Dup scan/lwr xtr vasc stdy bilat 93924 at UPMC Carlisle
361 Alexander Spring Road, Carlisle, PA · UPMC · · NPI 1689107328
$797.40
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.
$1,329.00
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.
$100.33 with United Healthcare Community Plan for Families vs $1,129.65 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 |
|---|---|---|---|
| United Healthcare Community Plan for Families | PA Medicaid | $100.33 | ↓ -87% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $128.23 | ↓ -84% |
| Highmark Wholecare (prev Gateway) | Medicaid | $128.23 | ↓ -84% |
| UPMC Health Plan | Managed Medicaid | $131.26 | ↓ -84% |
| Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $137.52 | ↓ -83% |
| Geisinger | Medicaid/CHIP | $147.07 | ↓ -82% |
| Highmark BCBS of PA | Freedom Blue Medicare Advantage | $148.17 | ↓ -81% |
| Highmark BCBS of PA | Community Blue Medicare Advantage/Complete Blue Medicare Advantage/Security Blue Medicare Advantage/Together Blue Medicare Advantage | $148.17 | ↓ -81% |
| Humana | Medicare | $149.67 | ↓ -81% |
| Aetna | Medicare | $156.11 | ↓ -80% |
| Geisinger | Medicare | $157.15 | ↓ -80% |
| Cigna | Medicare | $157.15 | ↓ -80% |
| United Healthcare | Medicare | $160.15 | ↓ -80% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $161.64 | ↓ -80% |
| PA Health & Wellness | PA Medicaid HMO | $172.07 | ↓ -78% |
| Prime Net | Managed Medicare | $182.07 | ↓ -77% |
| Keystone Autism Services | ACAP | $239.47 | ↓ -70% |
| Keystone Health Plan | Medicare Advantage | $265.80 | ↓ -67% |
| Capital Blue Cross | Medicare Advantage | $265.80 | ↓ -67% |
| UPMC Health Plan | CHIP | $334.82 | ↓ -58% |
| UPMC Work Partners | Workers Comp | $367.36 | ↓ -54% |
| Highmark BCBS of PA | Community Blue PPO | $420.96 | ↓ -47% |
| Highmark BCBS of PA | CHIP - Managed Care | $438.77 | ↓ -45% |
| Highmark BCBS of PA | Commercial | $467.73 | ↓ -41% |
| Prime Net | Legacy Commercial | $518.31 | ↓ -35% |
| Aetna | ACO | $522.30 | ↓ -34% |
| Prime Net | ACO | $522.30 | ↓ -34% |
| Prime Net | NonGateKeeper | $617.99 | ↓ -22% |
| Aetna | Commercial | $621.97 | ↓ -22% |
| Prime Net | GateKeeper | $621.97 | ↓ -22% |
| Capital Blue Cross | Commercial | $726.96 | ↓ -9% |
| Keystone Health Plan | Commercial | $726.96 | ↓ -9% |
| Capital Blue Cross | CHIP | $726.96 | ↓ -9% |
| Cigna | Commercial | $727.10 | ↓ -9% |
| United Healthcare | Commercial | $801.00 | ↑ +0% |
| Wellspan Population Health | PPO | $863.85 | ↑ +8% |
| Geisinger | Commercial | $870.23 | ↑ +9% |
| UPMC Health Plan | Commercial | $930.30 | ↑ +17% |
| Prime Net | FH-Medical Rental | $1,004.72 | ↑ +26% |
| Multiplan | PPO (Includes PHCS and Humana as Payers) | $1,129.65 | ↑ +42% |
| Tricare | East Region | not published by hospital | — |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
Visitor-reported prices
Comments
Dup scan/lwr xtr vasc stdy bilat 93924 at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $703.80 | $76.59 – $938.40 |
| UPMC Community Osteopathic | Harrisburg | $797.40 | $37.20 – $409.55 |
| UPMC Hamot | Erie | $241.20 | $110.84 – $390.15 |
| UPMC Hanover | Hanover | $797.40 | $100.33 – $409.55 |
| UPMC Horizon-Greenville | Greenville | $643.80 | $111.07 – $391.35 |
| UPMC Lititz | Lititz | $797.40 | $100.33 – $367.36 |
| UPMC Magee | Pittsburgh | $681.00 | $111.07 – $390.15 |
| UPMC McKeesport | Mckeesport | $385.80 | $111.07 – $390.15 |