Warde thyroid stimulating immunoglobulins at UPMC Carlisle
361 Alexander Spring Road, Carlisle, PA · UPMC · · NPI 1689107328
$183.60
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.
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What you pay up front if you don't use insurance.
$306.00
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.
$20.00 with AmeriHealth Caritas vs $256.42 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 |
|---|---|---|---|
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $20.00 | ↓ -89% |
| Prime Net | Managed Medicare | $23.56 | ↓ -87% |
| United Healthcare | Commercial | $24.90 | ↓ -86% |
| Highmark Wholecare (prev Gateway) | Medicaid | $25.40 | ↓ -86% |
| UPMC Health Plan | Managed Medicaid | $26.00 | ↓ -86% |
| United Healthcare Community Plan for Families | PA Medicaid | $26.20 | ↓ -86% |
| Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $27.24 | ↓ -85% |
| Geisinger | Medicaid/CHIP | $29.13 | ↓ -84% |
| PA Health & Wellness | PA Medicaid HMO | $34.08 | ↓ -81% |
| Keystone Health Plan | Medicare Advantage | $34.40 | ↓ -81% |
| Capital Blue Cross | Medicare Advantage | $34.40 | ↓ -81% |
| Highmark BCBS of PA | Freedom Blue Medicare Advantage | $50.35 | ↓ -73% |
| Highmark BCBS of PA | Community Blue Medicare Advantage/Complete Blue Medicare Advantage/Security Blue Medicare Advantage/Together Blue Medicare Advantage | $50.35 | ↓ -73% |
| Humana | Medicare | $50.86 | ↓ -72% |
| UPMC Work Partners | Workers Comp | $52.60 | ↓ -71% |
| Aetna | Medicare | $53.05 | ↓ -71% |
| Geisinger | Medicare | $53.40 | ↓ -71% |
| Cigna | Medicare | $53.40 | ↓ -71% |
| United Healthcare | Medicare | $54.42 | ↓ -70% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $54.93 | ↓ -70% |
| Prime Net | Legacy Commercial | $67.08 | ↓ -63% |
| Aetna | ACO | $67.60 | ↓ -63% |
| Prime Net | ACO | $67.60 | ↓ -63% |
| Prime Net | NonGateKeeper | $79.98 | ↓ -56% |
| Aetna | Commercial | $80.50 | ↓ -56% |
| Prime Net | GateKeeper | $80.50 | ↓ -56% |
| Keystone Autism Services | ACAP | $81.38 | ↓ -56% |
| Capital Blue Cross | CHIP | $94.08 | ↓ -49% |
| Keystone Health Plan | Commercial | $94.08 | ↓ -49% |
| Capital Blue Cross | Commercial | $94.08 | ↓ -49% |
| Wellspan Population Health | PPO | $111.80 | ↓ -39% |
| Geisinger | Commercial | $112.63 | ↓ -39% |
| UPMC Health Plan | Commercial | $120.40 | ↓ -34% |
| Prime Net | FH-Medical Rental | $130.03 | ↓ -29% |
| Cigna | Commercial | $132.24 | ↓ -28% |
| Highmark BCBS of PA | Community Blue PPO | $143.05 | ↓ -22% |
| Multiplan | PPO (Includes PHCS and Humana as Payers) | $146.20 | ↓ -20% |
| Highmark BCBS of PA | CHIP - Managed Care | $149.10 | ↓ -19% |
| Highmark BCBS of PA | Commercial | $158.94 | ↓ -13% |
| UPMC Health Plan | CHIP | $256.42 | ↑ +40% |
Visitor-reported prices
Comments
Warde thyroid stimulating immunoglobulins at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $500.40 | $20.00 – $667.20 |
| UPMC Bedford | Everett | $201.60 | $18.35 – $302.40 |
| UPMC Cole | Coudersport | $233.40 | $21.00 – $311.20 |
| UPMC Community Osteopathic | Harrisburg | $183.60 | $20.00 – $256.42 |
| UPMC East | Monroeville | $706.20 | $20.00 – $941.60 |
| UPMC Hamot | Erie | $633.60 | $20.00 – $91.43 |
| UPMC Northwest | Seneca | $492.00 | $22.00 – $53.40 |
| UPMC Hanover | Hanover | $183.60 | $20.00 – $81.38 |