Exercise tst brncspsm wo ecg at UPMC Carlisle
361 Alexander Spring Road, Carlisle, PA · UPMC · · NPI 1689107328
$112.80
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.
$188.00
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.
$25.76 with Prime Net vs $613.00 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 | $25.76 | ↓ -77% |
| Keystone Health Plan | Medicare Advantage | $37.60 | ↓ -67% |
| Capital Blue Cross | Medicare Advantage | $37.60 | ↓ -67% |
| United Healthcare Community Plan for Families | PA Medicaid | $49.75 | ↓ -56% |
| Highmark BCBS of PA | Community Blue Medicare Advantage/Complete Blue Medicare Advantage/Security Blue Medicare Advantage/Together Blue Medicare Advantage | $56.25 | ↓ -50% |
| Highmark BCBS of PA | Freedom Blue Medicare Advantage | $56.25 | ↓ -50% |
| Humana | Medicare | $56.82 | ↓ -50% |
| Aetna | Medicare | $59.26 | ↓ -47% |
| Geisinger | Medicare | $59.66 | ↓ -47% |
| Cigna | Medicare | $59.66 | ↓ -47% |
| United Healthcare | Medicare | $60.80 | ↓ -46% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $61.37 | ↓ -46% |
| Highmark Wholecare (prev Gateway) | Medicaid | $71.89 | ↓ -36% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $71.89 | ↓ -36% |
| Prime Net | Legacy Commercial | $73.32 | ↓ -35% |
| UPMC Health Plan | Managed Medicaid | $73.59 | ↓ -35% |
| Aetna | ACO | $73.88 | ↓ -35% |
| Prime Net | ACO | $73.88 | ↓ -35% |
| Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $77.10 | ↓ -32% |
| Geisinger | Medicaid/CHIP | $82.46 | ↓ -27% |
| UPMC Work Partners | Workers Comp | $85.76 | ↓ -24% |
| Prime Net | NonGateKeeper | $87.42 | ↓ -23% |
| Aetna | Commercial | $87.98 | ↓ -22% |
| Prime Net | GateKeeper | $87.98 | ↓ -22% |
| Keystone Autism Services | ACAP | $90.91 | ↓ -19% |
| PA Health & Wellness | PA Medicaid HMO | $96.47 | ↓ -14% |
| Capital Blue Cross | Commercial | $102.84 | ↓ -9% |
| Capital Blue Cross | CHIP | $102.84 | ↓ -9% |
| Keystone Health Plan | Commercial | $102.84 | ↓ -9% |
| Wellspan Population Health | PPO | $122.20 | ↑ +8% |
| Geisinger | Commercial | $123.10 | ↑ +9% |
| UPMC Health Plan | Commercial | $131.60 | ↑ +17% |
| UPMC Health Plan | CHIP | $131.60 | ↑ +17% |
| Prime Net | FH-Medical Rental | $142.13 | ↑ +26% |
| Cigna | Commercial | $146.64 | ↑ +30% |
| Multiplan | PPO (Includes PHCS and Humana as Payers) | $159.80 | ↑ +42% |
| Highmark BCBS of PA | Community Blue PPO | $159.81 | ↑ +42% |
| Highmark BCBS of PA | CHIP - Managed Care | $166.57 | ↑ +48% |
| Highmark BCBS of PA | Commercial | $177.57 | ↑ +57% |
| United Healthcare | Commercial | $613.00 | ↑ +443% |
| Tricare | East Region | not published by hospital | — |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
Visitor-reported prices
Comments
Exercise tst brncspsm wo ecg at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Community Osteopathic | Harrisburg | $112.80 | $37.60 – $159.80 |
| UPMC Hanover | Hanover | $112.80 | $49.75 – $90.78 |
| UPMC Lititz | Lititz | $112.80 | $49.75 – $91.28 |
| UPMC Memorial | York | $112.80 | $28.88 – $91.14 |
| UPMC Somerset | Somerset | $112.80 | $35.07 – $81.95 |
| WellSpan Chambersburg Hospital | Chambersburg | $188.80 | $47.48 – $273.17 |
| Uniontown Hospital | Uniontown | $69.50 | $15.70 – $118.76 |