Warde vitamin d (1 25 dihydroxy) at UPMC Carlisle
361 Alexander Spring Road, Carlisle, PA · UPMC · · NPI 1689107328
$195.00
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.
?
What you pay up front if you don't use insurance.
$325.00
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.
$38.12 with Highmark BCBS of PA vs $276.25 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 |
|---|---|---|---|
| Highmark BCBS of PA | Community Blue Medicare Advantage/Complete Blue Medicare Advantage/Security Blue Medicare Advantage/Together Blue Medicare Advantage | $38.12 | ↓ -80% |
| Highmark BCBS of PA | Freedom Blue Medicare Advantage | $38.12 | ↓ -80% |
| Humana | Medicare | $38.50 | ↓ -80% |
| United Healthcare | Commercial | $39.04 | ↓ -80% |
| UPMC Work Partners | Workers Comp | $39.83 | ↓ -80% |
| Aetna | Medicare | $40.16 | ↓ -79% |
| Cigna | Medicare | $40.42 | ↓ -79% |
| Geisinger | Medicare | $40.42 | ↓ -79% |
| United Healthcare | Medicare | $41.20 | ↓ -79% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $41.58 | ↓ -79% |
| Prime Net | Managed Medicare | $44.52 | ↓ -77% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $53.78 | ↓ -72% |
| Keystone Autism Services | ACAP | $61.60 | ↓ -68% |
| Keystone Health Plan | Medicare Advantage | $65.00 | ↓ -67% |
| Capital Blue Cross | Medicare Advantage | $65.00 | ↓ -67% |
| Highmark Wholecare (prev Gateway) | Medicaid | $68.30 | ↓ -65% |
| UPMC Health Plan | Managed Medicaid | $69.91 | ↓ -64% |
| United Healthcare Community Plan for Families | PA Medicaid | $70.45 | ↓ -64% |
| Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $73.25 | ↓ -62% |
| Geisinger | Medicaid/CHIP | $78.34 | ↓ -60% |
| PA Health & Wellness | PA Medicaid HMO | $91.65 | ↓ -53% |
| Cigna | Commercial | $100.12 | ↓ -49% |
| Highmark BCBS of PA | Community Blue PPO | $108.29 | ↓ -44% |
| Highmark BCBS of PA | CHIP - Managed Care | $112.87 | ↓ -42% |
| Highmark BCBS of PA | Commercial | $120.32 | ↓ -38% |
| Prime Net | Legacy Commercial | $126.75 | ↓ -35% |
| Prime Net | ACO | $127.72 | ↓ -35% |
| Aetna | ACO | $127.72 | ↓ -35% |
| Prime Net | NonGateKeeper | $151.12 | ↓ -23% |
| Aetna | Commercial | $152.10 | ↓ -22% |
| Prime Net | GateKeeper | $152.10 | ↓ -22% |
| Capital Blue Cross | Commercial | $177.78 | ↓ -9% |
| Capital Blue Cross | CHIP | $177.78 | ↓ -9% |
| Keystone Health Plan | Commercial | $177.78 | ↓ -9% |
| Wellspan Population Health | PPO | $211.25 | ↑ +8% |
| Geisinger | Commercial | $212.81 | ↑ +9% |
| UPMC Health Plan | CHIP | $223.72 | ↑ +15% |
| UPMC Health Plan | Commercial | $227.50 | ↑ +17% |
| Prime Net | FH-Medical Rental | $245.70 | ↑ +26% |
| Multiplan | PPO (Includes PHCS and Humana as Payers) | $276.25 | ↑ +42% |
Visitor-reported prices
Comments
Warde vitamin d (1 25 dihydroxy) at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $97.80 | $38.05 – $130.40 |
| UPMC Bedford | Everett | $200.40 | $13.89 – $300.60 |
| UPMC Cole | Coudersport | $264.60 | $25.03 – $352.80 |
| UPMC Community Osteopathic | Harrisburg | $195.00 | $38.12 – $276.25 |
| UPMC East | Monroeville | $574.80 | $38.05 – $766.40 |
| UPMC Hamot | Erie | $451.20 | $38.05 – $74.75 |
| UPMC Northwest | Seneca | $192.60 | $34.92 – $61.85 |
| UPMC Hanover | Hanover | $195.00 | $38.12 – $73.25 |