Screen cerv/vag thin layer at UPMC Carlisle
361 Alexander Spring Road, Carlisle, PA · UPMC · · NPI 1689107328
$145.20
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.
$242.00
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.
$11.14 with AmeriHealth Caritas vs $205.70 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 | $11.14 | ↓ -92% |
| United Healthcare Community Plan for Families | PA Medicaid | $16.19 | ↓ -89% |
| Highmark BCBS of PA | Freedom Blue Medicare Advantage | $20.06 | ↓ -86% |
| Highmark BCBS of PA | Community Blue Medicare Advantage/Complete Blue Medicare Advantage/Security Blue Medicare Advantage/Together Blue Medicare Advantage | $20.06 | ↓ -86% |
| Humana | Medicare | $20.26 | ↓ -86% |
| Aetna | Medicare | $21.13 | ↓ -85% |
| Cigna | Medicare | $21.27 | ↓ -85% |
| Geisinger | Medicare | $21.27 | ↓ -85% |
| United Healthcare | Medicare | $21.68 | ↓ -85% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $21.88 | ↓ -85% |
| Keystone Autism Services | ACAP | $32.42 | ↓ -78% |
| Prime Net | Managed Medicare | $33.15 | ↓ -77% |
| Keystone Health Plan | Medicare Advantage | $48.40 | ↓ -67% |
| Capital Blue Cross | Medicare Advantage | $48.40 | ↓ -67% |
| Highmark BCBS of PA | Community Blue PPO | $56.98 | ↓ -61% |
| Highmark BCBS of PA | CHIP - Managed Care | $59.39 | ↓ -59% |
| Highmark BCBS of PA | Commercial | $63.31 | ↓ -56% |
| UPMC Health Plan | CHIP | $88.54 | ↓ -39% |
| Prime Net | Legacy Commercial | $94.38 | ↓ -35% |
| Aetna | ACO | $95.11 | ↓ -34% |
| Prime Net | ACO | $95.11 | ↓ -34% |
| Prime Net | NonGateKeeper | $112.53 | ↓ -23% |
| Aetna | Commercial | $113.26 | ↓ -22% |
| Prime Net | GateKeeper | $113.26 | ↓ -22% |
| Capital Blue Cross | Commercial | $132.37 | ↓ -9% |
| Keystone Health Plan | Commercial | $132.37 | ↓ -9% |
| Capital Blue Cross | CHIP | $132.37 | ↓ -9% |
| PA Health & Wellness | PA Medicaid HMO | $133.10 | ↓ -8% |
| Geisinger | Medicaid/CHIP | $133.10 | ↓ -8% |
| Wellspan Population Health | PPO | $157.30 | ↑ +8% |
| Geisinger | Commercial | $158.46 | ↑ +9% |
| UPMC Health Plan | Commercial | $169.40 | ↑ +17% |
| Prime Net | FH-Medical Rental | $182.95 | ↑ +26% |
| Cigna | Commercial | $188.76 | ↑ +30% |
| Multiplan | PPO (Includes PHCS and Humana as Payers) | $205.70 | ↑ +42% |
| UPMC Work Partners | Workers Comp | not published by hospital | — |
Visitor-reported prices
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Screen cerv/vag thin layer at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $70.20 | $20.66 – $93.60 |
| UPMC Bedford | Everett | $61.20 | $7.31 – $91.80 |
| UPMC Community Osteopathic | Harrisburg | $145.20 | $16.19 – $165.75 |
| UPMC East | Monroeville | $61.20 | $20.31 – $81.60 |
| UPMC Hamot | Erie | $61.20 | $20.26 – $44.69 |
| UPMC Northwest | Seneca | $61.20 | $18.37 – $21.88 |
| UPMC Hanover | Hanover | $145.20 | $16.19 – $88.54 |
| UPMC Horizon-Greenville | Greenville | $61.20 | $18.14 – $38.02 |