Cath 2lum 14.5frx43cm maxid kt mahurkar at UPMC Carlisle
361 Alexander Spring Road, Carlisle, PA · UPMC · · NPI 1689107328
$97.20
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.
$162.00
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.
$22.19 with Prime Net vs $968.69 with UPMC Health Plan — 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 | $22.19 | ↓ -77% |
| Aetna | Medicare | $26.73 | ↓ -73% |
| Keystone Health Plan | Medicare Advantage | $32.40 | ↓ -67% |
| Capital Blue Cross | Medicare Advantage | $32.40 | ↓ -67% |
| Prime Net | Legacy Commercial | $63.18 | ↓ -35% |
| Prime Net | ACO | $63.67 | ↓ -34% |
| Aetna | ACO | $63.67 | ↓ -34% |
| Prime Net | NonGateKeeper | $75.33 | ↓ -23% |
| Aetna | Commercial | $75.82 | ↓ -22% |
| Prime Net | GateKeeper | $75.82 | ↓ -22% |
| Keystone Health Plan | Commercial | $88.61 | ↓ -9% |
| Capital Blue Cross | Commercial | $88.61 | ↓ -9% |
| Capital Blue Cross | CHIP | $88.61 | ↓ -9% |
| Geisinger | Medicaid/CHIP | $89.10 | ↓ -8% |
| PA Health & Wellness | PA Medicaid HMO | $89.10 | ↓ -8% |
| Wellspan Population Health | PPO | $105.30 | ↑ +8% |
| Geisinger | Commercial | $106.08 | ↑ +9% |
| UPMC Health Plan | Commercial | $113.40 | ↑ +17% |
| United Healthcare | Commercial | $119.23 | ↑ +23% |
| Prime Net | FH-Medical Rental | $122.47 | ↑ +26% |
| Cigna | Commercial | $126.36 | ↑ +30% |
| Multiplan | PPO (Includes PHCS and Humana as Payers) | $137.70 | ↑ +42% |
| UPMC Health Plan | CHIP | $968.69 | ↑ +897% |
| UPMC Work Partners | Workers Comp | not published by hospital | — |
Visitor-reported prices
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Cath 2lum 14.5frx43cm maxid kt mahurkar at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $349.80 | $65.55 – $968.69 |
| UPMC Bedford | Everett | $161.40 | $51.11 – $968.69 |
| UPMC Community Osteopathic | Harrisburg | $364.20 | $32.40 – $968.69 |
| UPMC East | Monroeville | $966.00 | $46.50 – $968.69 |
| UPMC Northwest | Seneca | $428.40 | $1,172.20 – $1,172.20 |
| UPMC Hanover | Hanover | $97.20 | $968.69 – $968.69 |
| UPMC Horizon-Greenville | Greenville | $752.40 | $968.69 – $968.69 |
| UPMC Jameson | New Castle | $351.00 | $6.00 – $968.69 |