3-d radiotherapy plan at UPMC Carlisle
361 Alexander Spring Road, Carlisle, PA · UPMC · · NPI 1689107328
$5,005.80
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.
?
What you pay up front if you don't use insurance.
$8,343.00
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.
$421.11 with United Healthcare Community Plan for Families vs $26,132.00 with United Healthcare — 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 Community Plan for Families | PA Medicaid | $421.11 | ↓ -92% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $697.03 | ↓ -86% |
| Highmark Wholecare (prev Gateway) | Medicaid | $697.03 | ↓ -86% |
| UPMC Health Plan | Managed Medicaid | $713.49 | ↓ -86% |
| Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $747.52 | ↓ -85% |
| Geisinger | Medicaid/CHIP | $799.44 | ↓ -84% |
| PA Health & Wellness | PA Medicaid HMO | $935.33 | ↓ -81% |
| Prime Net | Managed Medicare | $1,142.99 | ↓ -77% |
| Highmark BCBS of PA | Freedom Blue Medicare Advantage | $1,295.81 | ↓ -74% |
| Highmark BCBS of PA | Community Blue Medicare Advantage/Complete Blue Medicare Advantage/Security Blue Medicare Advantage/Together Blue Medicare Advantage | $1,295.81 | ↓ -74% |
| Humana | Medicare | $1,308.90 | ↓ -74% |
| Aetna | Medicare | $1,365.18 | ↓ -73% |
| Cigna | Medicare | $1,374.35 | ↓ -73% |
| Geisinger | Medicare | $1,374.35 | ↓ -73% |
| United Healthcare | Medicare | $1,400.52 | ↓ -72% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $1,413.61 | ↓ -72% |
| Keystone Health Plan | Medicare Advantage | $1,668.60 | ↓ -67% |
| Capital Blue Cross | Medicare Advantage | $1,668.60 | ↓ -67% |
| Keystone Autism Services | ACAP | $2,094.24 | ↓ -58% |
| UPMC Work Partners | Workers Comp | $2,876.99 | ↓ -43% |
| Prime Net | Legacy Commercial | $3,253.77 | ↓ -35% |
| Prime Net | ACO | $3,278.80 | ↓ -34% |
| Aetna | ACO | $3,278.80 | ↓ -34% |
| Highmark BCBS of PA | Community Blue PPO | $3,681.41 | ↓ -26% |
| Highmark BCBS of PA | CHIP - Managed Care | $3,837.17 | ↓ -23% |
| Prime Net | NonGateKeeper | $3,879.49 | ↓ -23% |
| Aetna | Commercial | $3,904.52 | ↓ -22% |
| Prime Net | GateKeeper | $3,904.52 | ↓ -22% |
| Highmark BCBS of PA | Commercial | $4,090.44 | ↓ -18% |
| Keystone Health Plan | Commercial | $4,563.62 | ↓ -9% |
| Capital Blue Cross | Commercial | $4,563.62 | ↓ -9% |
| Capital Blue Cross | CHIP | $4,563.62 | ↓ -9% |
| UPMC Health Plan | CHIP | $4,630.81 | ↓ -7% |
| Wellspan Population Health | PPO | $5,422.95 | ↑ +8% |
| Geisinger | Commercial | $5,463.00 | ↑ +9% |
| UPMC Health Plan | Commercial | $5,840.10 | ↑ +17% |
| Prime Net | FH-Medical Rental | $6,307.31 | ↑ +26% |
| Cigna | Commercial | $6,544.86 | ↑ +31% |
| Multiplan | PPO (Includes PHCS and Humana as Payers) | $7,091.55 | ↑ +42% |
| United Healthcare | Commercial | $26,132.00 | ↑ +422% |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
| Tricare | East Region | not published by hospital | — |
Visitor-reported prices
Comments
3-d radiotherapy plan at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $4,311.60 | $321.46 – $5,748.80 |
| UPMC Community Osteopathic | Harrisburg | $5,005.80 | $421.11 – $7,091.55 |
| UPMC East | Monroeville | $6,364.20 | $603.72 – $8,485.60 |
| UPMC Northwest | Seneca | $3,859.80 | $603.72 – $2,749.13 |
| UPMC Horizon-Greenville | Greenville | $3,641.40 | $603.72 – $2,749.13 |
| UPMC Lititz | Lititz | $5,005.80 | $421.11 – $2,876.99 |
| UPMC Magee | Pittsburgh | $10,936.20 | $603.72 – $2,749.13 |
| UPMC McKeesport | Mckeesport | $5,947.20 | $603.72 – $2,749.13 |