Echo exam of fetal heart at UPMC Carlisle
361 Alexander Spring Road, Carlisle, PA · UPMC · · NPI 1689107328
$1,823.40
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.
$3,039.00
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.
$24.89 with United Healthcare Community Plan for Families vs $2,583.15 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 | $24.89 | ↓ -99% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $40.64 | ↓ -98% |
| Highmark Wholecare (prev Gateway) | Medicaid | $40.64 | ↓ -98% |
| UPMC Health Plan | Managed Medicaid | $41.60 | ↓ -98% |
| Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $43.58 | ↓ -98% |
| Geisinger | Medicaid/CHIP | $46.61 | ↓ -97% |
| PA Health & Wellness | PA Medicaid HMO | $54.53 | ↓ -97% |
| Premier Comp Solutions | Worker's Comp | $285.39 | ↓ -84% |
| UPMC Work Partners | Workers Comp | $285.39 | ↓ -84% |
| Prime Net | Managed Medicare | $416.34 | ↓ -77% |
| UPMC Health Plan | CHIP | $452.31 | ↓ -75% |
| Highmark BCBS of PA | Freedom Blue Medicare Advantage | $519.26 | ↓ -72% |
| Highmark BCBS of PA | Community Blue Medicare Advantage/Complete Blue Medicare Advantage/Security Blue Medicare Advantage/Together Blue Medicare Advantage | $519.26 | ↓ -72% |
| Humana | Medicare | $524.51 | ↓ -71% |
| Aetna | Medicare | $547.06 | ↓ -70% |
| Geisinger | Medicare | $550.74 | ↓ -70% |
| Cigna | Medicare | $550.74 | ↓ -70% |
| United Healthcare | Medicare | $561.23 | ↓ -69% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $566.47 | ↓ -69% |
| Keystone Health Plan | Medicare Advantage | $607.80 | ↓ -67% |
| Capital Blue Cross | Medicare Advantage | $607.80 | ↓ -67% |
| Keystone Autism Services | ACAP | $839.22 | ↓ -54% |
| Prime Net | Legacy Commercial | $1,185.21 | ↓ -35% |
| Aetna | ACO | $1,194.33 | ↓ -34% |
| Prime Net | ACO | $1,194.33 | ↓ -34% |
| Prime Net | NonGateKeeper | $1,413.13 | ↓ -23% |
| Aetna | Commercial | $1,422.25 | ↓ -22% |
| Prime Net | GateKeeper | $1,422.25 | ↓ -22% |
| Highmark BCBS of PA | Community Blue PPO | $1,475.24 | ↓ -19% |
| Highmark BCBS of PA | CHIP - Managed Care | $1,537.65 | ↓ -16% |
| Highmark BCBS of PA | Commercial | $1,639.15 | ↓ -10% |
| Keystone Health Plan | Commercial | $1,662.33 | ↓ -9% |
| Capital Blue Cross | CHIP | $1,662.33 | ↓ -9% |
| Capital Blue Cross | Commercial | $1,662.33 | ↓ -9% |
| Wellspan Population Health | PPO | $1,975.35 | ↑ +8% |
| Geisinger | Commercial | $1,989.94 | ↑ +9% |
| UPMC Health Plan | Commercial | $2,127.30 | ↑ +17% |
| United Healthcare | Commercial | $2,236.70 | ↑ +23% |
| Prime Net | FH-Medical Rental | $2,297.48 | ↑ +26% |
| Cigna | Commercial | $2,530.96 | ↑ +39% |
| Multiplan | PPO (Includes PHCS and Humana as Payers) | $2,583.15 | ↑ +42% |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
| Tricare | East Region | not published by hospital | — |
Visitor-reported prices
Comments
Echo exam of fetal heart at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $833.40 | $19.00 – $1,111.20 |
| UPMC Community Osteopathic | Harrisburg | $1,823.40 | $24.89 – $2,583.15 |
| UPMC Hamot | Erie | $777.60 | $35.20 – $714.96 |
| UPMC Hanover | Hanover | $1,823.40 | $24.89 – $838.06 |
| UPMC Horizon-Greenville | Greenville | $627.60 | $35.20 – $564.56 |
| UPMC Lititz | Lititz | $1,823.40 | $24.89 – $842.59 |
| UPMC Magee | Pittsburgh | $1,223.40 | $35.20 – $564.56 |
| UPMC Memorial | York | $1,823.40 | $24.89 – $841.22 |