Mayo lamotrigine therapeutic drug level at UPMC Carlisle
361 Alexander Spring Road, Carlisle, PA · UPMC · · NPI 1689107328
$33.60
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.
$56.00
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.
$7.67 with Prime Net vs $97.10 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 | $7.67 | ↓ -77% |
| Keystone Health Plan | Medicare Advantage | $11.20 | ↓ -67% |
| Capital Blue Cross | Medicare Advantage | $11.20 | ↓ -67% |
| Highmark BCBS of PA | Community Blue Medicare Advantage/Complete Blue Medicare Advantage/Security Blue Medicare Advantage/Together Blue Medicare Advantage | $13.12 | ↓ -61% |
| Highmark BCBS of PA | Freedom Blue Medicare Advantage | $13.12 | ↓ -61% |
| Humana | Medicare | $13.25 | ↓ -61% |
| UPMC Work Partners | Workers Comp | $13.70 | ↓ -59% |
| Aetna | Medicare | $13.82 | ↓ -59% |
| Geisinger | Medicare | $13.91 | ↓ -59% |
| Cigna | Medicare | $13.91 | ↓ -59% |
| United Healthcare | Medicare | $14.18 | ↓ -58% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $14.31 | ↓ -57% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $14.47 | ↓ -57% |
| Highmark Wholecare (prev Gateway) | Medicaid | $18.38 | ↓ -45% |
| UPMC Health Plan | Managed Medicaid | $18.81 | ↓ -44% |
| United Healthcare Community Plan for Families | PA Medicaid | $18.96 | ↓ -44% |
| Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $19.71 | ↓ -41% |
| Geisinger | Medicaid/CHIP | $21.08 | ↓ -37% |
| Keystone Autism Services | ACAP | $21.20 | ↓ -37% |
| United Healthcare | Commercial | $21.58 | ↓ -36% |
| Prime Net | Legacy Commercial | $21.84 | ↓ -35% |
| Aetna | ACO | $22.01 | ↓ -34% |
| Prime Net | ACO | $22.01 | ↓ -34% |
| PA Health & Wellness | PA Medicaid HMO | $24.66 | ↓ -27% |
| Prime Net | NonGateKeeper | $26.04 | ↓ -23% |
| Aetna | Commercial | $26.21 | ↓ -22% |
| Prime Net | GateKeeper | $26.21 | ↓ -22% |
| Capital Blue Cross | Commercial | $30.63 | ↓ -9% |
| Capital Blue Cross | CHIP | $30.63 | ↓ -9% |
| Keystone Health Plan | Commercial | $30.63 | ↓ -9% |
| Cigna | Commercial | $34.44 | ↑ +3% |
| Wellspan Population Health | PPO | $36.40 | ↑ +8% |
| Geisinger | Commercial | $36.67 | ↑ +9% |
| Highmark BCBS of PA | Community Blue PPO | $37.27 | ↑ +11% |
| Highmark BCBS of PA | CHIP - Managed Care | $38.84 | ↑ +16% |
| UPMC Health Plan | Commercial | $39.20 | ↑ +17% |
| Highmark BCBS of PA | Commercial | $41.41 | ↑ +23% |
| Prime Net | FH-Medical Rental | $42.34 | ↑ +26% |
| Multiplan | PPO (Includes PHCS and Humana as Payers) | $47.60 | ↑ +42% |
| UPMC Health Plan | CHIP | $97.10 | ↑ +189% |
Visitor-reported prices
Comments
Mayo lamotrigine therapeutic drug level at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $180.60 | $13.09 – $240.80 |
| UPMC Bedford | Everett | $88.20 | $4.78 – $132.30 |
| UPMC Cole | Coudersport | $62.40 | $8.61 – $83.20 |
| UPMC Community Osteopathic | Harrisburg | $33.60 | $11.20 – $97.10 |
| UPMC East | Monroeville | $203.40 | $13.09 – $271.20 |
| UPMC Hamot | Erie | $102.00 | $13.09 – $20.11 |
| UPMC Northwest | Seneca | $141.00 | $12.02 – $16.64 |
| UPMC Hanover | Hanover | $33.60 | $13.12 – $21.20 |