healthcosts.net
CT Scan of Abdomen and Pelvis (without contrast) at UPMC Carlisle
361 Alexander Spring Road, Carlisle, PA · UPMC · · NPI 1689107328
$1,821.60
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.
?
What you pay up front if you don't use insurance.
$3,036.00
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.
$73.71 with Prime Net vs $2,682.79 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 |
|---|---|---|---|
| Prime Net | Managed Medicare | $73.71 | ↓ -96% |
| Keystone Health Plan | Medicare Advantage | $107.60 | ↓ -94% |
| Capital Blue Cross | Medicare Advantage | $107.60 | ↓ -94% |
| United Healthcare Community Plan for Families | PA Medicaid | $132.40 | ↓ -93% |
| Prime Net | Legacy Commercial | $209.82 | ↓ -88% |
| Aetna | ACO | $211.43 | ↓ -88% |
| Prime Net | ACO | $211.43 | ↓ -88% |
| Highmark Wholecare (prev Gateway) | Medicaid | $213.73 | ↓ -88% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $213.73 | ↓ -88% |
| UPMC Health Plan | Managed Medicaid | $218.78 | ↓ -88% |
| Highmark BCBS of PA | Community Blue Medicare Advantage/Complete Blue Medicare Advantage/Security Blue Medicare Advantage/Together Blue Medicare Advantage | $228.92 | ↓ -87% |
| Highmark BCBS of PA | Freedom Blue Medicare Advantage | $228.92 | ↓ -87% |
| Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $229.21 | ↓ -87% |
| Humana | Medicare | $231.23 | ↓ -87% |
| Aetna | Medicare | $241.17 | ↓ -87% |
| Cigna | Medicare | $242.79 | ↓ -87% |
| Geisinger | Medicare | $242.79 | ↓ -87% |
| Geisinger | Medicaid/CHIP | $245.13 | ↓ -87% |
| United Healthcare | Medicare | $247.42 | ↓ -86% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $249.73 | ↓ -86% |
| Prime Net | NonGateKeeper | $250.17 | ↓ -86% |
| Prime Net | GateKeeper | $251.78 | ↓ -86% |
| Aetna | Commercial | $251.78 | ↓ -86% |
| Premier Comp Solutions | Worker's Comp | $280.00 | ↓ -85% |
| PA Health & Wellness | PA Medicaid HMO | $286.80 | ↓ -84% |
| Capital Blue Cross | CHIP | $294.29 | ↓ -84% |
| Keystone Health Plan | Commercial | $294.29 | ↓ -84% |
| Capital Blue Cross | Commercial | $294.29 | ↓ -84% |
| UPMC Work Partners | Workers Comp | $335.93 | ↓ -82% |
| Wellspan Population Health | PPO | $349.70 | ↓ -81% |
| Geisinger | Commercial | $352.28 | ↓ -81% |
| Keystone Autism Services | ACAP | $369.97 | ↓ -80% |
| UPMC Health Plan | Commercial | $376.60 | ↓ -79% |
| United Healthcare | Commercial | $395.97 | ↓ -78% |
| Prime Net | FH-Medical Rental | $406.73 | ↓ -78% |
| Multiplan | PPO (Includes PHCS and Humana as Payers) | $457.30 | ↓ -75% |
| Highmark BCBS of PA | Community Blue PPO | $650.36 | ↓ -64% |
| Highmark BCBS of PA | CHIP - Managed Care | $677.87 | ↓ -63% |
| Highmark BCBS of PA | Commercial | $722.62 | ↓ -60% |
| Cigna | Commercial | $1,224.77 | ↓ -33% |
| UPMC Health Plan | CHIP | $2,682.79 | ↑ +47% |
| Tricare | East Region | not published by hospital | — |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
Visitor-reported prices
Comments
CT Scan of Abdomen and Pelvis (without contrast) at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC East | Monroeville | $3,930.60 | $185.12 – $5,240.80 |
| UPMC Passavant-McCandless | Pittsburgh | $3,795.60 | $185.12 – $5,377.10 |
| UPMC Hamot | Erie | $6,945.60 | $185.12 – $8,103.20 |
| UPMC Altoona | Altoona | $2,368.80 | $101.07 – $3,158.40 |
| UPMC Bedford | Everett | $1,700.40 | $83.15 – $2,550.60 |
| UPMC Cole | Coudersport | $1,185.60 | $176.70 – $1,580.80 |
| UPMC Community Osteopathic | Harrisburg | $2,213.40 | $107.60 – $2,682.79 |
| UPMC Hanover | Hanover | $1,821.60 | $102.22 – $468.06 |