Chg radiologic exam esophagus double contrast at UPMC Carlisle
361 Alexander Spring Road, Carlisle, PA · UPMC · · NPI 1689107328
$427.80
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.
$713.00
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.
$16.99 with Prime Net vs $957.68 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 |
|---|---|---|---|
| Prime Net | Managed Medicare | $16.99 | ↓ -96% |
| Keystone Health Plan | Medicare Advantage | $24.80 | ↓ -94% |
| Capital Blue Cross | Medicare Advantage | $24.80 | ↓ -94% |
| Prime Net | Legacy Commercial | $48.36 | ↓ -89% |
| Aetna | ACO | $48.73 | ↓ -89% |
| Prime Net | ACO | $48.73 | ↓ -89% |
| Prime Net | NonGateKeeper | $57.66 | ↓ -87% |
| Aetna | Commercial | $58.03 | ↓ -86% |
| Prime Net | GateKeeper | $58.03 | ↓ -86% |
| Capital Blue Cross | CHIP | $67.83 | ↓ -84% |
| Keystone Health Plan | Commercial | $67.83 | ↓ -84% |
| Capital Blue Cross | Commercial | $67.83 | ↓ -84% |
| United Healthcare Community Plan for Families | PA Medicaid | $73.37 | ↓ -83% |
| Wellspan Population Health | PPO | $80.60 | ↓ -81% |
| Geisinger | Commercial | $81.20 | ↓ -81% |
| UPMC Health Plan | Commercial | $86.80 | ↓ -80% |
| United Healthcare | Commercial | $91.26 | ↓ -79% |
| Prime Net | FH-Medical Rental | $93.74 | ↓ -78% |
| Multiplan | PPO (Includes PHCS and Humana as Payers) | $105.40 | ↓ -75% |
| Highmark Wholecare (prev Gateway) | Medicaid | $106.78 | ↓ -75% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $106.78 | ↓ -75% |
| UPMC Health Plan | Managed Medicaid | $109.30 | ↓ -74% |
| Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $114.52 | ↓ -73% |
| Geisinger | Medicaid/CHIP | $122.47 | ↓ -71% |
| Premier Comp Solutions | Worker's Comp | $133.00 | ↓ -69% |
| UPMC Work Partners | Workers Comp | $133.00 | ↓ -69% |
| PA Health & Wellness | PA Medicaid HMO | $143.29 | ↓ -67% |
| Highmark BCBS of PA | Freedom Blue Medicare Advantage | $168.60 | ↓ -61% |
| Highmark BCBS of PA | Community Blue Medicare Advantage/Complete Blue Medicare Advantage/Security Blue Medicare Advantage/Together Blue Medicare Advantage | $168.60 | ↓ -61% |
| Humana | Medicare | $170.30 | ↓ -60% |
| Aetna | Medicare | $177.62 | ↓ -58% |
| Geisinger | Medicare | $178.81 | ↓ -58% |
| Cigna | Medicare | $178.81 | ↓ -58% |
| United Healthcare | Medicare | $182.22 | ↓ -57% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $183.92 | ↓ -57% |
| UPMC Health Plan | CHIP | $270.76 | ↓ -37% |
| Keystone Autism Services | ACAP | $272.48 | ↓ -36% |
| Highmark BCBS of PA | Community Blue PPO | $478.99 | ↑ +12% |
| Highmark BCBS of PA | CHIP - Managed Care | $499.25 | ↑ +17% |
| Highmark BCBS of PA | Commercial | $532.20 | ↑ +24% |
| Cigna | Commercial | $957.68 | ↑ +124% |
| Tricare | East Region | not published by hospital | — |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
Visitor-reported prices
Comments
Chg radiologic exam esophagus double contrast at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $302.40 | $39.18 – $403.20 |
| UPMC Bedford | Everett | $186.00 | $61.23 – $279.00 |
| UPMC Community Osteopathic | Harrisburg | $427.80 | $24.80 – $270.76 |
| UPMC East | Monroeville | $832.80 | $39.56 – $1,110.40 |
| UPMC Hamot | Erie | $407.40 | $39.18 – $270.53 |
| UPMC Northwest | Seneca | $253.20 | $92.49 – $178.21 |
| UPMC Hanover | Hanover | $427.80 | $73.37 – $272.10 |
| UPMC Horizon-Greenville | Greenville | $400.80 | $76.23 – $183.30 |