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Echocardiogram (Heart Ultrasound) at UPMC Carlisle
361 Alexander Spring Road, Carlisle, PA · UPMC · · NPI 1689107328
$2,311.20
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.
$3,852.00
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.
$48.09 with Prime Net vs $1,907.00 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 |
|---|---|---|---|
| Prime Net | Managed Medicare | $48.09 | ↓ -98% |
| Keystone Health Plan | Medicare Advantage | $70.20 | ↓ -97% |
| Capital Blue Cross | Medicare Advantage | $70.20 | ↓ -97% |
| United Healthcare Community Plan for Families | PA Medicaid | $128.56 | ↓ -94% |
| Prime Net | Legacy Commercial | $136.89 | ↓ -94% |
| Aetna | ACO | $137.94 | ↓ -94% |
| Prime Net | ACO | $137.94 | ↓ -94% |
| Prime Net | NonGateKeeper | $163.22 | ↓ -93% |
| Prime Net | GateKeeper | $164.27 | ↓ -93% |
| Aetna | Commercial | $164.27 | ↓ -93% |
| Highmark Wholecare (prev Gateway) | Medicaid | $179.10 | ↓ -92% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $179.10 | ↓ -92% |
| UPMC Health Plan | Managed Medicaid | $183.33 | ↓ -92% |
| Capital Blue Cross | CHIP | $192.00 | ↓ -92% |
| Keystone Health Plan | Commercial | $192.00 | ↓ -92% |
| Capital Blue Cross | Commercial | $192.00 | ↓ -92% |
| Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $192.07 | ↓ -92% |
| Geisinger | Medicaid/CHIP | $205.41 | ↓ -91% |
| Wellspan Population Health | PPO | $228.15 | ↓ -90% |
| Geisinger | Commercial | $229.83 | ↓ -90% |
| PA Health & Wellness | PA Medicaid HMO | $240.33 | ↓ -90% |
| UPMC Health Plan | Commercial | $245.70 | ↓ -89% |
| Prime Net | FH-Medical Rental | $265.36 | ↓ -89% |
| Cigna | Commercial | $273.78 | ↓ -88% |
| Multiplan | PPO (Includes PHCS and Humana as Payers) | $298.35 | ↓ -87% |
| UPMC Work Partners | Workers Comp | $414.83 | ↓ -82% |
| Highmark BCBS of PA | Community Blue Medicare Advantage/Complete Blue Medicare Advantage/Security Blue Medicare Advantage/Together Blue Medicare Advantage | $519.26 | ↓ -78% |
| Highmark BCBS of PA | Freedom Blue Medicare Advantage | $519.26 | ↓ -78% |
| Humana | Medicare | $524.51 | ↓ -77% |
| Aetna | Medicare | $547.06 | ↓ -76% |
| Cigna | Medicare | $550.74 | ↓ -76% |
| Geisinger | Medicare | $550.74 | ↓ -76% |
| United Healthcare | Medicare | $561.23 | ↓ -76% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $566.47 | ↓ -75% |
| Keystone Autism Services | ACAP | $839.22 | ↓ -64% |
| UPMC Health Plan | CHIP | $879.76 | ↓ -62% |
| Highmark BCBS of PA | Community Blue PPO | $1,475.24 | ↓ -36% |
| Highmark BCBS of PA | CHIP - Managed Care | $1,537.65 | ↓ -33% |
| Highmark BCBS of PA | Commercial | $1,639.15 | ↓ -29% |
| United Healthcare | Commercial | $1,907.00 | ↓ -17% |
| Tricare | East Region | not published by hospital | — |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
Visitor-reported prices
Comments
Echocardiogram (Heart Ultrasound) at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC East | Monroeville | $1,759.20 | $155.12 – $2,345.60 |
| UPMC Passavant-McCandless | Pittsburgh | $2,111.40 | $155.12 – $2,991.15 |
| UPMC Hamot | Erie | $1,495.80 | $155.12 – $1,745.10 |
| UPMC Altoona | Altoona | $1,464.00 | $98.14 – $1,952.00 |
| UPMC Bedford | Everett | $1,876.20 | $148.07 – $2,814.30 |
| UPMC Cole | Coudersport | $837.00 | $148.07 – $1,116.00 |
| UPMC Community Osteopathic | Harrisburg | $2,311.20 | $70.20 – $879.76 |
| UPMC Hanover | Hanover | $2,311.20 | $66.69 – $838.06 |