healthcosts.net
Abdominal Ultrasound (complete) at UPMC Carlisle
361 Alexander Spring Road, Carlisle, PA · UPMC · · NPI 1689107328
$394.20
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.
$657.00
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.
$41.92 with Prime Net vs $589.04 with Cigna — 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 |
|---|---|---|---|
| Prime Net | Managed Medicare | $41.92 | ↓ -89% |
| Keystone Health Plan | Medicare Advantage | $61.20 | ↓ -84% |
| Capital Blue Cross | Medicare Advantage | $61.20 | ↓ -84% |
| United Healthcare Community Plan for Families | PA Medicaid | $75.33 | ↓ -81% |
| Highmark BCBS of PA | Community Blue Medicare Advantage/Complete Blue Medicare Advantage/Security Blue Medicare Advantage/Together Blue Medicare Advantage | $100.71 | ↓ -74% |
| Highmark BCBS of PA | Freedom Blue Medicare Advantage | $100.71 | ↓ -74% |
| Humana | Medicare | $101.73 | ↓ -74% |
| Aetna | Medicare | $106.10 | ↓ -73% |
| Cigna | Medicare | $106.82 | ↓ -73% |
| Geisinger | Medicare | $106.82 | ↓ -73% |
| United Healthcare | Medicare | $108.85 | ↓ -72% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $109.87 | ↓ -72% |
| Prime Net | Legacy Commercial | $119.34 | ↓ -70% |
| Aetna | ACO | $120.26 | ↓ -69% |
| Prime Net | ACO | $120.26 | ↓ -69% |
| Highmark Wholecare (prev Gateway) | Medicaid | $120.99 | ↓ -69% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $120.99 | ↓ -69% |
| UPMC Health Plan | Managed Medicaid | $123.85 | ↓ -69% |
| Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $129.76 | ↓ -67% |
| Geisinger | Medicaid/CHIP | $138.77 | ↓ -65% |
| Prime Net | NonGateKeeper | $142.29 | ↓ -64% |
| Prime Net | GateKeeper | $143.21 | ↓ -64% |
| Aetna | Commercial | $143.21 | ↓ -64% |
| PA Health & Wellness | PA Medicaid HMO | $162.36 | ↓ -59% |
| Keystone Autism Services | ACAP | $162.77 | ↓ -59% |
| Capital Blue Cross | CHIP | $167.38 | ↓ -58% |
| Keystone Health Plan | Commercial | $167.38 | ↓ -58% |
| Capital Blue Cross | Commercial | $167.38 | ↓ -58% |
| Wellspan Population Health | PPO | $198.90 | ↓ -50% |
| Geisinger | Commercial | $200.37 | ↓ -49% |
| UPMC Health Plan | Commercial | $214.20 | ↓ -46% |
| United Healthcare | Commercial | $225.22 | ↓ -43% |
| Prime Net | FH-Medical Rental | $231.34 | ↓ -41% |
| Multiplan | PPO (Includes PHCS and Humana as Payers) | $260.10 | ↓ -34% |
| Premier Comp Solutions | Worker's Comp | $285.72 | ↓ -28% |
| UPMC Work Partners | Workers Comp | $285.72 | ↓ -28% |
| Highmark BCBS of PA | Community Blue PPO | $286.13 | ↓ -27% |
| Highmark BCBS of PA | CHIP - Managed Care | $298.23 | ↓ -24% |
| Highmark BCBS of PA | Commercial | $317.92 | ↓ -19% |
| UPMC Health Plan | CHIP | $416.14 | ↑ +6% |
| Cigna | Commercial | $589.04 | ↑ +49% |
| Tricare | East Region | not published by hospital | — |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
Visitor-reported prices
Comments
Abdominal Ultrasound (complete) at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Passavant-McCandless | Pittsburgh | $2,085.60 | $94.21 – $2,954.60 |
| UPMC Altoona | Altoona | $607.20 | $57.50 – $809.60 |
| UPMC Bedford | Everett | $658.20 | $36.58 – $987.30 |
| UPMC Cole | Coudersport | $439.20 | $100.03 – $585.60 |
| UPMC East | Monroeville | $1,236.00 | $101.65 – $1,648.00 |
| UPMC Hamot | Erie | $651.00 | $93.32 – $759.50 |
| UPMC Community Osteopathic | Harrisburg | $394.20 | $61.20 – $416.14 |
| UPMC Hanover | Hanover | $394.20 | $58.14 – $293.36 |