Apply interstit radiat compl at UPMC Carlisle
361 Alexander Spring Road, Carlisle, PA · UPMC · · NPI 1689107328
$2,441.40
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.
$4,069.00
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.
$240.97 with United Healthcare Community Plan for Families vs $26,132.00 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 |
|---|---|---|---|
| United Healthcare Community Plan for Families | PA Medicaid | $240.97 | ↓ -90% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $417.77 | ↓ -83% |
| Highmark Wholecare (prev Gateway) | Medicaid | $417.77 | ↓ -83% |
| UPMC Health Plan | Managed Medicaid | $427.63 | ↓ -82% |
| Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $448.03 | ↓ -82% |
| Geisinger | Medicaid/CHIP | $479.15 | ↓ -80% |
| Prime Net | Managed Medicare | $557.45 | ↓ -77% |
| PA Health & Wellness | PA Medicaid HMO | $560.60 | ↓ -77% |
| Highmark BCBS of PA | Freedom Blue Medicare Advantage | $657.07 | ↓ -73% |
| Highmark BCBS of PA | Community Blue Medicare Advantage/Complete Blue Medicare Advantage/Security Blue Medicare Advantage/Together Blue Medicare Advantage | $657.07 | ↓ -73% |
| Humana | Medicare | $663.71 | ↓ -73% |
| Aetna | Medicare | $692.25 | ↓ -72% |
| Geisinger | Medicare | $696.90 | ↓ -71% |
| Cigna | Medicare | $696.90 | ↓ -71% |
| United Healthcare | Medicare | $710.17 | ↓ -71% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $716.81 | ↓ -71% |
| Capital Blue Cross | Medicare Advantage | $813.80 | ↓ -67% |
| Keystone Health Plan | Medicare Advantage | $813.80 | ↓ -67% |
| Keystone Autism Services | ACAP | $1,061.94 | ↓ -57% |
| Prime Net | Legacy Commercial | $1,586.91 | ↓ -35% |
| Aetna | ACO | $1,599.12 | ↓ -34% |
| Prime Net | ACO | $1,599.12 | ↓ -34% |
| Highmark BCBS of PA | Community Blue PPO | $1,866.75 | ↓ -24% |
| Prime Net | NonGateKeeper | $1,892.09 | ↓ -22% |
| Aetna | Commercial | $1,904.29 | ↓ -22% |
| Prime Net | GateKeeper | $1,904.29 | ↓ -22% |
| Highmark BCBS of PA | CHIP - Managed Care | $1,945.73 | ↓ -20% |
| UPMC Work Partners | Workers Comp | $1,980.57 | ↓ -19% |
| Highmark BCBS of PA | Commercial | $2,074.16 | ↓ -15% |
| Keystone Health Plan | Commercial | $2,225.74 | ↓ -9% |
| Capital Blue Cross | Commercial | $2,225.74 | ↓ -9% |
| Capital Blue Cross | CHIP | $2,225.74 | ↓ -9% |
| Wellspan Population Health | PPO | $2,644.85 | ↑ +8% |
| Geisinger | Commercial | $2,664.38 | ↑ +9% |
| UPMC Health Plan | Commercial | $2,848.30 | ↑ +17% |
| UPMC Health Plan | CHIP | $2,862.94 | ↑ +17% |
| Prime Net | FH-Medical Rental | $3,076.16 | ↑ +26% |
| Multiplan | PPO (Includes PHCS and Humana as Payers) | $3,458.65 | ↑ +42% |
| Cigna | Commercial | $3,891.79 | ↑ +59% |
| United Healthcare | Commercial | $26,132.00 | ↑ +970% |
| Tricare | East Region | not published by hospital | — |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
Visitor-reported prices
Comments
Apply interstit radiat compl at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Community Osteopathic | Harrisburg | $2,441.40 | $240.97 – $3,458.65 |
| UPMC East | Monroeville | $3,918.60 | $361.85 – $5,224.80 |
| UPMC Hamot | Erie | $5,286.00 | $361.85 – $2,036.11 |
| UPMC Hanover | Hanover | $2,441.40 | $240.97 – $2,033.17 |
| UPMC Horizon-Greenville | Greenville | $2,563.20 | $361.85 – $1,942.81 |
| UPMC Lititz | Lititz | $2,441.40 | $240.97 – $1,980.57 |
| UPMC Magee | Pittsburgh | $4,761.00 | $361.85 – $2,036.11 |
| UPMC Memorial | York | $2,441.40 | $240.97 – $2,033.17 |