Drsg interceed 3x4in adh wnd barr absorb at UPMC Carlisle
361 Alexander Spring Road, Carlisle, PA · UPMC · · NPI 1689107328
$640.80
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.
$1,068.00
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.
$129.33 with Prime Net vs $802.40 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 |
|---|---|---|---|
| Prime Net | Managed Medicare | $129.33 | ↓ -80% |
| Aetna | Medicare | $155.76 | ↓ -76% |
| Capital Blue Cross | Medicare Advantage | $188.80 | ↓ -71% |
| Keystone Health Plan | Medicare Advantage | $188.80 | ↓ -71% |
| Capital Blue Cross | Commercial | $304.91 | ↓ -52% |
| Keystone Health Plan | Commercial | $304.91 | ↓ -52% |
| Capital Blue Cross | CHIP | $304.91 | ↓ -52% |
| Geisinger | Medicaid/CHIP | $311.52 | ↓ -51% |
| PA Health & Wellness | PA Medicaid HMO | $311.52 | ↓ -51% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $314.64 | ↓ -51% |
| Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $358.72 | ↓ -44% |
| Prime Net | Legacy Commercial | $368.16 | ↓ -43% |
| Aetna | ACO | $370.99 | ↓ -42% |
| Prime Net | ACO | $370.99 | ↓ -42% |
| UPMC Health Plan | CHIP | $395.53 | ↓ -38% |
| Prime Net | NonGateKeeper | $438.96 | ↓ -31% |
| Prime Net | GateKeeper | $441.79 | ↓ -31% |
| Aetna | Commercial | $441.79 | ↓ -31% |
| United Healthcare | Commercial | $581.50 | ↓ -9% |
| Wellspan Population Health | PPO | $613.60 | ↓ -4% |
| Geisinger | Commercial | $618.13 | ↓ -4% |
| UPMC Health Plan | Commercial | $660.80 | ↑ +3% |
| Prime Net | FH-Medical Rental | $713.66 | ↑ +11% |
| Cigna | Commercial | $736.32 | ↑ +15% |
| Multiplan | PPO (Includes PHCS and Humana as Payers) | $802.40 | ↑ +25% |
| Highmark Wholecare (prev Gateway) | Medicaid | not published by hospital | — |
| UPMC Work Partners | Workers Comp | not published by hospital | — |
Visitor-reported prices
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Drsg interceed 3x4in adh wnd barr absorb at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $2,401.80 | $131.03 – $395.53 |
| UPMC Bedford | Everett | $1,998.60 | $363.35 – $1,536.30 |
| UPMC Cole | Coudersport | $180.60 | $57.19 – $240.80 |
| UPMC Community Osteopathic | Harrisburg | $640.80 | $188.80 – $802.40 |
| UPMC East | Monroeville | $2,118.60 | $132.27 – $913.60 |
| UPMC Hamot | Erie | $2,423.40 | $131.03 – $131.03 |
| UPMC Northwest | Seneca | $2,118.60 | $340.06 – $478.62 |
| UPMC Hanover | Hanover | $640.80 | $395.53 – $395.53 |