Echocardiography transthoracic 2d followup/limited at UPMC Carlisle
361 Alexander Spring Road, Carlisle, PA · UPMC · · NPI 1689107328
$841.20
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.
$1,402.00
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.
$28.16 with United Healthcare Community Plan for Families 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 |
|---|---|---|---|
| United Healthcare Community Plan for Families | PA Medicaid | $28.16 | ↓ -97% |
| Prime Net | Managed Medicare | $29.32 | ↓ -97% |
| Keystone Health Plan | Medicare Advantage | $42.80 | ↓ -95% |
| Capital Blue Cross | Medicare Advantage | $42.80 | ↓ -95% |
| Highmark Wholecare (prev Gateway) | Medicaid | $46.35 | ↓ -94% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $46.35 | ↓ -94% |
| UPMC Health Plan | Managed Medicaid | $47.45 | ↓ -94% |
| Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $49.71 | ↓ -94% |
| Geisinger | Medicaid/CHIP | $53.17 | ↓ -94% |
| PA Health & Wellness | PA Medicaid HMO | $62.20 | ↓ -93% |
| Prime Net | Legacy Commercial | $83.46 | ↓ -90% |
| Prime Net | ACO | $84.10 | ↓ -90% |
| Aetna | ACO | $84.10 | ↓ -90% |
| Prime Net | NonGateKeeper | $99.51 | ↓ -88% |
| Aetna | Commercial | $100.15 | ↓ -88% |
| Prime Net | GateKeeper | $100.15 | ↓ -88% |
| Keystone Health Plan | Commercial | $117.06 | ↓ -86% |
| Capital Blue Cross | Commercial | $117.06 | ↓ -86% |
| Capital Blue Cross | CHIP | $117.06 | ↓ -86% |
| Wellspan Population Health | PPO | $139.10 | ↓ -83% |
| Geisinger | Commercial | $140.13 | ↓ -83% |
| UPMC Health Plan | Commercial | $149.80 | ↓ -82% |
| Prime Net | FH-Medical Rental | $161.78 | ↓ -81% |
| Cigna | Commercial | $166.92 | ↓ -80% |
| Multiplan | PPO (Includes PHCS and Humana as Payers) | $181.90 | ↓ -78% |
| Highmark BCBS of PA | Freedom Blue Medicare Advantage | $228.92 | ↓ -73% |
| Highmark BCBS of PA | Community Blue Medicare Advantage/Complete Blue Medicare Advantage/Security Blue Medicare Advantage/Together Blue Medicare Advantage | $228.92 | ↓ -73% |
| Humana | Medicare | $231.23 | ↓ -73% |
| Aetna | Medicare | $241.17 | ↓ -71% |
| Cigna | Medicare | $242.79 | ↓ -71% |
| Geisinger | Medicare | $242.79 | ↓ -71% |
| United Healthcare | Medicare | $247.42 | ↓ -71% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $249.73 | ↓ -70% |
| UPMC Health Plan | CHIP | $281.68 | ↓ -67% |
| UPMC Work Partners | Workers Comp | $282.58 | ↓ -66% |
| Keystone Autism Services | ACAP | $369.97 | ↓ -56% |
| Highmark BCBS of PA | Community Blue PPO | $650.36 | ↓ -23% |
| Highmark BCBS of PA | CHIP - Managed Care | $677.87 | ↓ -19% |
| Highmark BCBS of PA | Commercial | $722.62 | ↓ -14% |
| United Healthcare | Commercial | $1,907.00 | ↑ +127% |
| Tricare | East Region | not published by hospital | — |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
Visitor-reported prices
Comments
Echocardiography transthoracic 2d followup/limited at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $387.00 | $21.50 – $516.00 |
| UPMC Bedford | Everett | $556.80 | $38.33 – $835.20 |
| UPMC Cole | Coudersport | $295.20 | $38.33 – $393.60 |
| UPMC Community Osteopathic | Harrisburg | $841.20 | $28.16 – $288.92 |
| UPMC East | Monroeville | $487.20 | $40.15 – $649.60 |
| UPMC Hamot | Erie | $489.00 | $40.15 – $335.18 |
| UPMC Northwest | Seneca | $691.20 | $40.15 – $276.08 |
| UPMC Hanover | Hanover | $841.20 | $28.16 – $369.47 |