Artery x-rays lung at UPMC Carlisle
361 Alexander Spring Road, Carlisle, PA · UPMC · · NPI 1689107328
$3,476.40
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.
$5,794.00
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.
$19.65 with United Healthcare Community Plan for Families vs $9,409.55 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 |
|---|---|---|---|
| United Healthcare Community Plan for Families | PA Medicaid | $19.65 | ↓ -99% |
| Highmark Wholecare (prev Gateway) | Medicaid | $31.75 | ↓ -99% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $31.75 | ↓ -99% |
| UPMC Health Plan | Managed Medicaid | $32.50 | ↓ -99% |
| Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $34.05 | ↓ -99% |
| Geisinger | Medicaid/CHIP | $36.41 | ↓ -99% |
| PA Health & Wellness | PA Medicaid HMO | $42.60 | ↓ -99% |
| Prime Net | Managed Medicare | $793.78 | ↓ -77% |
| Capital Blue Cross | Medicare Advantage | $1,158.80 | ↓ -67% |
| Keystone Health Plan | Medicare Advantage | $1,158.80 | ↓ -67% |
| UPMC Work Partners | Workers Comp | $1,252.10 | ↓ -64% |
| Premier Comp Solutions | Worker's Comp | $1,252.10 | ↓ -64% |
| UPMC Health Plan | CHIP | $1,903.16 | ↓ -45% |
| Prime Net | Legacy Commercial | $2,259.66 | ↓ -35% |
| Prime Net | ACO | $2,277.04 | ↓ -35% |
| Aetna | ACO | $2,277.04 | ↓ -35% |
| Prime Net | NonGateKeeper | $2,694.21 | ↓ -23% |
| Aetna | Commercial | $2,711.59 | ↓ -22% |
| Prime Net | GateKeeper | $2,711.59 | ↓ -22% |
| Highmark BCBS of PA | Freedom Blue Medicare Advantage | $2,980.85 | ↓ -14% |
| Highmark BCBS of PA | Community Blue Medicare Advantage/Complete Blue Medicare Advantage/Security Blue Medicare Advantage/Together Blue Medicare Advantage | $2,980.85 | ↓ -14% |
| Humana | Medicare | $3,010.96 | ↓ -13% |
| Aetna | Medicare | $3,140.43 | ↓ -10% |
| Cigna | Medicare | $3,161.51 | ↓ -9% |
| Geisinger | Medicare | $3,161.51 | ↓ -9% |
| Capital Blue Cross | Commercial | $3,169.32 | ↓ -9% |
| Capital Blue Cross | CHIP | $3,169.32 | ↓ -9% |
| Keystone Health Plan | Commercial | $3,169.32 | ↓ -9% |
| United Healthcare | Medicare | $3,221.73 | ↓ -7% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $3,251.84 | ↓ -6% |
| Wellspan Population Health | PPO | $3,766.10 | ↑ +8% |
| Geisinger | Commercial | $3,793.91 | ↑ +9% |
| UPMC Health Plan | Commercial | $4,055.80 | ↑ +17% |
| United Healthcare | Commercial | $4,264.38 | ↑ +23% |
| Prime Net | FH-Medical Rental | $4,380.26 | ↑ +26% |
| Keystone Autism Services | ACAP | $4,817.54 | ↑ +39% |
| Multiplan | PPO (Includes PHCS and Humana as Payers) | $4,924.90 | ↑ +42% |
| Highmark BCBS of PA | Community Blue PPO | $8,468.63 | ↑ +144% |
| Cigna | Commercial | $8,572.42 | ↑ +147% |
| Highmark BCBS of PA | CHIP - Managed Care | $8,826.93 | ↑ +154% |
| Highmark BCBS of PA | Commercial | $9,409.55 | ↑ +171% |
| Tricare | East Region | not published by hospital | — |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
Visitor-reported prices
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Artery x-rays lung at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Community Osteopathic | Harrisburg | $3,476.40 | $19.65 – $4,924.90 |
| UPMC Hanover | Hanover | $3,476.40 | $19.65 – $4,810.90 |
| UPMC Lititz | Lititz | $3,476.40 | $19.65 – $4,836.88 |
| UPMC Magee | Pittsburgh | $2,959.80 | $27.50 – $3,240.82 |
| UPMC Memorial | York | $3,476.40 | $19.65 – $4,829.02 |
| UPMC Mercy | Pittsburgh | $2,564.40 | $27.50 – $3,300.84 |
| UPMC Passavant-McCandless | Pittsburgh | $2,919.00 | $27.50 – $3,300.84 |
| UPMC Presbyterian | Pittsburgh | $3,324.60 | $18.00 – $3,300.84 |