Warde adenosine deaminase pleural fluid at UPMC Carlisle
361 Alexander Spring Road, Carlisle, PA · UPMC · · NPI 1689107328
$42.00
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.
$70.00
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.
$4.46 with AmeriHealth Caritas vs $59.50 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 | $4.46 | ↓ -89% |
| United Healthcare Community Plan for Families | PA Medicaid | $6.47 | ↓ -85% |
| Highmark BCBS of PA | Freedom Blue Medicare Advantage | $8.02 | ↓ -81% |
| Highmark BCBS of PA | Community Blue Medicare Advantage/Complete Blue Medicare Advantage/Security Blue Medicare Advantage/Together Blue Medicare Advantage | $8.02 | ↓ -81% |
| Humana | Medicare | $8.10 | ↓ -81% |
| UPMC Work Partners | Workers Comp | $8.38 | ↓ -80% |
| Aetna | Medicare | $8.45 | ↓ -80% |
| Geisinger | Medicare | $8.51 | ↓ -80% |
| Cigna | Medicare | $8.51 | ↓ -80% |
| United Healthcare | Medicare | $8.67 | ↓ -79% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $8.75 | ↓ -79% |
| Prime Net | Managed Medicare | $9.59 | ↓ -77% |
| Keystone Autism Services | ACAP | $12.96 | ↓ -69% |
| Capital Blue Cross | Medicare Advantage | $14.00 | ↓ -67% |
| Keystone Health Plan | Medicare Advantage | $14.00 | ↓ -67% |
| Cigna | Commercial | $21.08 | ↓ -50% |
| Highmark BCBS of PA | Community Blue PPO | $22.78 | ↓ -46% |
| Highmark BCBS of PA | CHIP - Managed Care | $23.75 | ↓ -43% |
| Highmark BCBS of PA | Commercial | $25.31 | ↓ -40% |
| United Healthcare | Commercial | $27.07 | ↓ -36% |
| Prime Net | Legacy Commercial | $27.30 | ↓ -35% |
| Aetna | ACO | $27.51 | ↓ -35% |
| Prime Net | ACO | $27.51 | ↓ -35% |
| Prime Net | NonGateKeeper | $32.55 | ↓ -23% |
| Aetna | Commercial | $32.76 | ↓ -22% |
| Prime Net | GateKeeper | $32.76 | ↓ -22% |
| Capital Blue Cross | Commercial | $38.29 | ↓ -9% |
| Capital Blue Cross | CHIP | $38.29 | ↓ -9% |
| Keystone Health Plan | Commercial | $38.29 | ↓ -9% |
| Geisinger | Medicaid/CHIP | $38.50 | ↓ -8% |
| PA Health & Wellness | PA Medicaid HMO | $38.50 | ↓ -8% |
| Wellspan Population Health | PPO | $45.50 | ↑ +8% |
| UPMC Health Plan | CHIP | $45.81 | ↑ +9% |
| Geisinger | Commercial | $45.84 | ↑ +9% |
| UPMC Health Plan | Commercial | $49.00 | ↑ +17% |
| Prime Net | FH-Medical Rental | $52.92 | ↑ +26% |
| Multiplan | PPO (Includes PHCS and Humana as Payers) | $59.50 | ↑ +42% |
Visitor-reported prices
Comments
Warde adenosine deaminase pleural fluid at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $87.60 | $8.01 – $116.80 |
| UPMC Bedford | Everett | $85.20 | $2.92 – $127.80 |
| UPMC Cole | Coudersport | $30.60 | $5.26 – $40.80 |
| UPMC Community Osteopathic | Harrisburg | $42.00 | $6.47 – $59.50 |
| UPMC East | Monroeville | $104.40 | $8.01 – $139.20 |
| UPMC Hamot | Erie | $87.00 | $8.01 – $13.51 |
| UPMC Northwest | Seneca | $54.00 | $7.35 – $8.75 |
| UPMC Hanover | Hanover | $42.00 | $6.47 – $45.81 |