Ana ds-dna at UPMC Carlisle
361 Alexander Spring Road, Carlisle, PA · UPMC · · NPI 1689107328
$44.40
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.
?
What you pay up front if you don't use insurance.
$74.00
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.
$10.14 with Prime Net vs $76.27 with UPMC Health Plan — 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 |
|---|---|---|---|
| Prime Net | Managed Medicare | $10.14 | ↓ -77% |
| Highmark BCBS of PA | Community Blue Medicare Advantage/Complete Blue Medicare Advantage/Security Blue Medicare Advantage/Together Blue Medicare Advantage | $11.99 | ↓ -73% |
| Highmark BCBS of PA | Freedom Blue Medicare Advantage | $11.99 | ↓ -73% |
| Humana | Medicare | $12.11 | ↓ -73% |
| UPMC Work Partners | Workers Comp | $12.52 | ↓ -72% |
| Aetna | Medicare | $12.63 | ↓ -72% |
| Cigna | Medicare | $12.72 | ↓ -71% |
| Geisinger | Medicare | $12.72 | ↓ -71% |
| United Healthcare | Medicare | $12.96 | ↓ -71% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $13.08 | ↓ -71% |
| Capital Blue Cross | Medicare Advantage | $14.80 | ↓ -67% |
| Keystone Health Plan | Medicare Advantage | $14.80 | ↓ -67% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $16.73 | ↓ -62% |
| Keystone Autism Services | ACAP | $19.38 | ↓ -56% |
| United Healthcare | Commercial | $20.36 | ↓ -54% |
| Highmark Wholecare (prev Gateway) | Medicaid | $21.25 | ↓ -52% |
| UPMC Health Plan | Managed Medicaid | $21.75 | ↓ -51% |
| United Healthcare Community Plan for Families | PA Medicaid | $21.92 | ↓ -51% |
| Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $22.79 | ↓ -49% |
| Geisinger | Medicaid/CHIP | $24.37 | ↓ -45% |
| PA Health & Wellness | PA Medicaid HMO | $28.51 | ↓ -36% |
| Prime Net | Legacy Commercial | $28.86 | ↓ -35% |
| Prime Net | ACO | $29.08 | ↓ -35% |
| Aetna | ACO | $29.08 | ↓ -35% |
| Cigna | Commercial | $31.48 | ↓ -29% |
| Highmark BCBS of PA | Community Blue PPO | $34.06 | ↓ -23% |
| Prime Net | NonGateKeeper | $34.41 | ↓ -23% |
| Aetna | Commercial | $34.63 | ↓ -22% |
| Prime Net | GateKeeper | $34.63 | ↓ -22% |
| Highmark BCBS of PA | CHIP - Managed Care | $35.50 | ↓ -20% |
| Highmark BCBS of PA | Commercial | $37.84 | ↓ -15% |
| Capital Blue Cross | CHIP | $40.48 | ↓ -9% |
| Capital Blue Cross | Commercial | $40.48 | ↓ -9% |
| Keystone Health Plan | Commercial | $40.48 | ↓ -9% |
| Wellspan Population Health | PPO | $48.10 | ↑ +8% |
| Geisinger | Commercial | $48.46 | ↑ +9% |
| UPMC Health Plan | Commercial | $51.80 | ↑ +17% |
| Prime Net | FH-Medical Rental | $55.94 | ↑ +26% |
| Multiplan | PPO (Includes PHCS and Humana as Payers) | $62.90 | ↑ +42% |
| UPMC Health Plan | CHIP | $76.27 | ↑ +72% |
Visitor-reported prices
Comments
Ana ds-dna at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Cole | Coudersport | $84.00 | $7.87 – $112.00 |
| UPMC Community Osteopathic | Harrisburg | $44.40 | $11.99 – $76.27 |
| UPMC Hanover | Hanover | $44.40 | $11.99 – $22.79 |
| UPMC Kane | Kane | $208.20 | $11.96 – $52.27 |
| UPMC Lititz | Lititz | $44.40 | $11.99 – $22.79 |
| UPMC Magee | Pittsburgh | $277.80 | $11.33 – $28.51 |
| UPMC Memorial | York | $44.40 | $12.52 – $87.60 |
| UPMC Muncy | Muncy | $374.40 | $11.96 – $28.51 |