Cerebrospinal fld flw imag at UPMC Carlisle
361 Alexander Spring Road, Carlisle, PA · UPMC · · NPI 1689107328
$1,475.40
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.
$2,459.00
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.
$139.70 with AmeriHealth Caritas vs $2,480.49 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 |
|---|---|---|---|
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $139.70 | ↓ -91% |
| Highmark Wholecare (prev Gateway) | Medicaid | $139.70 | ↓ -91% |
| UPMC Health Plan | Managed Medicaid | $143.00 | ↓ -90% |
| United Healthcare Community Plan for Families | PA Medicaid | $144.10 | ↓ -90% |
| Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $149.82 | ↓ -90% |
| Geisinger | Medicaid/CHIP | $160.23 | ↓ -89% |
| PA Health & Wellness | PA Medicaid HMO | $187.46 | ↓ -87% |
| Aetna | Medicare | $241.99 | ↓ -84% |
| UPMC Work Partners | Workers Comp | $299.94 | ↓ -80% |
| Prime Net | Managed Medicare | $333.73 | ↓ -77% |
| Capital Blue Cross | Medicare Advantage | $487.20 | ↓ -67% |
| Keystone Health Plan | Medicare Advantage | $487.20 | ↓ -67% |
| Highmark BCBS of PA | Community Blue Medicare Advantage/Complete Blue Medicare Advantage/Security Blue Medicare Advantage/Together Blue Medicare Advantage | $509.77 | ↓ -65% |
| Highmark BCBS of PA | Freedom Blue Medicare Advantage | $509.77 | ↓ -65% |
| Humana | Medicare | $514.92 | ↓ -65% |
| Geisinger | Medicare | $540.67 | ↓ -63% |
| Cigna | Medicare | $540.67 | ↓ -63% |
| United Healthcare | Medicare | $550.96 | ↓ -63% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $556.11 | ↓ -62% |
| UPMC Health Plan | CHIP | $594.44 | ↓ -60% |
| Keystone Autism Services | ACAP | $823.87 | ↓ -44% |
| Prime Net | Legacy Commercial | $950.04 | ↓ -36% |
| Aetna | ACO | $957.35 | ↓ -35% |
| Prime Net | ACO | $957.35 | ↓ -35% |
| Prime Net | NonGateKeeper | $1,132.74 | ↓ -23% |
| Prime Net | GateKeeper | $1,140.05 | ↓ -23% |
| Aetna | Commercial | $1,140.05 | ↓ -23% |
| Keystone Health Plan | Commercial | $1,332.49 | ↓ -10% |
| Capital Blue Cross | Commercial | $1,332.49 | ↓ -10% |
| Capital Blue Cross | CHIP | $1,332.49 | ↓ -10% |
| Highmark BCBS of PA | Community Blue PPO | $1,448.26 | ↓ -2% |
| Highmark BCBS of PA | CHIP - Managed Care | $1,509.54 | ↑ +2% |
| Wellspan Population Health | PPO | $1,583.40 | ↑ +7% |
| Geisinger | Commercial | $1,595.09 | ↑ +8% |
| Highmark BCBS of PA | Commercial | $1,609.18 | ↑ +9% |
| UPMC Health Plan | Commercial | $1,705.20 | ↑ +16% |
| United Healthcare | Commercial | $1,792.90 | ↑ +22% |
| Prime Net | FH-Medical Rental | $1,841.62 | ↑ +25% |
| Multiplan | PPO (Includes PHCS and Humana as Payers) | $2,070.60 | ↑ +40% |
| Cigna | Commercial | $2,480.49 | ↑ +68% |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
| Tricare | East Region | not published by hospital | — |
Visitor-reported prices
Comments
Cerebrospinal fld flw imag at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Community Osteopathic | Harrisburg | $1,475.40 | $139.70 – $2,070.60 |
| UPMC Hamot | Erie | $1,068.00 | $149.71 – $700.71 |
| UPMC Hanover | Hanover | $1,475.40 | $139.70 – $822.74 |
| UPMC Kane | Kane | $628.20 | $149.71 – $1,121.51 |
| UPMC Lititz | Lititz | $1,475.40 | $139.70 – $827.18 |
| UPMC Magee | Pittsburgh | $1,097.40 | $149.71 – $554.23 |
| UPMC Memorial | York | $1,475.40 | $139.70 – $1,132.40 |
| UPMC Mercy | Pittsburgh | $1,608.00 | $149.71 – $564.50 |