#pnh-flow cytometry interp at UPMC Carlisle
361 Alexander Spring Road, Carlisle, PA · UPMC · · NPI 1689107328
$165.60
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.
$276.00
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.
$37.81 with Prime Net vs $234.60 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 |
|---|---|---|---|
| Prime Net | Managed Medicare | $37.81 | ↓ -77% |
| Aetna | Medicare | $45.54 | ↓ -73% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $53.98 | ↓ -67% |
| Capital Blue Cross | Medicare Advantage | $55.20 | ↓ -67% |
| Keystone Health Plan | Medicare Advantage | $55.20 | ↓ -67% |
| Highmark Wholecare (prev Gateway) | Medicaid | $68.55 | ↓ -59% |
| UPMC Health Plan | Managed Medicaid | $70.17 | ↓ -58% |
| United Healthcare Community Plan for Families | PA Medicaid | $70.71 | ↓ -57% |
| Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $73.52 | ↓ -56% |
| Geisinger | Medicaid/CHIP | $78.63 | ↓ -53% |
| PA Health & Wellness | PA Medicaid HMO | $91.99 | ↓ -44% |
| Cigna | Commercial | $102.28 | ↓ -38% |
| Prime Net | Legacy Commercial | $107.64 | ↓ -35% |
| Aetna | ACO | $108.47 | ↓ -34% |
| Prime Net | ACO | $108.47 | ↓ -34% |
| Prime Net | NonGateKeeper | $128.34 | ↓ -23% |
| UPMC Work Partners | Workers Comp | $129.17 | ↓ -22% |
| Aetna | Commercial | $129.17 | ↓ -22% |
| Prime Net | GateKeeper | $129.17 | ↓ -22% |
| Keystone Health Plan | Commercial | $150.97 | ↓ -9% |
| Capital Blue Cross | Commercial | $150.97 | ↓ -9% |
| Capital Blue Cross | CHIP | $150.97 | ↓ -9% |
| UPMC Health Plan | CHIP | $163.46 | ↓ -1% |
| Wellspan Population Health | PPO | $179.40 | ↑ +8% |
| Geisinger | Commercial | $180.72 | ↑ +9% |
| UPMC Health Plan | Commercial | $193.20 | ↑ +17% |
| Prime Net | FH-Medical Rental | $208.66 | ↑ +26% |
| Multiplan | PPO (Includes PHCS and Humana as Payers) | $234.60 | ↑ +42% |
Visitor-reported prices
Comments
#pnh-flow cytometry interp at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $656.40 | $53.98 – $833.60 |
| UPMC Community Osteopathic | Harrisburg | $165.60 | $53.98 – $501.36 |
| UPMC East | Monroeville | $507.00 | $44.97 – $676.00 |
| UPMC Hamot | Erie | $723.00 | $23.43 – $125.41 |
| UPMC Northwest | Seneca | $837.60 | $45.38 – $325.50 |
| UPMC Hanover | Hanover | $165.60 | $53.98 – $129.17 |
| UPMC Horizon-Greenville | Greenville | $514.80 | $45.53 – $202.79 |
| UPMC Jameson | New Castle | $786.60 | $14.84 – $127.63 |