Warde 3004000 immunoglobulin subclass 1 at UPMC Carlisle
361 Alexander Spring Road, Carlisle, PA · UPMC · · NPI 1689107328
$41.40
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.
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What you pay up front if you don't use insurance.
$69.00
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.
$6.30 with Prime Net vs $179.54 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 | $6.30 | ↓ -85% |
| Highmark BCBS of PA | Freedom Blue Medicare Advantage | $7.94 | ↓ -81% |
| Highmark BCBS of PA | Community Blue Medicare Advantage/Complete Blue Medicare Advantage/Security Blue Medicare Advantage/Together Blue Medicare Advantage | $7.94 | ↓ -81% |
| Humana | Medicare | $8.02 | ↓ -81% |
| UPMC Work Partners | Workers Comp | $8.29 | ↓ -80% |
| Aetna | Medicare | $8.36 | ↓ -80% |
| Geisinger | Medicare | $8.42 | ↓ -80% |
| Cigna | Medicare | $8.42 | ↓ -80% |
| United Healthcare | Medicare | $8.58 | ↓ -79% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $8.66 | ↓ -79% |
| Capital Blue Cross | Medicare Advantage | $9.20 | ↓ -78% |
| Keystone Health Plan | Medicare Advantage | $9.20 | ↓ -78% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $11.20 | ↓ -73% |
| Keystone Autism Services | ACAP | $12.83 | ↓ -69% |
| Highmark Wholecare (prev Gateway) | Medicaid | $14.22 | ↓ -66% |
| UPMC Health Plan | Managed Medicaid | $14.56 | ↓ -65% |
| United Healthcare Community Plan for Families | PA Medicaid | $14.67 | ↓ -65% |
| Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $15.25 | ↓ -63% |
| Geisinger | Medicaid/CHIP | $16.31 | ↓ -61% |
| Prime Net | Legacy Commercial | $17.94 | ↓ -57% |
| Aetna | ACO | $18.08 | ↓ -56% |
| Prime Net | ACO | $18.08 | ↓ -56% |
| PA Health & Wellness | PA Medicaid HMO | $19.09 | ↓ -54% |
| Cigna | Commercial | $20.84 | ↓ -50% |
| Prime Net | NonGateKeeper | $21.39 | ↓ -48% |
| Aetna | Commercial | $21.53 | ↓ -48% |
| Prime Net | GateKeeper | $21.53 | ↓ -48% |
| Highmark BCBS of PA | Community Blue PPO | $22.56 | ↓ -46% |
| Highmark BCBS of PA | CHIP - Managed Care | $23.51 | ↓ -43% |
| United Healthcare | Commercial | $24.38 | ↓ -41% |
| Highmark BCBS of PA | Commercial | $25.06 | ↓ -39% |
| Capital Blue Cross | CHIP | $25.16 | ↓ -39% |
| Capital Blue Cross | Commercial | $25.16 | ↓ -39% |
| Keystone Health Plan | Commercial | $25.16 | ↓ -39% |
| Wellspan Population Health | PPO | $29.90 | ↓ -28% |
| Geisinger | Commercial | $30.12 | ↓ -27% |
| UPMC Health Plan | Commercial | $32.20 | ↓ -22% |
| Prime Net | FH-Medical Rental | $34.78 | ↓ -16% |
| Multiplan | PPO (Includes PHCS and Humana as Payers) | $39.10 | ↓ -6% |
| UPMC Health Plan | CHIP | $179.54 | ↑ +334% |
Visitor-reported prices
Comments
Warde 3004000 immunoglobulin subclass 1 at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $292.20 | $7.92 – $389.60 |
| UPMC Community Osteopathic | Harrisburg | $41.40 | $7.94 – $179.54 |
| UPMC Hamot | Erie | $345.00 | $7.92 – $64.37 |
| UPMC Northwest | Seneca | $128.40 | $7.27 – $12.88 |
| UPMC Hanover | Hanover | $41.40 | $7.94 – $15.25 |
| UPMC Horizon-Greenville | Greenville | $187.20 | $7.18 – $15.57 |
| UPMC Jameson | New Castle | $93.00 | $7.92 – $65.51 |
| UPMC Kane | Kane | $309.00 | $7.92 – $34.61 |