Copper cu 64 dotatate diag at UPMC Carlisle
361 Alexander Spring Road, Carlisle, PA · UPMC · · NPI 1689107328
$2,083.80
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.
$3,473.00
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.
$327.31 with AmeriHealth Caritas vs $2,952.05 with Multiplan — 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 | $327.31 | ↓ -84% |
| Prime Net | Managed Medicare | $475.80 | ↓ -77% |
| Highmark BCBS of PA | Freedom Blue Medicare Advantage | $589.15 | ↓ -72% |
| Highmark BCBS of PA | Community Blue Medicare Advantage/Complete Blue Medicare Advantage/Security Blue Medicare Advantage/Together Blue Medicare Advantage | $589.15 | ↓ -72% |
| Humana | Medicare | $595.10 | ↓ -71% |
| Aetna | Medicare | $620.69 | ↓ -70% |
| Cigna | Medicare | $624.86 | ↓ -70% |
| Geisinger | Medicare | $624.86 | ↓ -70% |
| United Healthcare | Medicare | $636.76 | ↓ -69% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $642.71 | ↓ -69% |
| Keystone Health Plan | Medicare Advantage | $694.60 | ↓ -67% |
| Capital Blue Cross | Medicare Advantage | $694.60 | ↓ -67% |
| Keystone Autism Services | ACAP | $952.16 | ↓ -54% |
| Prime Net | Legacy Commercial | $1,354.47 | ↓ -35% |
| Aetna | ACO | $1,364.89 | ↓ -34% |
| Prime Net | ACO | $1,364.89 | ↓ -34% |
| Cigna | Commercial | $1,384.27 | ↓ -34% |
| Prime Net | NonGateKeeper | $1,614.94 | ↓ -23% |
| Aetna | Commercial | $1,625.36 | ↓ -22% |
| Prime Net | GateKeeper | $1,625.36 | ↓ -22% |
| Highmark BCBS of PA | Community Blue PPO | $1,673.78 | ↓ -20% |
| Highmark BCBS of PA | CHIP - Managed Care | $1,744.60 | ↓ -16% |
| Highmark BCBS of PA | Commercial | $1,859.75 | ↓ -11% |
| Keystone Health Plan | Commercial | $1,899.73 | ↓ -9% |
| Capital Blue Cross | Commercial | $1,899.73 | ↓ -9% |
| Capital Blue Cross | CHIP | $1,899.73 | ↓ -9% |
| PA Health & Wellness | PA Medicaid HMO | $1,910.15 | ↓ -8% |
| Geisinger | Medicaid/CHIP | $1,910.15 | ↓ -8% |
| United Healthcare | Commercial | $2,139.37 | ↑ +3% |
| UPMC Health Plan | CHIP | $2,213.23 | ↑ +6% |
| Wellspan Population Health | PPO | $2,257.45 | ↑ +8% |
| Geisinger | Commercial | $2,274.12 | ↑ +9% |
| UPMC Health Plan | Commercial | $2,431.10 | ↑ +17% |
| Prime Net | FH-Medical Rental | $2,625.59 | ↑ +26% |
| Multiplan | PPO (Includes PHCS and Humana as Payers) | $2,952.05 | ↑ +42% |
| UPMC Work Partners | Workers Comp | not published by hospital | — |
Visitor-reported prices
Comments
Copper cu 64 dotatate diag at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $2,125.80 | $422.93 – $2,834.40 |
| UPMC Community Osteopathic | Harrisburg | $2,083.80 | $589.15 – $2,952.05 |
| UPMC Hamot | Erie | $2,298.60 | $422.93 – $943.50 |
| UPMC Hanover | Hanover | $2,083.80 | $589.15 – $2,213.23 |
| UPMC Lititz | Lititz | $2,083.80 | $589.15 – $2,213.23 |
| UPMC Magee | Pittsburgh | $2,228.40 | $426.96 – $654.61 |
| UPMC Memorial | York | $2,083.80 | $344.71 – $2,213.23 |
| UPMC Presbyterian | Pittsburgh | $2,970.00 | $426.96 – $3,578.40 |