Hla class i phenotype qual at UPMC Carlisle
361 Alexander Spring Road, Carlisle, PA · UPMC · · NPI 1689107328
$531.60
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.
$886.00
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.
$77.03 with United Healthcare vs $753.10 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 |
|---|---|---|---|
| United Healthcare | Commercial | $77.03 | ↓ -86% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $84.73 | ↓ -84% |
| Highmark BCBS of PA | Freedom Blue Medicare Advantage | $94.56 | ↓ -82% |
| Highmark BCBS of PA | Community Blue Medicare Advantage/Complete Blue Medicare Advantage/Security Blue Medicare Advantage/Together Blue Medicare Advantage | $94.56 | ↓ -82% |
| Humana | Medicare | $95.52 | ↓ -82% |
| UPMC Work Partners | Workers Comp | $98.79 | ↓ -81% |
| Aetna | Medicare | $99.63 | ↓ -81% |
| Cigna | Medicare | $100.30 | ↓ -81% |
| Geisinger | Medicare | $100.30 | ↓ -81% |
| United Healthcare | Medicare | $102.21 | ↓ -81% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $103.16 | ↓ -81% |
| Highmark Wholecare (prev Gateway) | Medicaid | $107.61 | ↓ -80% |
| UPMC Health Plan | Managed Medicaid | $110.15 | ↓ -79% |
| United Healthcare Community Plan for Families | PA Medicaid | $111.00 | ↓ -79% |
| Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $115.40 | ↓ -78% |
| Prime Net | Managed Medicare | $121.38 | ↓ -77% |
| Geisinger | Medicaid/CHIP | $123.42 | ↓ -77% |
| PA Health & Wellness | PA Medicaid HMO | $144.40 | ↓ -73% |
| Keystone Autism Services | ACAP | $152.83 | ↓ -71% |
| Keystone Health Plan | Medicare Advantage | $177.20 | ↓ -67% |
| Capital Blue Cross | Medicare Advantage | $177.20 | ↓ -67% |
| Cigna | Commercial | $248.36 | ↓ -53% |
| Highmark BCBS of PA | Community Blue PPO | $268.66 | ↓ -49% |
| UPMC Health Plan | CHIP | $271.54 | ↓ -49% |
| Highmark BCBS of PA | CHIP - Managed Care | $280.03 | ↓ -47% |
| Highmark BCBS of PA | Commercial | $298.51 | ↓ -44% |
| Prime Net | Legacy Commercial | $345.54 | ↓ -35% |
| Aetna | ACO | $348.20 | ↓ -34% |
| Prime Net | ACO | $348.20 | ↓ -34% |
| Prime Net | NonGateKeeper | $411.99 | ↓ -23% |
| Aetna | Commercial | $414.65 | ↓ -22% |
| Prime Net | GateKeeper | $414.65 | ↓ -22% |
| Capital Blue Cross | Commercial | $484.64 | ↓ -9% |
| Capital Blue Cross | CHIP | $484.64 | ↓ -9% |
| Keystone Health Plan | Commercial | $484.64 | ↓ -9% |
| Wellspan Population Health | PPO | $575.90 | ↑ +8% |
| Geisinger | Commercial | $580.15 | ↑ +9% |
| UPMC Health Plan | Commercial | $620.20 | ↑ +17% |
| Prime Net | FH-Medical Rental | $669.82 | ↑ +26% |
| Multiplan | PPO (Includes PHCS and Humana as Payers) | $753.10 | ↑ +42% |
Visitor-reported prices
Comments
Hla class i phenotype qual at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $230.40 | $84.73 – $307.20 |
| UPMC Bedford | Everett | $594.00 | $34.46 – $891.00 |
| UPMC Community Osteopathic | Harrisburg | $531.60 | $84.73 – $753.10 |
| UPMC East | Monroeville | $363.60 | $74.70 – $484.80 |
| UPMC Hamot | Erie | $207.00 | $84.73 – $117.77 |
| UPMC Northwest | Seneca | $276.00 | $75.39 – $103.16 |
| UPMC Hanover | Hanover | $531.60 | $77.03 – $152.83 |
| UPMC Horizon-Greenville | Greenville | $335.40 | $75.63 – $146.01 |