Car seat/bed test 60 minutes at UPMC Carlisle
361 Alexander Spring Road, Carlisle, PA · UPMC · · NPI 1689107328
$87.00
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.
$145.00
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.
$19.86 with Prime Net vs $613.00 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 |
|---|---|---|---|
| Prime Net | Managed Medicare | $19.86 | ↓ -77% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $20.65 | ↓ -76% |
| United Healthcare Community Plan for Families | PA Medicaid | $27.14 | ↓ -69% |
| Keystone Health Plan | Medicare Advantage | $29.00 | ↓ -67% |
| Capital Blue Cross | Medicare Advantage | $29.00 | ↓ -67% |
| Highmark BCBS of PA | Freedom Blue Medicare Advantage | $37.17 | ↓ -57% |
| Highmark BCBS of PA | Community Blue Medicare Advantage/Complete Blue Medicare Advantage/Security Blue Medicare Advantage/Together Blue Medicare Advantage | $37.17 | ↓ -57% |
| Humana | Medicare | $37.55 | ↓ -57% |
| Aetna | Medicare | $39.16 | ↓ -55% |
| Geisinger | Medicare | $39.43 | ↓ -55% |
| Cigna | Medicare | $39.43 | ↓ -55% |
| United Healthcare | Medicare | $40.18 | ↓ -54% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $40.55 | ↓ -53% |
| Prime Net | Legacy Commercial | $56.55 | ↓ -35% |
| Aetna | ACO | $56.98 | ↓ -35% |
| Prime Net | ACO | $56.98 | ↓ -35% |
| Keystone Autism Services | ACAP | $60.08 | ↓ -31% |
| Prime Net | NonGateKeeper | $67.42 | ↓ -23% |
| Aetna | Commercial | $67.86 | ↓ -22% |
| Prime Net | GateKeeper | $67.86 | ↓ -22% |
| UPMC Work Partners | Workers Comp | $73.96 | ↓ -15% |
| UPMC Health Plan | CHIP | $79.30 | ↓ -9% |
| Capital Blue Cross | Commercial | $79.31 | ↓ -9% |
| Keystone Health Plan | Commercial | $79.31 | ↓ -9% |
| Capital Blue Cross | CHIP | $79.31 | ↓ -9% |
| PA Health & Wellness | PA Medicaid HMO | $79.75 | ↓ -8% |
| Geisinger | Medicaid/CHIP | $79.75 | ↓ -8% |
| Wellspan Population Health | PPO | $94.25 | ↑ +8% |
| Geisinger | Commercial | $94.95 | ↑ +9% |
| UPMC Health Plan | Commercial | $101.50 | ↑ +17% |
| Highmark BCBS of PA | Community Blue PPO | $105.61 | ↑ +21% |
| Prime Net | FH-Medical Rental | $109.62 | ↑ +26% |
| Highmark BCBS of PA | CHIP - Managed Care | $110.08 | ↑ +27% |
| Cigna | Commercial | $113.10 | ↑ +30% |
| Highmark BCBS of PA | Commercial | $117.35 | ↑ +35% |
| Multiplan | PPO (Includes PHCS and Humana as Payers) | $123.25 | ↑ +42% |
| United Healthcare | Commercial | $613.00 | ↑ +605% |
Visitor-reported prices
Comments
Car seat/bed test 60 minutes at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Cole | Coudersport | $165.60 | $24.63 – $220.80 |
| UPMC Community Osteopathic | Harrisburg | $87.00 | $27.14 – $123.25 |
| UPMC Hanover | Hanover | $87.00 | $27.14 – $79.30 |
| UPMC Lititz | Lititz | $87.00 | $27.14 – $79.30 |
| UPMC Memorial | York | $87.00 | $27.14 – $79.30 |
| UPMC Somerset | Somerset | $87.00 | $23.83 – $70.67 |
| Uniontown Hospital | Uniontown | $43.00 | $17.24 – $75.19 |