Actinotherapy uv light at UPMC Carlisle
361 Alexander Spring Road, Carlisle, PA · UPMC · · NPI 1689107328
$194.40
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.
$324.00
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.
$20.65 with AmeriHealth Caritas vs $399.00 with United Healthcare — 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 | $20.65 | ↓ -89% |
| United Healthcare Community Plan for Families | PA Medicaid | $27.14 | ↓ -86% |
| Highmark BCBS of PA | Freedom Blue Medicare Advantage | $37.17 | ↓ -81% |
| Highmark BCBS of PA | Community Blue Medicare Advantage/Complete Blue Medicare Advantage/Security Blue Medicare Advantage/Together Blue Medicare Advantage | $37.17 | ↓ -81% |
| Humana | Medicare | $37.55 | ↓ -81% |
| Aetna | Medicare | $39.16 | ↓ -80% |
| Geisinger | Medicare | $39.43 | ↓ -80% |
| Cigna | Medicare | $39.43 | ↓ -80% |
| United Healthcare | Medicare | $40.18 | ↓ -79% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $40.55 | ↓ -79% |
| UPMC Work Partners | Workers Comp | $42.41 | ↓ -78% |
| Prime Net | Managed Medicare | $44.39 | ↓ -77% |
| Keystone Autism Services | ACAP | $60.08 | ↓ -69% |
| Keystone Health Plan | Medicare Advantage | $64.80 | ↓ -67% |
| Capital Blue Cross | Medicare Advantage | $64.80 | ↓ -67% |
| UPMC Health Plan | CHIP | $84.22 | ↓ -57% |
| Highmark BCBS of PA | Community Blue PPO | $105.61 | ↓ -46% |
| Highmark BCBS of PA | CHIP - Managed Care | $110.08 | ↓ -43% |
| Highmark BCBS of PA | Commercial | $117.35 | ↓ -40% |
| Prime Net | Legacy Commercial | $126.36 | ↓ -35% |
| Aetna | ACO | $127.33 | ↓ -35% |
| Prime Net | ACO | $127.33 | ↓ -35% |
| Prime Net | NonGateKeeper | $150.66 | ↓ -23% |
| Prime Net | GateKeeper | $151.63 | ↓ -22% |
| Aetna | Commercial | $151.63 | ↓ -22% |
| Capital Blue Cross | CHIP | $177.23 | ↓ -9% |
| Keystone Health Plan | Commercial | $177.23 | ↓ -9% |
| Capital Blue Cross | Commercial | $177.23 | ↓ -9% |
| Geisinger | Medicaid/CHIP | $178.20 | ↓ -8% |
| PA Health & Wellness | PA Medicaid HMO | $178.20 | ↓ -8% |
| Wellspan Population Health | PPO | $210.60 | ↑ +8% |
| Geisinger | Commercial | $212.16 | ↑ +9% |
| UPMC Health Plan | Commercial | $226.80 | ↑ +17% |
| Prime Net | FH-Medical Rental | $244.94 | ↑ +26% |
| Cigna | Commercial | $252.72 | ↑ +30% |
| Multiplan | PPO (Includes PHCS and Humana as Payers) | $275.40 | ↑ +42% |
| United Healthcare | Commercial | $399.00 | ↑ +105% |
| Tricare | East Region | not published by hospital | — |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
Visitor-reported prices
Comments
Actinotherapy uv light at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Hanover | Hanover | $194.40 | $27.14 – $84.22 |
| UPMC Lititz | Lititz | $194.40 | $27.14 – $84.22 |
| UPMC Memorial | York | $194.40 | $11.01 – $84.22 |
| UPMC Presbyterian | Pittsburgh | $189.60 | $13.64 – $136.18 |
| Uniontown Hospital | Uniontown | $49.50 | $16.73 – $75.19 |