Aep neurodiagnostic i&r at UPMC Carlisle
361 Alexander Spring Road, Carlisle, PA · UPMC · · NPI 1689107328
$583.80
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.
$973.00
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.
$85.74 with AmeriHealth Caritas vs $930.94 with Highmark BCBS of PA — 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 | $85.74 | ↓ -85% |
| Highmark Wholecare (prev Gateway) | Medicaid | $85.74 | ↓ -85% |
| UPMC Health Plan | Managed Medicaid | $87.76 | ↓ -85% |
| United Healthcare Community Plan for Families | PA Medicaid | $88.44 | ↓ -85% |
| Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $91.95 | ↓ -84% |
| Geisinger | Medicaid/CHIP | $98.34 | ↓ -83% |
| UPMC Work Partners | Workers Comp | $102.28 | ↓ -82% |
| PA Health & Wellness | PA Medicaid HMO | $115.05 | ↓ -80% |
| Prime Net | Managed Medicare | $133.30 | ↓ -77% |
| Keystone Health Plan | Medicare Advantage | $194.60 | ↓ -67% |
| Capital Blue Cross | Medicare Advantage | $194.60 | ↓ -67% |
| Highmark BCBS of PA | Community Blue Medicare Advantage/Complete Blue Medicare Advantage/Security Blue Medicare Advantage/Together Blue Medicare Advantage | $294.91 | ↓ -49% |
| Highmark BCBS of PA | Freedom Blue Medicare Advantage | $294.91 | ↓ -49% |
| Humana | Medicare | $297.89 | ↓ -49% |
| Aetna | Medicare | $310.70 | ↓ -47% |
| Cigna | Medicare | $312.78 | ↓ -46% |
| Geisinger | Medicare | $312.78 | ↓ -46% |
| United Healthcare | Medicare | $318.74 | ↓ -45% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $321.72 | ↓ -45% |
| Prime Net | Legacy Commercial | $379.47 | ↓ -35% |
| Aetna | ACO | $382.39 | ↓ -34% |
| Prime Net | ACO | $382.39 | ↓ -34% |
| Prime Net | NonGateKeeper | $452.44 | ↓ -23% |
| Prime Net | GateKeeper | $455.36 | ↓ -22% |
| Aetna | Commercial | $455.36 | ↓ -22% |
| Keystone Autism Services | ACAP | $476.62 | ↓ -18% |
| Keystone Health Plan | Commercial | $532.23 | ↓ -9% |
| Capital Blue Cross | Commercial | $532.23 | ↓ -9% |
| Capital Blue Cross | CHIP | $532.23 | ↓ -9% |
| Wellspan Population Health | PPO | $632.45 | ↑ +8% |
| Geisinger | Commercial | $637.12 | ↑ +9% |
| UPMC Health Plan | Commercial | $681.10 | ↑ +17% |
| UPMC Health Plan | CHIP | $681.10 | ↑ +17% |
| Prime Net | FH-Medical Rental | $735.59 | ↑ +26% |
| Cigna | Commercial | $758.94 | ↑ +30% |
| United Healthcare | Commercial | $761.00 | ↑ +30% |
| Multiplan | PPO (Includes PHCS and Humana as Payers) | $827.05 | ↑ +42% |
| Highmark BCBS of PA | Community Blue PPO | $837.85 | ↑ +44% |
| Highmark BCBS of PA | CHIP - Managed Care | $873.29 | ↑ +50% |
| Highmark BCBS of PA | Commercial | $930.94 | ↑ +59% |
| Tricare | East Region | not published by hospital | — |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
Visitor-reported prices
Comments
Aep neurodiagnostic i&r at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $261.00 | $62.99 – $348.00 |
| UPMC Community Osteopathic | Harrisburg | $583.80 | $85.74 – $827.05 |
| UPMC Hamot | Erie | $898.20 | $62.99 – $395.44 |
| UPMC Hanover | Hanover | $583.80 | $85.74 – $475.97 |
| UPMC Jameson | New Castle | $1,593.60 | $64.11 – $371.10 |
| UPMC Lititz | Lititz | $583.80 | $85.74 – $478.54 |
| UPMC Magee | Pittsburgh | $831.60 | $63.59 – $320.63 |
| UPMC Memorial | York | $583.80 | $51.34 – $477.76 |