Pinworm exam at UPMC Carlisle
361 Alexander Spring Road, Carlisle, PA · UPMC · · NPI 1689107328
$238.80
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.
$398.00
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.
$2.35 with AmeriHealth Caritas vs $34.00 with Multiplan — 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 | $2.35 | ↓ -99% |
| United Healthcare Community Plan for Families | PA Medicaid | $3.41 | ↓ -99% |
| Highmark BCBS of PA | Freedom Blue Medicare Advantage | $4.23 | ↓ -98% |
| Highmark BCBS of PA | Community Blue Medicare Advantage/Complete Blue Medicare Advantage/Security Blue Medicare Advantage/Together Blue Medicare Advantage | $4.23 | ↓ -98% |
| Humana | Medicare | $4.27 | ↓ -98% |
| UPMC Work Partners | Workers Comp | $4.42 | ↓ -98% |
| Aetna | Medicare | $4.45 | ↓ -98% |
| Geisinger | Medicare | $4.48 | ↓ -98% |
| Cigna | Medicare | $4.48 | ↓ -98% |
| United Healthcare | Medicare | $4.57 | ↓ -98% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $4.61 | ↓ -98% |
| Prime Net | Managed Medicare | $5.48 | ↓ -98% |
| United Healthcare | Commercial | $6.32 | ↓ -97% |
| Keystone Autism Services | ACAP | $6.83 | ↓ -97% |
| Keystone Health Plan | Medicare Advantage | $8.00 | ↓ -97% |
| Capital Blue Cross | Medicare Advantage | $8.00 | ↓ -97% |
| Cigna | Commercial | $11.12 | ↓ -95% |
| Highmark BCBS of PA | Community Blue PPO | $12.01 | ↓ -95% |
| Highmark BCBS of PA | CHIP - Managed Care | $12.52 | ↓ -95% |
| Highmark BCBS of PA | Commercial | $13.34 | ↓ -94% |
| Prime Net | Legacy Commercial | $15.60 | ↓ -93% |
| Aetna | ACO | $15.72 | ↓ -93% |
| Prime Net | ACO | $15.72 | ↓ -93% |
| Prime Net | NonGateKeeper | $18.60 | ↓ -92% |
| Aetna | Commercial | $18.72 | ↓ -92% |
| Prime Net | GateKeeper | $18.72 | ↓ -92% |
| Capital Blue Cross | Commercial | $21.88 | ↓ -91% |
| Capital Blue Cross | CHIP | $21.88 | ↓ -91% |
| Keystone Health Plan | Commercial | $21.88 | ↓ -91% |
| Geisinger | Medicaid/CHIP | $22.00 | ↓ -91% |
| PA Health & Wellness | PA Medicaid HMO | $22.00 | ↓ -91% |
| Wellspan Population Health | PPO | $26.00 | ↓ -89% |
| Geisinger | Commercial | $26.19 | ↓ -89% |
| UPMC Health Plan | CHIP | $27.44 | ↓ -89% |
| UPMC Health Plan | Commercial | $28.00 | ↓ -88% |
| Prime Net | FH-Medical Rental | $30.24 | ↓ -87% |
| Multiplan | PPO (Includes PHCS and Humana as Payers) | $34.00 | ↓ -86% |
Visitor-reported prices
Comments
Pinworm exam at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $45.00 | $4.22 – $60.00 |
| UPMC Bedford | Everett | $73.80 | $1.54 – $110.70 |
| UPMC Cole | Coudersport | $43.20 | $2.78 – $57.60 |
| UPMC Community Osteopathic | Harrisburg | $238.80 | $3.41 – $34.00 |
| UPMC Northwest | Seneca | $58.80 | $3.87 – $4.61 |
| UPMC Hanover | Hanover | $238.80 | $3.41 – $27.44 |
| UPMC Horizon-Greenville | Greenville | $39.00 | $3.82 – $8.01 |
| UPMC Jameson | New Castle | $39.00 | $2.99 – $11.54 |