Xylose absorption test blood &/or urine at UPMC Carlisle
361 Alexander Spring Road, Carlisle, PA · UPMC · · NPI 1689107328
$46.80
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.
$78.00
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.
$3.00 with AmeriHealth Caritas vs $100.02 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 | $3.00 | ↓ -94% |
| Highmark Wholecare (prev Gateway) | Medicaid | $3.81 | ↓ -92% |
| UPMC Health Plan | Managed Medicaid | $3.90 | ↓ -92% |
| United Healthcare Community Plan for Families | PA Medicaid | $3.93 | ↓ -92% |
| Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $4.09 | ↓ -91% |
| Geisinger | Medicaid/CHIP | $4.37 | ↓ -91% |
| PA Health & Wellness | PA Medicaid HMO | $5.11 | ↓ -89% |
| Prime Net | Managed Medicare | $10.69 | ↓ -77% |
| Highmark BCBS of PA | Community Blue Medicare Advantage/Complete Blue Medicare Advantage/Security Blue Medicare Advantage/Together Blue Medicare Advantage | $12.78 | ↓ -73% |
| Highmark BCBS of PA | Freedom Blue Medicare Advantage | $12.78 | ↓ -73% |
| Humana | Medicare | $12.91 | ↓ -72% |
| UPMC Work Partners | Workers Comp | $13.36 | ↓ -71% |
| Aetna | Medicare | $13.47 | ↓ -71% |
| Geisinger | Medicare | $13.56 | ↓ -71% |
| Cigna | Medicare | $13.56 | ↓ -71% |
| United Healthcare | Medicare | $13.81 | ↓ -70% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $13.94 | ↓ -70% |
| Capital Blue Cross | Medicare Advantage | $15.60 | ↓ -67% |
| Keystone Health Plan | Medicare Advantage | $15.60 | ↓ -67% |
| Keystone Autism Services | ACAP | $20.66 | ↓ -56% |
| United Healthcare | Commercial | $23.82 | ↓ -49% |
| Prime Net | Legacy Commercial | $30.42 | ↓ -35% |
| Aetna | ACO | $30.65 | ↓ -35% |
| Prime Net | ACO | $30.65 | ↓ -35% |
| Cigna | Commercial | $33.56 | ↓ -28% |
| Prime Net | NonGateKeeper | $36.27 | ↓ -23% |
| Highmark BCBS of PA | Community Blue PPO | $36.31 | ↓ -22% |
| Aetna | Commercial | $36.50 | ↓ -22% |
| Prime Net | GateKeeper | $36.50 | ↓ -22% |
| Highmark BCBS of PA | CHIP - Managed Care | $37.85 | ↓ -19% |
| Highmark BCBS of PA | Commercial | $40.35 | ↓ -14% |
| Capital Blue Cross | Commercial | $42.67 | ↓ -9% |
| Keystone Health Plan | Commercial | $42.67 | ↓ -9% |
| Capital Blue Cross | CHIP | $42.67 | ↓ -9% |
| Wellspan Population Health | PPO | $50.70 | ↑ +8% |
| Geisinger | Commercial | $51.07 | ↑ +9% |
| UPMC Health Plan | Commercial | $54.60 | ↑ +17% |
| Prime Net | FH-Medical Rental | $58.97 | ↑ +26% |
| Multiplan | PPO (Includes PHCS and Humana as Payers) | $66.30 | ↑ +42% |
| UPMC Health Plan | CHIP | $100.02 | ↑ +114% |
Visitor-reported prices
Comments
Xylose absorption test blood &/or urine at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Cole | Coudersport | $115.20 | $3.15 – $153.60 |
| UPMC Community Osteopathic | Harrisburg | $46.80 | $3.00 – $100.02 |
| UPMC Hanover | Hanover | $46.80 | $3.00 – $20.66 |
| UPMC Kane | Kane | $180.60 | $3.30 – $55.72 |
| UPMC Lititz | Lititz | $46.80 | $3.00 – $20.66 |
| UPMC Memorial | York | $46.80 | $3.00 – $85.67 |
| UPMC Somerset | Somerset | $46.80 | $3.30 – $12.91 |
| UPMC St. Margaret | Pittsburgh | $115.80 | $3.30 – $32.50 |