Counseling smoke cess interm >10mins at UPMC Carlisle
361 Alexander Spring Road, Carlisle, PA · UPMC · · NPI 1689107328
$52.20
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.
$87.00
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.
$11.92 with Prime Net vs $115.00 with United Healthcare — 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 | $11.92 | ↓ -77% |
| Keystone Health Plan | Medicare Advantage | $17.40 | ↓ -67% |
| Capital Blue Cross | Medicare Advantage | $17.40 | ↓ -67% |
| Highmark Wholecare (prev Gateway) | Medicaid | $24.55 | ↓ -53% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $24.55 | ↓ -53% |
| UPMC Health Plan | Managed Medicaid | $25.13 | ↓ -52% |
| United Healthcare Community Plan for Families | PA Medicaid | $25.32 | ↓ -51% |
| Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $26.33 | ↓ -50% |
| Geisinger | Medicaid/CHIP | $28.16 | ↓ -46% |
| Highmark BCBS of PA | Community Blue Medicare Advantage/Complete Blue Medicare Advantage/Security Blue Medicare Advantage/Together Blue Medicare Advantage | $28.21 | ↓ -46% |
| Highmark BCBS of PA | Freedom Blue Medicare Advantage | $28.21 | ↓ -46% |
| Humana | Medicare | $28.50 | ↓ -45% |
| Aetna | Medicare | $29.73 | ↓ -43% |
| Cigna | Medicare | $29.93 | ↓ -43% |
| Geisinger | Medicare | $29.93 | ↓ -43% |
| United Healthcare | Medicare | $30.50 | ↓ -42% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $30.78 | ↓ -41% |
| PA Health & Wellness | PA Medicaid HMO | $32.94 | ↓ -37% |
| Prime Net | Legacy Commercial | $33.93 | ↓ -35% |
| Prime Net | ACO | $34.19 | ↓ -35% |
| Aetna | ACO | $34.19 | ↓ -35% |
| UPMC Work Partners | Workers Comp | $39.69 | ↓ -24% |
| Prime Net | NonGateKeeper | $40.45 | ↓ -23% |
| Aetna | Commercial | $40.72 | ↓ -22% |
| Prime Net | GateKeeper | $40.72 | ↓ -22% |
| Keystone Autism Services | ACAP | $45.60 | ↓ -13% |
| Capital Blue Cross | CHIP | $47.59 | ↓ -9% |
| Keystone Health Plan | Commercial | $47.59 | ↓ -9% |
| Capital Blue Cross | Commercial | $47.59 | ↓ -9% |
| Wellspan Population Health | PPO | $56.55 | ↑ +8% |
| Geisinger | Commercial | $56.97 | ↑ +9% |
| UPMC Health Plan | Commercial | $60.90 | ↑ +17% |
| UPMC Health Plan | CHIP | $64.46 | ↑ +23% |
| Prime Net | FH-Medical Rental | $65.77 | ↑ +26% |
| Cigna | Commercial | $67.86 | ↑ +30% |
| Multiplan | PPO (Includes PHCS and Humana as Payers) | $73.95 | ↑ +42% |
| Highmark BCBS of PA | Community Blue PPO | $80.16 | ↑ +54% |
| Highmark BCBS of PA | CHIP - Managed Care | $83.55 | ↑ +60% |
| Highmark BCBS of PA | Commercial | $89.07 | ↑ +71% |
| United Healthcare | Commercial | $115.00 | ↑ +120% |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
| Tricare | East Region | not published by hospital | — |
Visitor-reported prices
Comments
Counseling smoke cess interm >10mins at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $48.00 | $19.33 – $64.00 |
| UPMC Bedford | Everett | $48.00 | $10.25 – $72.00 |
| UPMC Cole | Coudersport | $84.60 | $20.30 – $112.80 |
| UPMC Community Osteopathic | Harrisburg | $52.20 | $17.40 – $73.95 |
| UPMC Hamot | Erie | $48.00 | $21.26 – $43.46 |
| UPMC Northwest | Seneca | $48.00 | $21.26 – $37.93 |
| UPMC Hanover | Hanover | $52.20 | $24.55 – $45.54 |
| UPMC Horizon-Greenville | Greenville | $48.00 | $21.26 – $53.29 |