CT limited or localized follow-up study at UPMC Carlisle
361 Alexander Spring Road, Carlisle, PA · UPMC · · NPI 1689107328
$624.60
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.
$1,041.00
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.
$46.33 with AmeriHealth Caritas vs $884.85 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 |
|---|---|---|---|
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $46.33 | ↓ -93% |
| United Healthcare Community Plan for Families | PA Medicaid | $69.43 | ↓ -89% |
| Highmark BCBS of PA | Community Blue Medicare Advantage/Complete Blue Medicare Advantage/Security Blue Medicare Advantage/Together Blue Medicare Advantage | $83.39 | ↓ -87% |
| Highmark BCBS of PA | Freedom Blue Medicare Advantage | $83.39 | ↓ -87% |
| Humana | Medicare | $84.23 | ↓ -87% |
| Aetna | Medicare | $87.85 | ↓ -86% |
| Cigna | Medicare | $88.44 | ↓ -86% |
| Geisinger | Medicare | $88.44 | ↓ -86% |
| United Healthcare | Medicare | $90.13 | ↓ -86% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $90.97 | ↓ -85% |
| Keystone Autism Services | ACAP | $134.77 | ↓ -78% |
| Prime Net | Managed Medicare | $142.62 | ↓ -77% |
| Keystone Health Plan | Medicare Advantage | $208.20 | ↓ -67% |
| Capital Blue Cross | Medicare Advantage | $208.20 | ↓ -67% |
| Highmark BCBS of PA | Community Blue PPO | $236.91 | ↓ -62% |
| Highmark BCBS of PA | CHIP - Managed Care | $246.93 | ↓ -60% |
| Highmark BCBS of PA | Commercial | $263.23 | ↓ -58% |
| Prime Net | Legacy Commercial | $405.99 | ↓ -35% |
| Aetna | ACO | $409.11 | ↓ -35% |
| Prime Net | ACO | $409.11 | ↓ -35% |
| Cigna | Commercial | $419.44 | ↓ -33% |
| UPMC Work Partners | Workers Comp | $437.77 | ↓ -30% |
| Premier Comp Solutions | Worker's Comp | $437.77 | ↓ -30% |
| Prime Net | NonGateKeeper | $484.06 | ↓ -23% |
| Aetna | Commercial | $487.19 | ↓ -22% |
| Prime Net | GateKeeper | $487.19 | ↓ -22% |
| Capital Blue Cross | Commercial | $569.43 | ↓ -9% |
| Keystone Health Plan | Commercial | $569.43 | ↓ -9% |
| Capital Blue Cross | CHIP | $569.43 | ↓ -9% |
| PA Health & Wellness | PA Medicaid HMO | $572.55 | ↓ -8% |
| Geisinger | Medicaid/CHIP | $572.55 | ↓ -8% |
| UPMC Health Plan | CHIP | $655.93 | ↑ +5% |
| Wellspan Population Health | PPO | $676.65 | ↑ +8% |
| Geisinger | Commercial | $681.65 | ↑ +9% |
| UPMC Health Plan | Commercial | $728.70 | ↑ +17% |
| United Healthcare | Commercial | $766.18 | ↑ +23% |
| Prime Net | FH-Medical Rental | $787.00 | ↑ +26% |
| Multiplan | PPO (Includes PHCS and Humana as Payers) | $884.85 | ↑ +42% |
| Tricare | East Region | not published by hospital | — |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
Visitor-reported prices
Comments
CT limited or localized follow-up study at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $816.00 | $85.61 – $1,088.00 |
| UPMC Community Osteopathic | Harrisburg | $624.60 | $69.43 – $884.85 |
| UPMC East | Monroeville | $1,035.60 | $84.18 – $1,380.80 |
| UPMC Hamot | Erie | $735.00 | $96.88 – $456.29 |
| UPMC Hanover | Hanover | $624.60 | $69.43 – $655.93 |
| UPMC Jameson | New Castle | $222.00 | $60.95 – $424.38 |
| UPMC Lititz | Lititz | $624.60 | $69.43 – $655.93 |
| UPMC Magee | Pittsburgh | $1,122.60 | $78.57 – $456.29 |