C motor evoked upr&lwr limbs at UPMC Carlisle
361 Alexander Spring Road, Carlisle, PA · UPMC · · NPI 1689107328
$2,029.20
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.
$3,382.00
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.
$319.00 with United Healthcare vs $3,041.53 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 | Commercial | $319.00 | ↓ -84% |
| United Healthcare Community Plan for Families | PA Medicaid | $333.47 | ↓ -84% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $437.26 | ↓ -78% |
| Highmark Wholecare (prev Gateway) | Medicaid | $437.26 | ↓ -78% |
| UPMC Health Plan | Managed Medicaid | $447.59 | ↓ -78% |
| Prime Net | Managed Medicare | $463.33 | ↓ -77% |
| Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $468.94 | ↓ -77% |
| Geisinger | Medicaid/CHIP | $501.51 | ↓ -75% |
| PA Health & Wellness | PA Medicaid HMO | $586.76 | ↓ -71% |
| UPMC Work Partners | Workers Comp | $664.04 | ↓ -67% |
| Capital Blue Cross | Medicare Advantage | $676.40 | ↓ -67% |
| Keystone Health Plan | Medicare Advantage | $676.40 | ↓ -67% |
| UPMC Health Plan | CHIP | $906.70 | ↓ -55% |
| Highmark BCBS of PA | Community Blue Medicare Advantage/Complete Blue Medicare Advantage/Security Blue Medicare Advantage/Together Blue Medicare Advantage | $963.53 | ↓ -53% |
| Highmark BCBS of PA | Freedom Blue Medicare Advantage | $963.53 | ↓ -53% |
| Humana | Medicare | $973.26 | ↓ -52% |
| Aetna | Medicare | $1,015.11 | ↓ -50% |
| Cigna | Medicare | $1,021.92 | ↓ -50% |
| Geisinger | Medicare | $1,021.92 | ↓ -50% |
| United Healthcare | Medicare | $1,041.39 | ↓ -49% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $1,051.12 | ↓ -48% |
| Prime Net | Legacy Commercial | $1,318.98 | ↓ -35% |
| Aetna | ACO | $1,329.13 | ↓ -34% |
| Prime Net | ACO | $1,329.13 | ↓ -34% |
| Keystone Autism Services | ACAP | $1,557.22 | ↓ -23% |
| Prime Net | NonGateKeeper | $1,572.63 | ↓ -23% |
| Aetna | Commercial | $1,582.78 | ↓ -22% |
| Prime Net | GateKeeper | $1,582.78 | ↓ -22% |
| Capital Blue Cross | CHIP | $1,849.95 | ↓ -9% |
| Capital Blue Cross | Commercial | $1,849.95 | ↓ -9% |
| Keystone Health Plan | Commercial | $1,849.95 | ↓ -9% |
| Wellspan Population Health | PPO | $2,198.30 | ↑ +8% |
| Geisinger | Commercial | $2,214.53 | ↑ +9% |
| UPMC Health Plan | Commercial | $2,367.40 | ↑ +17% |
| Prime Net | FH-Medical Rental | $2,556.79 | ↑ +26% |
| Cigna | Commercial | $2,637.96 | ↑ +30% |
| Highmark BCBS of PA | Community Blue PPO | $2,737.39 | ↑ +35% |
| Highmark BCBS of PA | CHIP - Managed Care | $2,853.21 | ↑ +41% |
| Multiplan | PPO (Includes PHCS and Humana as Payers) | $2,874.70 | ↑ +42% |
| Highmark BCBS of PA | Commercial | $3,041.53 | ↑ +50% |
| Tricare | East Region | not published by hospital | — |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
Visitor-reported prices
Comments
C motor evoked upr&lwr limbs at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $2,816.40 | $254.56 – $3,755.20 |
| UPMC Community Osteopathic | Harrisburg | $2,029.20 | $333.47 – $2,874.70 |
| UPMC East | Monroeville | $2,453.40 | $378.73 – $3,271.20 |
| UPMC Hamot | Erie | $854.40 | $378.73 – $1,349.45 |
| UPMC Northwest | Seneca | $2,663.40 | $378.73 – $1,018.46 |
| UPMC Hanover | Hanover | $2,029.20 | $319.00 – $1,555.06 |
| UPMC Lititz | Lititz | $2,029.20 | $319.00 – $1,563.46 |
| UPMC Magee | Pittsburgh | $2,479.80 | $378.73 – $1,047.56 |