Br punct aspir ea add, l at UPMC Carlisle
361 Alexander Spring Road, Carlisle, PA · UPMC · · NPI 1689107328
$497.40
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.
$829.00
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.
$25.90 with Highmark Wholecare (prev Gateway) vs $9,539.00 with Cigna — 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 |
|---|---|---|---|
| Highmark Wholecare (prev Gateway) | Medicaid | $25.90 | ↓ -95% |
| UPMC Health Plan | Managed Medicaid | $26.51 | ↓ -95% |
| United Healthcare Community Plan for Families | PA Medicaid | $26.71 | ↓ -95% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $27.53 | ↓ -94% |
| Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $27.77 | ↓ -94% |
| Geisinger | Medicaid/CHIP | $29.70 | ↓ -94% |
| PA Health & Wellness | PA Medicaid HMO | $34.75 | ↓ -93% |
| UPMC Work Partners | Workers Comp | $66.60 | ↓ -87% |
| Prime Net | Managed Medicare | $113.57 | ↓ -77% |
| Aetna | Medicare | $136.78 | ↓ -73% |
| Keystone Health Plan | Medicare Advantage | $165.80 | ↓ -67% |
| Capital Blue Cross | Medicare Advantage | $165.80 | ↓ -67% |
| UPMC Health Plan | CHIP | $182.84 | ↓ -63% |
| Prime Net | Legacy Commercial | $323.31 | ↓ -35% |
| Aetna | ACO | $325.80 | ↓ -34% |
| Prime Net | ACO | $325.80 | ↓ -34% |
| Prime Net | NonGateKeeper | $385.49 | ↓ -22% |
| Aetna | Commercial | $387.97 | ↓ -22% |
| Prime Net | GateKeeper | $387.97 | ↓ -22% |
| Keystone Health Plan | Commercial | $453.46 | ↓ -9% |
| Capital Blue Cross | Commercial | $453.46 | ↓ -9% |
| Capital Blue Cross | CHIP | $453.46 | ↓ -9% |
| Wellspan Population Health | PPO | $538.85 | ↑ +8% |
| Geisinger | Commercial | $542.83 | ↑ +9% |
| UPMC Health Plan | Commercial | $580.30 | ↑ +17% |
| Prime Net | FH-Medical Rental | $626.72 | ↑ +26% |
| Multiplan | PPO (Includes PHCS and Humana as Payers) | $704.65 | ↑ +42% |
| Cigna | Commercial | $9,539.00 | ↑ +1818% |
| United Healthcare | Commercial | not published by hospital | — |
Visitor-reported prices
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Br punct aspir ea add, l at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $231.60 | $20.39 – $308.80 |
| UPMC Bedford | Everett | $401.40 | $21.41 – $602.10 |
| UPMC Community Osteopathic | Harrisburg | $497.40 | $26.71 – $704.65 |
| UPMC Northwest | Seneca | $361.80 | $22.43 – $144.73 |
| UPMC Hanover | Hanover | $497.40 | $25.90 – $67.28 |
| UPMC Lititz | Lititz | $497.40 | $18.43 – $66.60 |
| UPMC Magee | Pittsburgh | $203.40 | $20.27 – $68.61 |
| UPMC Memorial | York | $497.40 | $18.43 – $67.28 |