Hc pet myocardial imaging metabolic eval single study at UPMC Carlisle
361 Alexander Spring Road, Carlisle, PA · UPMC · · NPI 1689107328
$4,972.20
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.
$8,287.00
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.
$800.00 with OneCall vs $7,043.95 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 |
|---|---|---|---|
| OneCall | Worker's Comp | $800.00 | ↓ -84% |
| Prime Net | Managed Medicare | $1,135.32 | ↓ -77% |
| Highmark BCBS of PA | Freedom Blue Medicare Advantage | $1,236.36 | ↓ -75% |
| Highmark BCBS of PA | Community Blue Medicare Advantage/Complete Blue Medicare Advantage/Security Blue Medicare Advantage/Together Blue Medicare Advantage | $1,236.36 | ↓ -75% |
| Humana | Medicare | $1,248.85 | ↓ -75% |
| Aetna | Medicare | $1,302.55 | ↓ -74% |
| Geisinger | Medicare | $1,311.29 | ↓ -74% |
| Cigna | Medicare | $1,311.29 | ↓ -74% |
| United Healthcare | Medicare | $1,336.27 | ↓ -73% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $1,348.76 | ↓ -73% |
| Keystone Health Plan | Medicare Advantage | $1,657.40 | ↓ -67% |
| Capital Blue Cross | Medicare Advantage | $1,657.40 | ↓ -67% |
| United Healthcare Community Plan for Families | PA Medicaid | $1,818.84 | ↓ -63% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $1,840.94 | ↓ -63% |
| Highmark Wholecare (prev Gateway) | Medicaid | $1,840.94 | ↓ -63% |
| UPMC Health Plan | Managed Medicaid | $1,884.43 | ↓ -62% |
| Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $1,974.30 | ↓ -60% |
| Keystone Autism Services | ACAP | $1,998.16 | ↓ -60% |
| Geisinger | Medicaid/CHIP | $2,111.43 | ↓ -58% |
| PA Health & Wellness | PA Medicaid HMO | $2,470.34 | ↓ -50% |
| Prime Net | Legacy Commercial | $3,231.93 | ↓ -35% |
| Aetna | ACO | $3,256.79 | ↓ -35% |
| Prime Net | ACO | $3,256.79 | ↓ -35% |
| Highmark BCBS of PA | Community Blue PPO | $3,512.52 | ↓ -29% |
| Highmark BCBS of PA | CHIP - Managed Care | $3,661.13 | ↓ -26% |
| Prime Net | NonGateKeeper | $3,853.45 | ↓ -23% |
| Prime Net | GateKeeper | $3,878.32 | ↓ -22% |
| Aetna | Commercial | $3,878.32 | ↓ -22% |
| Highmark BCBS of PA | Commercial | $3,902.78 | ↓ -22% |
| Capital Blue Cross | Commercial | $4,532.99 | ↓ -9% |
| Keystone Health Plan | Commercial | $4,532.99 | ↓ -9% |
| Capital Blue Cross | CHIP | $4,532.99 | ↓ -9% |
| Wellspan Population Health | PPO | $5,386.55 | ↑ +8% |
| Geisinger | Commercial | $5,426.33 | ↑ +9% |
| UPMC Health Plan | Commercial | $5,800.90 | ↑ +17% |
| UPMC Health Plan | CHIP | $5,800.90 | ↑ +17% |
| United Healthcare | Commercial | $6,099.23 | ↑ +23% |
| Prime Net | FH-Medical Rental | $6,264.97 | ↑ +26% |
| Cigna | Commercial | $6,686.00 | ↑ +34% |
| Multiplan | PPO (Includes PHCS and Humana as Payers) | $7,043.95 | ↑ +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
Hc pet myocardial imaging metabolic eval single study at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Cole | Coudersport | $5,625.00 | $1,220.15 – $7,500.00 |
| UPMC Community Osteopathic | Harrisburg | $4,972.20 | $1,271.33 – $7,043.95 |
| UPMC Hanover | Hanover | $4,972.20 | $800.00 – $1,995.41 |
| UPMC Kane | Kane | $4,185.00 | $1,594.52 – $5,345.02 |
| UPMC Lititz | Lititz | $4,972.20 | $800.00 – $2,006.18 |
| UPMC Memorial | York | $4,972.20 | $800.00 – $7,091.44 |
| UPMC Presbyterian | Pittsburgh | $12,446.40 | $1,344.19 – $2,256.53 |
| UPMC Somerset | Somerset | $4,972.20 | $1,232.17 – $2,014.74 |