Buprenorphine X-ray over 100 mg at UPMC Carlisle
361 Alexander Spring Road, Carlisle, PA · UPMC · · NPI 1689107328
$806.40
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.
$1,344.00
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.
$184.13 with Prime Net vs $6,301.51 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 |
|---|---|---|---|
| Prime Net | Managed Medicare | $184.13 | ↓ -77% |
| Keystone Health Plan | Medicare Advantage | $268.80 | ↓ -67% |
| Capital Blue Cross | Medicare Advantage | $268.80 | ↓ -67% |
| Keystone Health Plan | Commercial | $431.42 | ↓ -47% |
| Capital Blue Cross | CHIP | $431.42 | ↓ -47% |
| Capital Blue Cross | Commercial | $431.42 | ↓ -47% |
| Prime Net | Legacy Commercial | $524.16 | ↓ -35% |
| Aetna | ACO | $528.19 | ↓ -35% |
| Prime Net | ACO | $528.19 | ↓ -35% |
| UPMC Work Partners | Workers Comp | $547.28 | ↓ -32% |
| Prime Net | NonGateKeeper | $624.96 | ↓ -23% |
| Prime Net | GateKeeper | $628.99 | ↓ -22% |
| Aetna | Commercial | $628.99 | ↓ -22% |
| United Healthcare | Commercial | $827.90 | ↑ +3% |
| Wellspan Population Health | PPO | $873.60 | ↑ +8% |
| Geisinger | Commercial | $880.05 | ↑ +9% |
| UPMC Health Plan | Commercial | $940.80 | ↑ +17% |
| Prime Net | FH-Medical Rental | $1,016.06 | ↑ +26% |
| Multiplan | PPO (Includes PHCS and Humana as Payers) | $1,142.40 | ↑ +42% |
| Highmark BCBS of PA | Freedom Blue Medicare Advantage | $1,996.26 | ↑ +148% |
| Highmark BCBS of PA | Community Blue Medicare Advantage/Complete Blue Medicare Advantage/Security Blue Medicare Advantage/Together Blue Medicare Advantage | $1,996.26 | ↑ +148% |
| PA Health & Wellness | PA Medicaid HMO | $2,016.42 | ↑ +150% |
| Geisinger | Medicaid/CHIP | $2,016.42 | ↑ +150% |
| Humana | Medicare | $2,016.42 | ↑ +150% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $2,016.42 | ↑ +150% |
| Highmark Wholecare (prev Gateway) | Medicaid | $2,056.75 | ↑ +155% |
| Aetna | Medicare | $2,103.13 | ↑ +161% |
| Cigna | Medicare | $2,117.24 | ↑ +163% |
| Geisinger | Medicare | $2,117.24 | ↑ +163% |
| United Healthcare | Medicare | $2,157.57 | ↑ +168% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $2,177.73 | ↑ +170% |
| UPMC Health Plan | Managed Medicaid | $2,218.07 | ↑ +175% |
| UPMC Health Plan | CHIP | $2,480.20 | ↑ +208% |
| Cigna | Commercial | $2,660.83 | ↑ +230% |
| Keystone Autism Services | ACAP | $3,226.27 | ↑ +300% |
| Highmark BCBS of PA | Community Blue PPO | $5,671.38 | ↑ +603% |
| Highmark BCBS of PA | CHIP - Managed Care | $5,911.34 | ↑ +633% |
| Highmark BCBS of PA | Commercial | $6,301.51 | ↑ +681% |
| Tricare | East Region | not published by hospital | — |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
Visitor-reported prices
Comments
Buprenorphine X-ray over 100 mg at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $5,427.00 | $1,100.04 – $7,236.00 |
| UPMC Bedford | Everett | $7,360.20 | $727.52 – $11,040.30 |
| UPMC Community Osteopathic | Harrisburg | $806.40 | $268.80 – $2,480.20 |
| UPMC East | Monroeville | $7,886.40 | $1,110.51 – $10,515.20 |
| UPMC Hamot | Erie | $5,965.60 | $1,100.04 – $3,805.99 |
| UPMC Northwest | Seneca | $6,604.80 | $1,273.17 – $2,177.73 |
| UPMC Hanover | Hanover | $806.40 | $1,996.26 – $3,226.27 |
| UPMC Horizon-Greenville | Greenville | $6,615.60 | $1,273.17 – $2,803.53 |