60 |
| UPMC Community Osteopathic | Harrisburg | $516.60 | $57.75 – $731.85 |
| UPMC East | Monroeville | $712.80 | $44.51 – $950.40 |
| UPMC Hamot | Erie | $756.60 | $44.09 – $80.27 |
| UPMC Hanover | Hanover | $516.60 | $57.75 – $115.50 |
| UPMC Lititz | Lititz | $516.60 | $57.75 – $115.50 |
| UPMC Magee | Pittsburgh | $672.00 | $44.51 – $98.42 |