CT 3d report other modality w/workstation at UPMC Carlisle
361 Alexander Spring Road, Carlisle, PA · UPMC · · NPI 1689107328
$607.80
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.
$1,013.00
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.
$31.14 with United Healthcare Community Plan for Families vs $861.05 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 |
|---|---|---|---|
| United Healthcare Community Plan for Families | PA Medicaid | $31.14 | ↓ -95% |
| Prime Net | Managed Medicare | $138.78 | ↓ -77% |
| Aetna | Medicare | $167.15 | ↓ -72% |
| Keystone Health Plan | Medicare Advantage | $202.60 | ↓ -67% |
| Capital Blue Cross | Medicare Advantage | $202.60 | ↓ -67% |
| UPMC Work Partners | Workers Comp | $295.61 | ↓ -51% |
| Premier Comp Solutions | Worker's Comp | $295.61 | ↓ -51% |
| Prime Net | Legacy Commercial | $395.07 | ↓ -35% |
| Prime Net | ACO | $398.11 | ↓ -34% |
| Aetna | ACO | $398.11 | ↓ -34% |
| Prime Net | NonGateKeeper | $471.05 | ↓ -22% |
| Prime Net | GateKeeper | $474.08 | ↓ -22% |
| Aetna | Commercial | $474.08 | ↓ -22% |
| Keystone Health Plan | Commercial | $554.11 | ↓ -9% |
| Capital Blue Cross | CHIP | $554.11 | ↓ -9% |
| Capital Blue Cross | Commercial | $554.11 | ↓ -9% |
| PA Health & Wellness | PA Medicaid HMO | $557.15 | ↓ -8% |
| Geisinger | Medicaid/CHIP | $557.15 | ↓ -8% |
| UPMC Health Plan | CHIP | $584.19 | ↓ -4% |
| Wellspan Population Health | PPO | $658.45 | ↑ +8% |
| Geisinger | Commercial | $663.31 | ↑ +9% |
| UPMC Health Plan | Commercial | $709.10 | ↑ +17% |
| United Healthcare | Commercial | $745.57 | ↑ +23% |
| Prime Net | FH-Medical Rental | $765.83 | ↑ +26% |
| Cigna | Commercial | $790.14 | ↑ +30% |
| Multiplan | PPO (Includes PHCS and Humana as Payers) | $861.05 | ↑ +42% |
Visitor-reported prices
Comments
CT 3d report other modality w/workstation at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $869.40 | $235.55 – $1,159.20 |
| UPMC Bedford | Everett | $583.80 | $243.25 – $875.70 |
| UPMC Cole | Coudersport | $124.20 | $57.38 – $282.47 |
| UPMC Community Osteopathic | Harrisburg | $607.80 | $31.14 – $1,035.61 |
| UPMC East | Monroeville | $1,348.80 | $237.79 – $1,798.40 |
| UPMC Hamot | Erie | $1,467.60 | $161.41 – $291.72 |
| UPMC Northwest | Seneca | $610.80 | $282.47 – $611.34 |
| UPMC Hanover | Hanover | $607.80 | $31.14 – $2,504.00 |