CT colonography screening at UPMC Carlisle
361 Alexander Spring Road, Carlisle, PA · UPMC · · NPI 1689107328
$689.40
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.
?
What you pay up front if you don't use insurance.
$1,149.00
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.
?
The hospital's undiscounted list price — almost no one pays this.
$127.18 with AmeriHealth Caritas vs $3,543.51 with UPMC Health Plan — same scan, same building. Share
Negotiated rates by payer
?
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 →
?
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 | $127.18 | ↓ -82% |
| Prime Net | Managed Medicare | $157.41 | ↓ -77% |
| Highmark BCBS of PA | Freedom Blue Medicare Advantage | $228.92 | ↓ -67% |
| Highmark BCBS of PA | Community Blue Medicare Advantage/Complete Blue Medicare Advantage/Security Blue Medicare Advantage/Together Blue Medicare Advantage | $228.92 | ↓ -67% |
| Capital Blue Cross | Medicare Advantage | $229.80 | ↓ -67% |
| Keystone Health Plan | Medicare Advantage | $229.80 | ↓ -67% |
| Humana | Medicare | $231.23 | ↓ -66% |
| Aetna | Medicare | $241.17 | ↓ -65% |
| Geisinger | Medicare | $242.79 | ↓ -65% |
| Cigna | Medicare | $242.79 | ↓ -65% |
| United Healthcare | Medicare | $247.42 | ↓ -64% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $249.73 | ↓ -64% |
| Premier Comp Solutions | Worker's Comp | $280.00 | ↓ -59% |
| Keystone Autism Services | ACAP | $369.97 | ↓ -46% |
| Prime Net | Legacy Commercial | $448.11 | ↓ -35% |
| Prime Net | ACO | $451.56 | ↓ -34% |
| Aetna | ACO | $451.56 | ↓ -34% |
| United Healthcare Community Plan for Families | PA Medicaid | $470.09 | ↓ -32% |
| Prime Net | NonGateKeeper | $534.28 | ↓ -23% |
| Aetna | Commercial | $537.73 | ↓ -22% |
| Prime Net | GateKeeper | $537.73 | ↓ -22% |
| Keystone Health Plan | Commercial | $628.50 | ↓ -9% |
| Capital Blue Cross | CHIP | $628.50 | ↓ -9% |
| Capital Blue Cross | Commercial | $628.50 | ↓ -9% |
| PA Health & Wellness | PA Medicaid HMO | $631.95 | ↓ -8% |
| Geisinger | Medicaid/CHIP | $631.95 | ↓ -8% |
| Highmark BCBS of PA | Community Blue PPO | $650.36 | ↓ -6% |
| Highmark BCBS of PA | CHIP - Managed Care | $677.87 | ↓ -2% |
| Highmark BCBS of PA | Commercial | $722.62 | ↑ +5% |
| Wellspan Population Health | PPO | $746.85 | ↑ +8% |
| Geisinger | Commercial | $752.37 | ↑ +9% |
| UPMC Health Plan | Commercial | $804.30 | ↑ +17% |
| United Healthcare | Commercial | $845.66 | ↑ +23% |
| Prime Net | FH-Medical Rental | $868.64 | ↑ +26% |
| Multiplan | PPO (Includes PHCS and Humana as Payers) | $976.65 | ↑ +42% |
| Cigna | Commercial | $3,274.78 | ↑ +375% |
| UPMC Health Plan | CHIP | $3,543.51 | ↑ +414% |
| UPMC Work Partners | Workers Comp | not published by hospital | — |
Visitor-reported prices
Comments
CT colonography screening at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Community Osteopathic | Harrisburg | $689.40 | $229.80 – $3,543.51 |
| UPMC Northwest | Seneca | $6,423.00 | $209.00 – $248.89 |
| UPMC Hanover | Hanover | $689.40 | $228.61 – $3,543.51 |
| UPMC Kane | Kane | $1,710.60 | $2,368.75 – $2,609.35 |
| UPMC Lititz | Lititz | $689.40 | $229.84 – $3,543.51 |
| UPMC Memorial | York | $689.40 | $241.76 – $3,568.21 |
| UPMC Presbyterian | Pittsburgh | $8,484.60 | $248.89 – $2,224.50 |
| UPMC Somerset | Somerset | $689.40 | $228.15 – $412.68 |