Brachytx isodose complex at UPMC Carlisle
361 Alexander Spring Road, Carlisle, PA · UPMC · · NPI 1689107328
$942.60
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.
$1,571.00
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.
$197.14 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 | $197.14 | ↓ -79% |
| Prime Net | Managed Medicare | $215.23 | ↓ -77% |
| Capital Blue Cross | Medicare Advantage | $314.20 | ↓ -67% |
| Keystone Health Plan | Medicare Advantage | $314.20 | ↓ -67% |
| Highmark Wholecare (prev Gateway) | Medicaid | $340.97 | ↓ -64% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $340.97 | ↓ -64% |
| Highmark BCBS of PA | Freedom Blue Medicare Advantage | $346.69 | ↓ -63% |
| Highmark BCBS of PA | Community Blue Medicare Advantage/Complete Blue Medicare Advantage/Security Blue Medicare Advantage/Together Blue Medicare Advantage | $346.69 | ↓ -63% |
| UPMC Health Plan | Managed Medicaid | $349.02 | ↓ -63% |
| Humana | Medicare | $350.19 | ↓ -63% |
| Aetna | Medicare | $365.25 | ↓ -61% |
| Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $365.67 | ↓ -61% |
| Cigna | Medicare | $367.70 | ↓ -61% |
| Geisinger | Medicare | $367.70 | ↓ -61% |
| United Healthcare | Medicare | $374.70 | ↓ -60% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $378.21 | ↓ -60% |
| Geisinger | Medicaid/CHIP | $391.07 | ↓ -59% |
| PA Health & Wellness | PA Medicaid HMO | $457.54 | ↓ -51% |
| UPMC Work Partners | Workers Comp | $478.72 | ↓ -49% |
| Keystone Autism Services | ACAP | $560.30 | ↓ -41% |
| Prime Net | Legacy Commercial | $612.69 | ↓ -35% |
| Aetna | ACO | $617.40 | ↓ -35% |
| Prime Net | ACO | $617.40 | ↓ -35% |
| Prime Net | NonGateKeeper | $730.51 | ↓ -23% |
| Prime Net | GateKeeper | $735.23 | ↓ -22% |
| Aetna | Commercial | $735.23 | ↓ -22% |
| Keystone Health Plan | Commercial | $859.34 | ↓ -9% |
| Capital Blue Cross | CHIP | $859.34 | ↓ -9% |
| Capital Blue Cross | Commercial | $859.34 | ↓ -9% |
| Highmark BCBS of PA | Community Blue PPO | $984.94 | ↑ +4% |
| Wellspan Population Health | PPO | $1,021.15 | ↑ +8% |
| Highmark BCBS of PA | CHIP - Managed Care | $1,026.62 | ↑ +9% |
| Geisinger | Commercial | $1,028.69 | ↑ +9% |
| Highmark BCBS of PA | Commercial | $1,094.38 | ↑ +16% |
| UPMC Health Plan | Commercial | $1,099.70 | ↑ +17% |
| Prime Net | FH-Medical Rental | $1,187.68 | ↑ +26% |
| Multiplan | PPO (Includes PHCS and Humana as Payers) | $1,335.35 | ↑ +42% |
| Cigna | Commercial | $1,761.44 | ↑ +87% |
| UPMC Health Plan | CHIP | $2,039.13 | ↑ +116% |
| United Healthcare | Commercial | $26,132.00 | ↑ +2672% |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
| Tricare | East Region | not published by hospital | — |
Visitor-reported prices
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Brachytx isodose complex at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Community Osteopathic | Harrisburg | $942.60 | $197.14 – $2,039.13 |
| UPMC Lititz | Lititz | $942.60 | $197.14 – $562.56 |
| UPMC Magee | Pittsburgh | $3,773.40 | $128.35 – $457.54 |
| UPMC Memorial | York | $942.60 | $103.63 – $1,229.81 |
| UPMC Mercy | Pittsburgh | $1,937.40 | $127.14 – $514.35 |
| UPMC Passavant-McCandless | Pittsburgh | $2,930.40 | $128.35 – $531.91 |
| UPMC Somerset | Somerset | $942.60 | $125.86 – $457.44 |
| UPMC St. Margaret | Pittsburgh | $984.60 | $128.35 – $457.44 |