CT guidance for needle placement at UPMC Carlisle
361 Alexander Spring Road, Carlisle, PA · UPMC · · NPI 1689107328
$914.40
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.
$1,524.00
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.
$133.95 with United Healthcare Community Plan for Families vs $1,365.73 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 |
|---|---|---|---|
| United Healthcare Community Plan for Families | PA Medicaid | $133.95 | ↓ -85% |
| Highmark Wholecare (prev Gateway) | Medicaid | $201.65 | ↓ -78% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $201.65 | ↓ -78% |
| UPMC Health Plan | Managed Medicaid | $206.41 | ↓ -77% |
| Prime Net | Managed Medicare | $208.79 | ↓ -77% |
| Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $216.26 | ↓ -76% |
| Geisinger | Medicaid/CHIP | $231.28 | ↓ -75% |
| Aetna | Medicare | $251.46 | ↓ -73% |
| PA Health & Wellness | PA Medicaid HMO | $270.59 | ↓ -70% |
| Premier Comp Solutions | Worker's Comp | $280.00 | ↓ -69% |
| Keystone Health Plan | Medicare Advantage | $304.80 | ↓ -67% |
| Capital Blue Cross | Medicare Advantage | $304.80 | ↓ -67% |
| UPMC Work Partners | Workers Comp | $490.53 | ↓ -46% |
| Prime Net | Legacy Commercial | $594.36 | ↓ -35% |
| Prime Net | ACO | $598.93 | ↓ -35% |
| Aetna | ACO | $598.93 | ↓ -35% |
| Prime Net | NonGateKeeper | $708.66 | ↓ -23% |
| Prime Net | GateKeeper | $713.23 | ↓ -22% |
| Aetna | Commercial | $713.23 | ↓ -22% |
| Capital Blue Cross | CHIP | $833.63 | ↓ -9% |
| Capital Blue Cross | Commercial | $833.63 | ↓ -9% |
| Keystone Health Plan | Commercial | $833.63 | ↓ -9% |
| Wellspan Population Health | PPO | $990.60 | ↑ +8% |
| Geisinger | Commercial | $997.92 | ↑ +9% |
| UPMC Health Plan | Commercial | $1,066.80 | ↑ +17% |
| United Healthcare | Commercial | $1,121.66 | ↑ +23% |
| Prime Net | FH-Medical Rental | $1,152.14 | ↑ +26% |
| Cigna | Commercial | $1,188.72 | ↑ +30% |
| Multiplan | PPO (Includes PHCS and Humana as Payers) | $1,295.40 | ↑ +42% |
| UPMC Health Plan | CHIP | $1,365.73 | ↑ +49% |
Visitor-reported prices
Comments
CT guidance for needle placement at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $1,565.40 | $102.25 – $2,087.20 |
| UPMC Cole | Coudersport | $979.20 | $146.14 – $1,305.60 |
| UPMC Community Osteopathic | Harrisburg | $914.40 | $49.60 – $1,840.10 |
| UPMC East | Monroeville | $2,392.20 | $174.66 – $3,189.60 |
| UPMC Hamot | Erie | $1,166.40 | $174.66 – $468.73 |
| UPMC Northwest | Seneca | $1,516.20 | $174.66 – $1,086.24 |
| UPMC Hanover | Hanover | $914.40 | $133.95 – $490.53 |
| UPMC Horizon-Greenville | Greenville | $2,352.60 | $166.72 – $814.22 |