Anal/urinary muscle study at UPMC Carlisle
361 Alexander Spring Road, Carlisle, PA · UPMC · · NPI 1689107328
$587.40
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.
$979.00
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.
$62.88 with United Healthcare Community Plan for Families vs $1,713.32 with UPMC Health Plan — 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 |
|---|---|---|---|
| United Healthcare Community Plan for Families | PA Medicaid | $62.88 | ↓ -89% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $127.96 | ↓ -78% |
| Prime Net | Managed Medicare | $134.12 | ↓ -77% |
| Keystone Health Plan | Medicare Advantage | $195.80 | ↓ -67% |
| Capital Blue Cross | Medicare Advantage | $195.80 | ↓ -67% |
| UPMC Work Partners | Workers Comp | $223.61 | ↓ -62% |
| Highmark BCBS of PA | Community Blue Medicare Advantage/Complete Blue Medicare Advantage/Security Blue Medicare Advantage/Together Blue Medicare Advantage | $230.33 | ↓ -61% |
| Highmark BCBS of PA | Freedom Blue Medicare Advantage | $230.33 | ↓ -61% |
| Humana | Medicare | $232.66 | ↓ -60% |
| Aetna | Medicare | $242.66 | ↓ -59% |
| Geisinger | Medicare | $244.29 | ↓ -58% |
| Cigna | Medicare | $244.29 | ↓ -58% |
| United Healthcare | Medicare | $248.95 | ↓ -58% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $251.27 | ↓ -57% |
| Keystone Autism Services | ACAP | $372.26 | ↓ -37% |
| Prime Net | Legacy Commercial | $381.81 | ↓ -35% |
| Aetna | ACO | $384.75 | ↓ -34% |
| Prime Net | ACO | $384.75 | ↓ -34% |
| Prime Net | NonGateKeeper | $455.24 | ↓ -22% |
| Prime Net | GateKeeper | $458.17 | ↓ -22% |
| Aetna | Commercial | $458.17 | ↓ -22% |
| Keystone Health Plan | Commercial | $535.51 | ↓ -9% |
| Capital Blue Cross | CHIP | $535.51 | ↓ -9% |
| Capital Blue Cross | Commercial | $535.51 | ↓ -9% |
| PA Health & Wellness | PA Medicaid HMO | $538.45 | ↓ -8% |
| Geisinger | Medicaid/CHIP | $538.45 | ↓ -8% |
| United Healthcare | Commercial | $558.00 | ↓ -5% |
| Wellspan Population Health | PPO | $636.35 | ↑ +8% |
| Geisinger | Commercial | $641.05 | ↑ +9% |
| Highmark BCBS of PA | Community Blue PPO | $654.38 | ↑ +11% |
| Highmark BCBS of PA | CHIP - Managed Care | $682.07 | ↑ +16% |
| UPMC Health Plan | Commercial | $685.30 | ↑ +17% |
| Highmark BCBS of PA | Commercial | $727.09 | ↑ +24% |
| Prime Net | FH-Medical Rental | $740.12 | ↑ +26% |
| Cigna | Commercial | $763.62 | ↑ +30% |
| Multiplan | PPO (Includes PHCS and Humana as Payers) | $832.15 | ↑ +42% |
| UPMC Health Plan | CHIP | $1,713.32 | ↑ +192% |
| Tricare | East Region | not published by hospital | — |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
Visitor-reported prices
Comments
Anal/urinary muscle study at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $1,198.20 | $213.68 – $1,597.60 |
| UPMC Community Osteopathic | Harrisburg | $587.40 | $62.88 – $1,713.32 |
| UPMC East | Monroeville | $2,734.80 | $232.50 – $3,646.40 |
| UPMC Hamot | Erie | $2,310.60 | $233.83 – $545.04 |
| UPMC Hanover | Hanover | $587.40 | $62.88 – $1,713.32 |
| UPMC Lititz | Lititz | $587.40 | $62.88 – $1,713.32 |
| UPMC Magee | Pittsburgh | $2,410.80 | $217.01 – $550.23 |
| UPMC Memorial | York | $587.40 | $62.88 – $1,713.32 |