Ga-68 gallium 68 dotatate at UPMC Carlisle
361 Alexander Spring Road, Carlisle, PA · UPMC · · NPI 1689107328
$217.80
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.
$363.00
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.
$28.10 with AmeriHealth Caritas vs $308.55 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 |
|---|---|---|---|
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $28.10 | ↓ -87% |
| Prime Net | Managed Medicare | $49.73 | ↓ -77% |
| Highmark BCBS of PA | Freedom Blue Medicare Advantage | $50.58 | ↓ -77% |
| Highmark BCBS of PA | Community Blue Medicare Advantage/Complete Blue Medicare Advantage/Security Blue Medicare Advantage/Together Blue Medicare Advantage | $50.58 | ↓ -77% |
| Humana | Medicare | $51.09 | ↓ -77% |
| Aetna | Medicare | $53.29 | ↓ -76% |
| Cigna | Medicare | $53.64 | ↓ -75% |
| Geisinger | Medicare | $53.64 | ↓ -75% |
| United Healthcare | Medicare | $54.67 | ↓ -75% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $55.18 | ↓ -75% |
| Capital Blue Cross | Medicare Advantage | $72.60 | ↓ -67% |
| Keystone Health Plan | Medicare Advantage | $72.60 | ↓ -67% |
| Cigna | Commercial | $79.90 | ↓ -63% |
| Keystone Autism Services | ACAP | $81.74 | ↓ -62% |
| UPMC Health Plan | CHIP | $103.32 | ↓ -53% |
| Prime Net | Legacy Commercial | $141.57 | ↓ -35% |
| Aetna | ACO | $142.66 | ↓ -34% |
| Prime Net | ACO | $142.66 | ↓ -34% |
| Highmark BCBS of PA | Community Blue PPO | $143.70 | ↓ -34% |
| Highmark BCBS of PA | CHIP - Managed Care | $149.78 | ↓ -31% |
| Highmark BCBS of PA | Commercial | $159.66 | ↓ -27% |
| Prime Net | NonGateKeeper | $168.79 | ↓ -23% |
| Aetna | Commercial | $169.88 | ↓ -22% |
| Prime Net | GateKeeper | $169.88 | ↓ -22% |
| Keystone Health Plan | Commercial | $198.56 | ↓ -9% |
| Capital Blue Cross | Commercial | $198.56 | ↓ -9% |
| Capital Blue Cross | CHIP | $198.56 | ↓ -9% |
| Geisinger | Medicaid/CHIP | $199.65 | ↓ -8% |
| PA Health & Wellness | PA Medicaid HMO | $199.65 | ↓ -8% |
| United Healthcare | Commercial | $223.61 | ↑ +3% |
| Wellspan Population Health | PPO | $235.95 | ↑ +8% |
| Geisinger | Commercial | $237.69 | ↑ +9% |
| UPMC Health Plan | Commercial | $254.10 | ↑ +17% |
| Prime Net | FH-Medical Rental | $274.43 | ↑ +26% |
| Multiplan | PPO (Includes PHCS and Humana as Payers) | $308.55 | ↑ +42% |
| UPMC Work Partners | Workers Comp | not published by hospital | — |
Visitor-reported prices
Comments
Ga-68 gallium 68 dotatate at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $161.40 | $46.54 – $215.20 |
| UPMC Community Osteopathic | Harrisburg | $217.80 | $50.58 – $308.55 |
| UPMC Hanover | Hanover | $217.80 | $50.58 – $103.32 |
| UPMC Lititz | Lititz | $217.80 | $50.58 – $103.32 |
| UPMC Magee | Pittsburgh | $191.40 | $46.99 – $56.20 |
| UPMC Memorial | York | $217.80 | $37.94 – $3,914.19 |
| UPMC Presbyterian | Pittsburgh | $286.80 | $46.99 – $167.05 |
| UPMC Somerset | Somerset | $217.80 | $46.07 – $55.17 |