Catheterization collection of specimen single patient all places of service at UPMC Carlisle
361 Alexander Spring Road, Carlisle, PA · UPMC · · NPI 1689107328
$8.40
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.
$14.00
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.
$1.92 with Prime Net vs $29.12 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 | $1.92 | ↓ -77% |
| Capital Blue Cross | Medicare Advantage | $2.80 | ↓ -67% |
| Keystone Health Plan | Medicare Advantage | $2.80 | ↓ -67% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $5.00 | ↓ -40% |
| Prime Net | Legacy Commercial | $5.46 | ↓ -35% |
| Prime Net | ACO | $5.50 | ↓ -35% |
| Aetna | ACO | $5.50 | ↓ -35% |
| Prime Net | NonGateKeeper | $6.51 | ↓ -23% |
| Prime Net | GateKeeper | $6.55 | ↓ -22% |
| Aetna | Commercial | $6.55 | ↓ -22% |
| United Healthcare Community Plan for Families | PA Medicaid | $6.85 | ↓ -18% |
| Keystone Health Plan | Commercial | $7.66 | ↓ -9% |
| Capital Blue Cross | Commercial | $7.66 | ↓ -9% |
| Capital Blue Cross | CHIP | $7.66 | ↓ -9% |
| Geisinger | Medicaid/CHIP | $7.70 | ↓ -8% |
| PA Health & Wellness | PA Medicaid HMO | $7.70 | ↓ -8% |
| Highmark BCBS of PA | Freedom Blue Medicare Advantage | $9.00 | ↑ +7% |
| Highmark BCBS of PA | Community Blue Medicare Advantage/Complete Blue Medicare Advantage/Security Blue Medicare Advantage/Together Blue Medicare Advantage | $9.00 | ↑ +7% |
| Humana | Medicare | $9.09 | ↑ +8% |
| Wellspan Population Health | PPO | $9.10 | ↑ +8% |
| UPMC Work Partners | Workers Comp | $9.13 | ↑ +9% |
| Geisinger | Commercial | $9.17 | ↑ +9% |
| Aetna | Medicare | $9.48 | ↑ +13% |
| Cigna | Medicare | $9.54 | ↑ +14% |
| Geisinger | Medicare | $9.54 | ↑ +14% |
| United Healthcare | Medicare | $9.73 | ↑ +16% |
| UPMC Health Plan | Commercial | $9.80 | ↑ +17% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $9.82 | ↑ +17% |
| Prime Net | FH-Medical Rental | $10.58 | ↑ +26% |
| Cigna | Commercial | $10.92 | ↑ +30% |
| Multiplan | PPO (Includes PHCS and Humana as Payers) | $11.90 | ↑ +42% |
| Keystone Autism Services | ACAP | $14.54 | ↑ +73% |
| Highmark BCBS of PA | Community Blue PPO | $25.57 | ↑ +204% |
| Highmark BCBS of PA | CHIP - Managed Care | $26.65 | ↑ +217% |
| Highmark BCBS of PA | Commercial | $28.41 | ↑ +238% |
| UPMC Health Plan | CHIP | $29.12 | ↑ +247% |
Visitor-reported prices
Comments
Catheterization collection of specimen single patient all places of service at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $26.40 | $5.58 – $35.20 |
| UPMC Bedford | Everett | $100.20 | $3.28 – $150.30 |
| UPMC Community Osteopathic | Harrisburg | $145.80 | $2.80 – $29.12 |
| UPMC East | Monroeville | $42.60 | $5.63 – $56.80 |
| UPMC Hamot | Erie | $91.80 | $3.00 – $9.82 |
| UPMC Northwest | Seneca | $39.00 | $8.08 – $9.82 |
| UPMC Hanover | Hanover | $8.40 | $6.85 – $29.12 |
| UPMC Horizon-Greenville | Greenville | $18.00 | $8.11 – $9.82 |