Abortion (mpr) at UPMC Carlisle
361 Alexander Spring Road, Carlisle, PA · UPMC · · NPI 1689107328
$571.80
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.
$953.00
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.
$130.56 with Prime Net vs $3,397.00 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 | $130.56 | ↓ -77% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $160.04 | ↓ -72% |
| Capital Blue Cross | Medicare Advantage | $190.60 | ↓ -67% |
| Keystone Health Plan | Medicare Advantage | $190.60 | ↓ -67% |
| United Healthcare Community Plan for Families | PA Medicaid | $233.31 | ↓ -59% |
| Highmark BCBS of PA | Community Blue Medicare Advantage/Complete Blue Medicare Advantage/Security Blue Medicare Advantage/Together Blue Medicare Advantage | $288.08 | ↓ -50% |
| Highmark BCBS of PA | Freedom Blue Medicare Advantage | $288.08 | ↓ -50% |
| Humana | Medicare | $290.99 | ↓ -49% |
| Aetna | Medicare | $303.50 | ↓ -47% |
| Cigna | Medicare | $305.54 | ↓ -47% |
| Geisinger | Medicare | $305.54 | ↓ -47% |
| United Healthcare | Medicare | $311.36 | ↓ -46% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $314.27 | ↓ -45% |
| Prime Net | Legacy Commercial | $371.67 | ↓ -35% |
| Aetna | ACO | $374.53 | ↓ -34% |
| Prime Net | ACO | $374.53 | ↓ -34% |
| Prime Net | NonGateKeeper | $443.14 | ↓ -23% |
| Prime Net | GateKeeper | $446.00 | ↓ -22% |
| Aetna | Commercial | $446.00 | ↓ -22% |
| Keystone Autism Services | ACAP | $465.58 | ↓ -19% |
| Keystone Health Plan | Commercial | $521.29 | ↓ -9% |
| Capital Blue Cross | CHIP | $521.29 | ↓ -9% |
| Capital Blue Cross | Commercial | $521.29 | ↓ -9% |
| Geisinger | Medicaid/CHIP | $524.15 | ↓ -8% |
| PA Health & Wellness | PA Medicaid HMO | $524.15 | ↓ -8% |
| Wellspan Population Health | PPO | $619.45 | ↑ +8% |
| Geisinger | Commercial | $624.02 | ↑ +9% |
| UPMC Health Plan | Commercial | $667.10 | ↑ +17% |
| UPMC Work Partners | Workers Comp | $688.90 | ↑ +20% |
| United Healthcare | Commercial | $701.41 | ↑ +23% |
| Prime Net | FH-Medical Rental | $720.47 | ↑ +26% |
| Multiplan | PPO (Includes PHCS and Humana as Payers) | $810.05 | ↑ +42% |
| Highmark BCBS of PA | Community Blue PPO | $818.44 | ↑ +43% |
| Highmark BCBS of PA | CHIP - Managed Care | $853.07 | ↑ +49% |
| Highmark BCBS of PA | Commercial | $909.37 | ↑ +59% |
| UPMC Health Plan | CHIP | $2,124.36 | ↑ +272% |
| Cigna | Commercial | $3,397.00 | ↑ +494% |
| Tricare | East Region | not published by hospital | — |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
Visitor-reported prices
Comments
Abortion (mpr) at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Community Osteopathic | Harrisburg | $571.80 | $190.60 – $2,124.36 |
| UPMC Lititz | Lititz | $571.80 | $233.31 – $2,124.36 |
| UPMC Magee | Pittsburgh | $2,730.00 | $271.42 – $676.43 |
| UPMC Memorial | York | $571.80 | $233.31 – $2,124.36 |
| UPMC Somerset | Somerset | $571.80 | $204.81 – $658.29 |