CT angio hrt w/3d image at UPMC Carlisle
361 Alexander Spring Road, Carlisle, PA · UPMC · · NPI 1689107328
$1,424.40
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.
$2,374.00
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.
$56.72 with Prime Net vs $1,494.70 with UPMC Health Plan — 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 | $56.72 | ↓ -96% |
| Keystone Health Plan | Medicare Advantage | $82.80 | ↓ -94% |
| Capital Blue Cross | Medicare Advantage | $82.80 | ↓ -94% |
| Prime Net | Legacy Commercial | $161.46 | ↓ -89% |
| Prime Net | ACO | $162.70 | ↓ -89% |
| Aetna | ACO | $162.70 | ↓ -89% |
| Prime Net | NonGateKeeper | $192.51 | ↓ -86% |
| Aetna | Commercial | $193.75 | ↓ -86% |
| Prime Net | GateKeeper | $193.75 | ↓ -86% |
| Keystone Health Plan | Commercial | $226.46 | ↓ -84% |
| Capital Blue Cross | CHIP | $226.46 | ↓ -84% |
| Capital Blue Cross | Commercial | $226.46 | ↓ -84% |
| Wellspan Population Health | PPO | $269.10 | ↓ -81% |
| Geisinger | Commercial | $271.09 | ↓ -81% |
| United Healthcare Community Plan for Families | PA Medicaid | $271.26 | ↓ -81% |
| Premier Comp Solutions | Worker's Comp | $280.00 | ↓ -80% |
| UPMC Health Plan | Commercial | $289.80 | ↓ -80% |
| United Healthcare | Commercial | $304.70 | ↓ -79% |
| Prime Net | FH-Medical Rental | $312.98 | ↓ -78% |
| Highmark BCBS of PA | Freedom Blue Medicare Advantage | $338.22 | ↓ -76% |
| Highmark BCBS of PA | Community Blue Medicare Advantage/Complete Blue Medicare Advantage/Security Blue Medicare Advantage/Together Blue Medicare Advantage | $338.22 | ↓ -76% |
| Humana | Medicare | $341.64 | ↓ -76% |
| Multiplan | PPO (Includes PHCS and Humana as Payers) | $351.90 | ↓ -75% |
| Aetna | Medicare | $356.33 | ↓ -75% |
| Cigna | Medicare | $358.72 | ↓ -75% |
| Geisinger | Medicare | $358.72 | ↓ -75% |
| United Healthcare | Medicare | $365.55 | ↓ -74% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $368.97 | ↓ -74% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $380.16 | ↓ -73% |
| Highmark Wholecare (prev Gateway) | Medicaid | $380.16 | ↓ -73% |
| UPMC Health Plan | Managed Medicaid | $389.14 | ↓ -73% |
| Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $407.70 | ↓ -71% |
| Geisinger | Medicaid/CHIP | $436.02 | ↓ -69% |
| PA Health & Wellness | PA Medicaid HMO | $510.14 | ↓ -64% |
| Keystone Autism Services | ACAP | $546.62 | ↓ -62% |
| UPMC Work Partners | Workers Comp | $588.52 | ↓ -59% |
| Cigna | Commercial | $957.68 | ↓ -33% |
| Highmark BCBS of PA | Community Blue PPO | $960.90 | ↓ -33% |
| Highmark BCBS of PA | CHIP - Managed Care | $1,001.55 | ↓ -30% |
| Highmark BCBS of PA | Commercial | $1,067.66 | ↓ -25% |
| UPMC Health Plan | CHIP | $1,494.70 | ↑ +5% |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
| Tricare | East Region | not published by hospital | — |
Visitor-reported prices
Comments
CT angio hrt w/3d image at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Community Osteopathic | Harrisburg | $1,424.40 | $82.80 – $1,494.70 |
| UPMC Hamot | Erie | $1,820.40 | $270.53 – $562.36 |
| UPMC Hanover | Hanover | $1,424.40 | $271.26 – $588.52 |
| UPMC Kane | Kane | $2,457.60 | $329.27 – $725.82 |
| UPMC Lititz | Lititz | $1,424.40 | $271.26 – $588.52 |
| UPMC Magee | Pittsburgh | $2,753.40 | $318.66 – $562.36 |
| UPMC Memorial | York | $1,424.40 | $271.26 – $1,628.28 |
| UPMC Muncy | Muncy | $2,133.00 | $265.05 – $601.60 |