healthcosts.net
Urinalysis (without microscopy) at UPMC Carlisle
361 Alexander Spring Road, Carlisle, PA · UPMC · · NPI 1689107328
$17.40
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.
?
What you pay up front if you don't use insurance.
$29.00
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.
?
The hospital's undiscounted list price — almost no one pays this.
$2.23 with Highmark BCBS of PA vs $24.65 with Multiplan — same scan, same building. Share
Negotiated rates by payer
?
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 →
?
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 |
|---|---|---|---|
| Highmark BCBS of PA | Community Blue Medicare Advantage/Complete Blue Medicare Advantage/Security Blue Medicare Advantage/Together Blue Medicare Advantage | $2.23 | ↓ -87% |
| Highmark BCBS of PA | Freedom Blue Medicare Advantage | $2.23 | ↓ -87% |
| Humana | Medicare | $2.25 | ↓ -87% |
| UPMC Work Partners | Workers Comp | $2.32 | ↓ -87% |
| Aetna | Medicare | $2.35 | ↓ -86% |
| Cigna | Medicare | $2.36 | ↓ -86% |
| Geisinger | Medicare | $2.36 | ↓ -86% |
| United Healthcare | Medicare | $2.41 | ↓ -86% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $2.43 | ↓ -86% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $3.10 | ↓ -82% |
| Keystone Autism Services | ACAP | $3.60 | ↓ -79% |
| Highmark Wholecare (prev Gateway) | Medicaid | $3.94 | ↓ -77% |
| Prime Net | Managed Medicare | $3.97 | ↓ -77% |
| UPMC Health Plan | Managed Medicaid | $4.03 | ↓ -77% |
| United Healthcare Community Plan for Families | PA Medicaid | $4.06 | ↓ -77% |
| United Healthcare | Commercial | $4.18 | ↓ -76% |
| Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $4.22 | ↓ -76% |
| Geisinger | Medicaid/CHIP | $4.52 | ↓ -74% |
| PA Health & Wellness | PA Medicaid HMO | $5.28 | ↓ -70% |
| Keystone Health Plan | Medicare Advantage | $5.80 | ↓ -67% |
| Capital Blue Cross | Medicare Advantage | $5.80 | ↓ -67% |
| Cigna | Commercial | $5.84 | ↓ -66% |
| Highmark BCBS of PA | Community Blue PPO | $6.33 | ↓ -64% |
| Highmark BCBS of PA | CHIP - Managed Care | $6.60 | ↓ -62% |
| Highmark BCBS of PA | Commercial | $7.03 | ↓ -60% |
| Prime Net | Legacy Commercial | $11.31 | ↓ -35% |
| Aetna | ACO | $11.40 | ↓ -34% |
| Prime Net | ACO | $11.40 | ↓ -34% |
| Prime Net | NonGateKeeper | $13.48 | ↓ -23% |
| Prime Net | GateKeeper | $13.57 | ↓ -22% |
| Aetna | Commercial | $13.57 | ↓ -22% |
| Capital Blue Cross | CHIP | $15.86 | ↓ -9% |
| Keystone Health Plan | Commercial | $15.86 | ↓ -9% |
| Capital Blue Cross | Commercial | $15.86 | ↓ -9% |
| Wellspan Population Health | PPO | $18.85 | ↑ +8% |
| Geisinger | Commercial | $18.99 | ↑ +9% |
| UPMC Health Plan | Commercial | $20.30 | ↑ +17% |
| Prime Net | FH-Medical Rental | $21.92 | ↑ +26% |
| UPMC Health Plan | CHIP | $24.08 | ↑ +38% |
| Multiplan | PPO (Includes PHCS and Humana as Payers) | $24.65 | ↑ +42% |
Visitor-reported prices
Comments
Urinalysis (without microscopy) at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC East | Monroeville | $46.80 | $2.22 – $35.20 |
| UPMC Passavant-McCandless | Pittsburgh | $71.40 | $2.09 – $101.15 |
| UPMC Hamot | Erie | $36.60 | $2.22 – $42.70 |
| UPMC Altoona | Altoona | $45.60 | $2.22 – $60.80 |
| UPMC Bedford | Everett | $19.20 | $0.81 – $28.80 |
| UPMC Cole | Coudersport | $19.20 | $1.46 – $25.60 |
| UPMC Community Osteopathic | Harrisburg | $17.40 | $2.23 – $24.08 |
| UPMC Hanover | Hanover | $17.40 | $2.23 – $25.23 |