Warde immunofixation electrophoresis urine at UPMC Carlisle
361 Alexander Spring Road, Carlisle, PA · UPMC · · NPI 1689107328
$163.80
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.
$273.00
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.
$29.06 with Highmark BCBS of PA vs $204.85 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 |
|---|---|---|---|
| Highmark BCBS of PA | Freedom Blue Medicare Advantage | $29.06 | ↓ -82% |
| Highmark BCBS of PA | Community Blue Medicare Advantage/Complete Blue Medicare Advantage/Security Blue Medicare Advantage/Together Blue Medicare Advantage | $29.06 | ↓ -82% |
| Humana | Medicare | $29.35 | ↓ -82% |
| UPMC Work Partners | Workers Comp | $30.36 | ↓ -81% |
| Aetna | Medicare | $30.61 | ↓ -81% |
| Cigna | Medicare | $30.82 | ↓ -81% |
| Geisinger | Medicare | $30.82 | ↓ -81% |
| United Healthcare | Medicare | $31.40 | ↓ -81% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $31.70 | ↓ -81% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $32.80 | ↓ -80% |
| Prime Net | Managed Medicare | $33.02 | ↓ -80% |
| United Healthcare | Commercial | $33.11 | ↓ -80% |
| UPMC Health Plan | CHIP | $39.82 | ↓ -76% |
| Highmark Wholecare (prev Gateway) | Medicaid | $41.66 | ↓ -75% |
| UPMC Health Plan | Managed Medicaid | $42.64 | ↓ -74% |
| United Healthcare Community Plan for Families | PA Medicaid | $42.97 | ↓ -74% |
| Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $44.67 | ↓ -73% |
| Keystone Autism Services | ACAP | $46.96 | ↓ -71% |
| Geisinger | Medicaid/CHIP | $47.78 | ↓ -71% |
| Capital Blue Cross | Medicare Advantage | $48.20 | ↓ -71% |
| Keystone Health Plan | Medicare Advantage | $48.20 | ↓ -71% |
| PA Health & Wellness | PA Medicaid HMO | $55.90 | ↓ -66% |
| Cigna | Commercial | $76.32 | ↓ -53% |
| Highmark BCBS of PA | Community Blue PPO | $82.55 | ↓ -50% |
| Highmark BCBS of PA | CHIP - Managed Care | $86.04 | ↓ -47% |
| Highmark BCBS of PA | Commercial | $91.72 | ↓ -44% |
| Prime Net | Legacy Commercial | $93.99 | ↓ -43% |
| Aetna | ACO | $94.71 | ↓ -42% |
| Prime Net | ACO | $94.71 | ↓ -42% |
| Prime Net | NonGateKeeper | $112.06 | ↓ -32% |
| Aetna | Commercial | $112.79 | ↓ -31% |
| Prime Net | GateKeeper | $112.79 | ↓ -31% |
| Capital Blue Cross | Commercial | $131.83 | ↓ -20% |
| Capital Blue Cross | CHIP | $131.83 | ↓ -20% |
| Keystone Health Plan | Commercial | $131.83 | ↓ -20% |
| Wellspan Population Health | PPO | $156.65 | ↓ -4% |
| Geisinger | Commercial | $157.81 | ↓ -4% |
| UPMC Health Plan | Commercial | $168.70 | ↑ +3% |
| Prime Net | FH-Medical Rental | $182.20 | ↑ +11% |
| Multiplan | PPO (Includes PHCS and Humana as Payers) | $204.85 | ↑ +25% |
Visitor-reported prices
Comments
Warde immunofixation electrophoresis urine at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $216.00 | $17.19 – $288.00 |
| UPMC Bedford | Everett | $111.60 | $10.59 – $88.20 |
| UPMC Cole | Coudersport | $134.40 | $19.08 – $179.20 |
| UPMC Community Osteopathic | Harrisburg | $163.80 | $29.06 – $153.00 |
| UPMC East | Monroeville | $133.20 | $10.95 – $177.60 |
| UPMC Hamot | Erie | $274.80 | $17.19 – $45.59 |
| UPMC Northwest | Seneca | $241.20 | $11.05 – $37.72 |
| UPMC Hanover | Hanover | $163.80 | $29.06 – $46.96 |