Bx breast add lesion mr imag at UPMC Carlisle
361 Alexander Spring Road, Carlisle, PA · UPMC · · NPI 1689107328
$1,042.80
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.
$1,738.00
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.
$91.01 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 | $91.01 | ↓ -91% |
| UPMC Health Plan | Managed Medicaid | $93.16 | ↓ -91% |
| United Healthcare Community Plan for Families | PA Medicaid | $93.87 | ↓ -91% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $96.74 | ↓ -91% |
| Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $97.60 | ↓ -91% |
| Geisinger | Medicaid/CHIP | $104.38 | ↓ -90% |
| PA Health & Wellness | PA Medicaid HMO | $122.12 | ↓ -88% |
| Prime Net | Managed Medicare | $238.11 | ↓ -77% |
| Aetna | Medicare | $286.77 | ↓ -73% |
| Keystone Health Plan | Medicare Advantage | $347.60 | ↓ -67% |
| Capital Blue Cross | Medicare Advantage | $347.60 | ↓ -67% |
| Prime Net | Legacy Commercial | $677.82 | ↓ -35% |
| Aetna | ACO | $683.03 | ↓ -35% |
| Prime Net | ACO | $683.03 | ↓ -35% |
| UPMC Health Plan | CHIP | $691.04 | ↓ -34% |
| Prime Net | NonGateKeeper | $808.17 | ↓ -23% |
| Aetna | Commercial | $813.38 | ↓ -22% |
| Prime Net | GateKeeper | $813.38 | ↓ -22% |
| Capital Blue Cross | CHIP | $950.69 | ↓ -9% |
| Keystone Health Plan | Commercial | $950.69 | ↓ -9% |
| Capital Blue Cross | Commercial | $950.69 | ↓ -9% |
| UPMC Work Partners | Workers Comp | $1,114.34 | ↑ +7% |
| Wellspan Population Health | PPO | $1,129.70 | ↑ +8% |
| Geisinger | Commercial | $1,138.04 | ↑ +9% |
| UPMC Health Plan | Commercial | $1,216.60 | ↑ +17% |
| Prime Net | FH-Medical Rental | $1,313.93 | ↑ +26% |
| Multiplan | PPO (Includes PHCS and Humana as Payers) | $1,477.30 | ↑ +42% |
| Cigna | Commercial | $9,539.00 | ↑ +815% |
| United Healthcare | Commercial | not published by hospital | — |
Visitor-reported prices
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Bx breast add lesion mr imag at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Community Osteopathic | Harrisburg | $1,042.80 | $93.87 – $2,307.90 |
| UPMC Hamot | Erie | $3,243.60 | $78.83 – $1,064.82 |
| UPMC Hanover | Hanover | $1,042.80 | $91.01 – $1,114.34 |
| UPMC Kane | Kane | $1,858.80 | $78.83 – $2,491.15 |
| UPMC Lititz | Lititz | $1,042.80 | $78.08 – $1,114.34 |
| UPMC Magee | Pittsburgh | $5,692.20 | $78.83 – $1,064.82 |
| UPMC Memorial | York | $1,042.80 | $78.08 – $1,114.34 |
| UPMC Passavant-McCandless | Pittsburgh | $6,352.80 | $78.83 – $1,238.16 |