Design mlc device for imrt at UPMC Carlisle
361 Alexander Spring Road, Carlisle, PA · UPMC · · NPI 1689107328
$1,479.60
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.
$2,466.00
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.
$192.60 with AmeriHealth Caritas vs $26,132.00 with United Healthcare — 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 | $192.60 | ↓ -87% |
| United Healthcare Community Plan for Families | PA Medicaid | $286.65 | ↓ -81% |
| Prime Net | Managed Medicare | $337.84 | ↓ -77% |
| Highmark BCBS of PA | Freedom Blue Medicare Advantage | $346.69 | ↓ -77% |
| Highmark BCBS of PA | Community Blue Medicare Advantage/Complete Blue Medicare Advantage/Security Blue Medicare Advantage/Together Blue Medicare Advantage | $346.69 | ↓ -77% |
| Humana | Medicare | $350.19 | ↓ -76% |
| Aetna | Medicare | $365.25 | ↓ -75% |
| Geisinger | Medicare | $367.70 | ↓ -75% |
| Cigna | Medicare | $367.70 | ↓ -75% |
| United Healthcare | Medicare | $374.70 | ↓ -75% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $378.21 | ↓ -74% |
| Keystone Health Plan | Medicare Advantage | $493.20 | ↓ -67% |
| Capital Blue Cross | Medicare Advantage | $493.20 | ↓ -67% |
| Keystone Autism Services | ACAP | $560.30 | ↓ -62% |
| UPMC Work Partners | Workers Comp | $735.50 | ↓ -50% |
| Prime Net | Legacy Commercial | $961.74 | ↓ -35% |
| Aetna | ACO | $969.14 | ↓ -34% |
| Prime Net | ACO | $969.14 | ↓ -34% |
| Highmark BCBS of PA | Community Blue PPO | $984.94 | ↓ -33% |
| Highmark BCBS of PA | CHIP - Managed Care | $1,026.62 | ↓ -31% |
| Highmark BCBS of PA | Commercial | $1,094.38 | ↓ -26% |
| Prime Net | NonGateKeeper | $1,146.69 | ↓ -23% |
| Aetna | Commercial | $1,154.09 | ↓ -22% |
| Prime Net | GateKeeper | $1,154.09 | ↓ -22% |
| UPMC Health Plan | CHIP | $1,189.22 | ↓ -20% |
| Capital Blue Cross | CHIP | $1,348.90 | ↓ -9% |
| Keystone Health Plan | Commercial | $1,348.90 | ↓ -9% |
| Capital Blue Cross | Commercial | $1,348.90 | ↓ -9% |
| PA Health & Wellness | PA Medicaid HMO | $1,356.30 | ↓ -8% |
| Geisinger | Medicaid/CHIP | $1,356.30 | ↓ -8% |
| Wellspan Population Health | PPO | $1,602.90 | ↑ +8% |
| Geisinger | Commercial | $1,614.74 | ↑ +9% |
| UPMC Health Plan | Commercial | $1,726.20 | ↑ +17% |
| Cigna | Commercial | $1,761.44 | ↑ +19% |
| Prime Net | FH-Medical Rental | $1,864.30 | ↑ +26% |
| Multiplan | PPO (Includes PHCS and Humana as Payers) | $2,096.10 | ↑ +42% |
| United Healthcare | Commercial | $26,132.00 | ↑ +1666% |
| Tricare | East Region | not published by hospital | — |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
Visitor-reported prices
Comments
Design mlc device for imrt at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $7,088.40 | $361.48 – $9,451.20 |
| UPMC Community Osteopathic | Harrisburg | $1,479.60 | $286.65 – $2,096.10 |
| UPMC East | Monroeville | $1,882.80 | $349.94 – $2,510.40 |
| UPMC Northwest | Seneca | $1,254.00 | $316.51 – $702.81 |
| UPMC Horizon-Greenville | Greenville | $1,254.00 | $312.46 – $702.81 |
| UPMC Lititz | Lititz | $1,479.60 | $286.65 – $1,189.22 |
| UPMC Magee | Pittsburgh | $1,785.00 | $326.63 – $702.81 |
| UPMC McKeesport | Mckeesport | $1,725.60 | $323.49 – $702.81 |