Ghs veeg 12-26 hr intmt mont at UPMC Carlisle
361 Alexander Spring Road, Carlisle, PA · UPMC · · NPI 1689107328
$1,773.60
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.
$2,956.00
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.
$404.97 with Prime Net vs $2,512.60 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 |
|---|---|---|---|
| Prime Net | Managed Medicare | $404.97 | ↓ -77% |
| Highmark BCBS of PA | Freedom Blue Medicare Advantage | $502.50 | ↓ -72% |
| Highmark BCBS of PA | Community Blue Medicare Advantage/Complete Blue Medicare Advantage/Security Blue Medicare Advantage/Together Blue Medicare Advantage | $502.50 | ↓ -72% |
| Humana | Medicare | $507.58 | ↓ -71% |
| Aetna | Medicare | $529.41 | ↓ -70% |
| Geisinger | Medicare | $532.96 | ↓ -70% |
| Cigna | Medicare | $532.96 | ↓ -70% |
| United Healthcare | Medicare | $543.11 | ↓ -69% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $548.19 | ↓ -69% |
| Keystone Health Plan | Medicare Advantage | $591.20 | ↓ -67% |
| Capital Blue Cross | Medicare Advantage | $591.20 | ↓ -67% |
| Keystone Autism Services | ACAP | $812.13 | ↓ -54% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $1,016.00 | ↓ -43% |
| Highmark Wholecare (prev Gateway) | Medicaid | $1,016.00 | ↓ -43% |
| UPMC Health Plan | Managed Medicaid | $1,040.00 | ↓ -41% |
| United Healthcare Community Plan for Families | PA Medicaid | $1,048.00 | ↓ -41% |
| Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $1,089.60 | ↓ -39% |
| Prime Net | Legacy Commercial | $1,152.84 | ↓ -35% |
| Prime Net | ACO | $1,161.71 | ↓ -34% |
| Aetna | ACO | $1,161.71 | ↓ -34% |
| Geisinger | Medicaid/CHIP | $1,165.28 | ↓ -34% |
| PA Health & Wellness | PA Medicaid HMO | $1,363.36 | ↓ -23% |
| Prime Net | NonGateKeeper | $1,374.54 | ↓ -23% |
| Aetna | Commercial | $1,383.41 | ↓ -22% |
| Prime Net | GateKeeper | $1,383.41 | ↓ -22% |
| Highmark BCBS of PA | Community Blue PPO | $1,427.62 | ↓ -20% |
| Highmark BCBS of PA | CHIP - Managed Care | $1,488.02 | ↓ -16% |
| Highmark BCBS of PA | Commercial | $1,586.24 | ↓ -11% |
| United Healthcare | Commercial | $1,611.00 | ↓ -9% |
| Keystone Health Plan | Commercial | $1,616.93 | ↓ -9% |
| Capital Blue Cross | Commercial | $1,616.93 | ↓ -9% |
| Capital Blue Cross | CHIP | $1,616.93 | ↓ -9% |
| Wellspan Population Health | PPO | $1,921.40 | ↑ +8% |
| Geisinger | Commercial | $1,935.59 | ↑ +9% |
| UPMC Health Plan | CHIP | $2,069.20 | ↑ +17% |
| UPMC Health Plan | Commercial | $2,069.20 | ↑ +17% |
| Prime Net | FH-Medical Rental | $2,234.74 | ↑ +26% |
| Cigna | Commercial | $2,305.68 | ↑ +30% |
| Multiplan | PPO (Includes PHCS and Humana as Payers) | $2,512.60 | ↑ +42% |
| UPMC Work Partners | Workers Comp | not published by hospital | — |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
| Tricare | East Region | not published by hospital | — |
Visitor-reported prices
Comments
Ghs veeg 12-26 hr intmt mont at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $1,992.60 | $515.88 – $2,656.80 |
| UPMC Community Osteopathic | Harrisburg | $1,773.60 | $516.72 – $2,512.60 |
| UPMC East | Monroeville | $2,109.60 | $507.23 – $2,812.80 |
| UPMC Hamot | Erie | $2,205.60 | $583.83 – $1,206.40 |
| UPMC Hanover | Hanover | $1,773.60 | $501.81 – $1,089.60 |
| UPMC Lititz | Lititz | $1,773.60 | $504.52 – $1,089.60 |
| UPMC Magee | Pittsburgh | $2,109.60 | $473.43 – $1,363.36 |
| UPMC McKeesport | Mckeesport | $2,109.60 | $468.88 – $880.00 |