Warde lipoprotein-associated phospholipase a2 at UPMC Carlisle
361 Alexander Spring Road, Carlisle, PA · UPMC · · NPI 1689107328
$234.60
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.
$391.00
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.
$19.18 with United Healthcare vs $332.35 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 |
|---|---|---|---|
| United Healthcare | Commercial | $19.18 | ↓ -92% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $37.94 | ↓ -84% |
| Highmark BCBS of PA | Freedom Blue Medicare Advantage | $45.85 | ↓ -80% |
| Highmark BCBS of PA | Community Blue Medicare Advantage/Complete Blue Medicare Advantage/Security Blue Medicare Advantage/Together Blue Medicare Advantage | $45.85 | ↓ -80% |
| Humana | Medicare | $46.31 | ↓ -80% |
| UPMC Work Partners | Workers Comp | $47.90 | ↓ -80% |
| Highmark Wholecare (prev Gateway) | Medicaid | $48.18 | ↓ -79% |
| Aetna | Medicare | $48.30 | ↓ -79% |
| Geisinger | Medicare | $48.63 | ↓ -79% |
| Cigna | Medicare | $48.63 | ↓ -79% |
| UPMC Health Plan | Managed Medicaid | $49.32 | ↓ -79% |
| United Healthcare | Medicare | $49.55 | ↓ -79% |
| United Healthcare Community Plan for Families | PA Medicaid | $49.70 | ↓ -79% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $50.01 | ↓ -79% |
| Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $51.67 | ↓ -78% |
| Prime Net | Managed Medicare | $53.57 | ↓ -77% |
| Geisinger | Medicaid/CHIP | $55.26 | ↓ -76% |
| PA Health & Wellness | PA Medicaid HMO | $64.66 | ↓ -72% |
| Keystone Autism Services | ACAP | $74.10 | ↓ -68% |
| Capital Blue Cross | Medicare Advantage | $78.20 | ↓ -67% |
| Keystone Health Plan | Medicare Advantage | $78.20 | ↓ -67% |
| Cigna | Commercial | $120.40 | ↓ -49% |
| Highmark BCBS of PA | Community Blue PPO | $130.25 | ↓ -44% |
| Highmark BCBS of PA | CHIP - Managed Care | $135.76 | ↓ -42% |
| Highmark BCBS of PA | Commercial | $144.72 | ↓ -38% |
| Prime Net | Legacy Commercial | $152.49 | ↓ -35% |
| Prime Net | ACO | $153.66 | ↓ -35% |
| Aetna | ACO | $153.66 | ↓ -35% |
| Prime Net | NonGateKeeper | $181.81 | ↓ -23% |
| Aetna | Commercial | $182.99 | ↓ -22% |
| Prime Net | GateKeeper | $182.99 | ↓ -22% |
| Capital Blue Cross | Commercial | $213.88 | ↓ -9% |
| Capital Blue Cross | CHIP | $213.88 | ↓ -9% |
| Keystone Health Plan | Commercial | $213.88 | ↓ -9% |
| Wellspan Population Health | PPO | $254.15 | ↑ +8% |
| Geisinger | Commercial | $256.03 | ↑ +9% |
| UPMC Health Plan | Commercial | $273.70 | ↑ +17% |
| Prime Net | FH-Medical Rental | $295.60 | ↑ +26% |
| UPMC Health Plan | CHIP | $297.02 | ↑ +27% |
| Multiplan | PPO (Includes PHCS and Humana as Payers) | $332.35 | ↑ +42% |
Visitor-reported prices
Comments
Warde lipoprotein-associated phospholipase a2 at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $266.40 | $37.94 – $355.20 |
| UPMC Bedford | Everett | $520.80 | $16.71 – $781.20 |
| UPMC Community Osteopathic | Harrisburg | $234.60 | $37.94 – $332.35 |
| UPMC East | Monroeville | $642.60 | $37.94 – $856.80 |
| UPMC Hamot | Erie | $510.60 | $37.94 – $88.16 |
| UPMC Northwest | Seneca | $181.80 | $41.73 – $50.01 |
| UPMC Hanover | Hanover | $234.60 | $19.18 – $74.10 |
| UPMC Horizon-Greenville | Greenville | $703.20 | $37.94 – $86.90 |