CMS Price Transparency Data

Culture, blood

Facility: UPMC Carlisle

Billing Code: 87040 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$11
about 1.1× the $10 Medicare rate · typically $10–$17
modeled estimate · not a bill or quote
What this hospital charges insurers
$17
Above the fair price
about $6 over the fair price · 1.7× Medicare
Medicare pays $10 Fair price $11 This hospital $17 Cash price $57 Hospital's list price $95

How we calculate the fair BaseRate →

How this hospital compares to other PA hospitals

Highest price of the 9 PA hospitals we have prices for — worth calling around.

Cheapest $10 Priciest $17

Black dot = this hospital, among the 9 PA hospitals with a price for this procedure. Full list below.

⚠ The cash price looks unusually high next to the insurance price — it may be the full list price, not a real cash discount. Call to confirm the self-pay rate.

A fair price for a Culture, blood is about $11 (about 1.1× the $10 Medicare rate). UPMC Carlisle charges insurers about $17, or about $57 in cash — above the fair price. Located in Carlisle, PA.

This price is above the fair BaseRate — you may be able to pay less

Ask the hospital for the cash / self-pay price, check whether you qualify for financial assistance, or negotiate the bill down toward the fair price of about $11. Many patients pay well below the first number they’re quoted — the checklists below walk you through it.

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

5 of 6 major insurers have a published price at this hospital

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna✓ Humana Kaiser Permanente

Crossed out = this hospital hasn’t published a negotiated price for that insurer for this procedure. It doesn’t necessarily mean they aren’t accepted — ask your insurer.

Insurance company Price range vs. Medicare
UnitedHealthcaremajor $10 - $18 97%
Blue Cross Blue Shieldmajor $10 - $52 97%
Aetnamajor $11 - $46 107%
Cignamajor $11 - $27 107%
Humanamajor $10 97%
AmeriHealth $14 136%
Geisinger $11 - $69 107%
HealthPartners $19 184%
UPMC Health Plan $11 - $66 107%
+ 5 smaller / regional plans $11 - $76
Excludes 1 rental-network / third-party entry (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

Self-Pay How to get the cash price

Insurance Before you use insurance

Estimate your out-of-pocket cost

A rough estimate of what you’d pay with insurance (deductible + coinsurance) versus paying the cash price yourself.

Enter your details and press estimate to compare.

Facility Profile & Credentials

  • Address: 361 Alexander Spring Road, Carlisle, PA 17015
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals