Hla i typing 1 locus hr at UPMC Carlisle
361 Alexander Spring Road, Carlisle, PA · UPMC · · NPI 1689107328
$384.00
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.
$640.00
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.
$87.68 with Prime Net vs $645.29 with UPMC Health Plan — 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 | $87.68 | ↓ -77% |
| Keystone Health Plan | Medicare Advantage | $128.00 | ↓ -67% |
| Capital Blue Cross | Medicare Advantage | $128.00 | ↓ -67% |
| Highmark BCBS of PA | Freedom Blue Medicare Advantage | $175.48 | ↓ -54% |
| Highmark BCBS of PA | Community Blue Medicare Advantage/Complete Blue Medicare Advantage/Security Blue Medicare Advantage/Together Blue Medicare Advantage | $175.48 | ↓ -54% |
| Humana | Medicare | $177.25 | ↓ -54% |
| UPMC Work Partners | Workers Comp | $183.32 | ↓ -52% |
| Aetna | Medicare | $184.87 | ↓ -52% |
| Cigna | Medicare | $186.11 | ↓ -52% |
| Geisinger | Medicare | $186.11 | ↓ -52% |
| United Healthcare | Medicare | $189.66 | ↓ -51% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $191.43 | ↓ -50% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $193.45 | ↓ -50% |
| Highmark Wholecare (prev Gateway) | Medicaid | $245.68 | ↓ -36% |
| Prime Net | Legacy Commercial | $249.60 | ↓ -35% |
| UPMC Health Plan | Managed Medicaid | $251.49 | ↓ -35% |
| Aetna | ACO | $251.52 | ↓ -35% |
| Prime Net | ACO | $251.52 | ↓ -35% |
| United Healthcare Community Plan for Families | PA Medicaid | $253.42 | ↓ -34% |
| Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $263.48 | ↓ -31% |
| Geisinger | Medicaid/CHIP | $281.78 | ↓ -27% |
| Keystone Autism Services | ACAP | $283.60 | ↓ -26% |
| Prime Net | NonGateKeeper | $297.60 | ↓ -23% |
| Prime Net | GateKeeper | $299.52 | ↓ -22% |
| Aetna | Commercial | $299.52 | ↓ -22% |
| PA Health & Wellness | PA Medicaid HMO | $329.68 | ↓ -14% |
| Keystone Health Plan | Commercial | $350.08 | ↓ -9% |
| Capital Blue Cross | Commercial | $350.08 | ↓ -9% |
| Capital Blue Cross | CHIP | $350.08 | ↓ -9% |
| Wellspan Population Health | PPO | $416.00 | ↑ +8% |
| Geisinger | Commercial | $419.07 | ↑ +9% |
| UPMC Health Plan | Commercial | $448.00 | ↑ +17% |
| Cigna | Commercial | $460.84 | ↑ +20% |
| Prime Net | FH-Medical Rental | $483.84 | ↑ +26% |
| United Healthcare | Commercial | $496.86 | ↑ +29% |
| Highmark BCBS of PA | Community Blue PPO | $498.53 | ↑ +30% |
| Highmark BCBS of PA | CHIP - Managed Care | $519.63 | ↑ +35% |
| Multiplan | PPO (Includes PHCS and Humana as Payers) | $544.00 | ↑ +42% |
| Highmark BCBS of PA | Commercial | $553.92 | ↑ +44% |
| UPMC Health Plan | CHIP | $645.29 | ↑ +68% |
Visitor-reported prices
Comments
Hla i typing 1 locus hr at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Community Osteopathic | Harrisburg | $384.00 | $128.00 – $645.29 |
| UPMC Hamot | Erie | $1,671.60 | $175.17 – $268.88 |
| UPMC Northwest | Seneca | $1,111.80 | $160.75 – $222.47 |
| UPMC Hanover | Hanover | $384.00 | $175.48 – $283.60 |
| UPMC Lititz | Lititz | $384.00 | $175.48 – $283.60 |
| UPMC Magee | Pittsburgh | $1,671.60 | $165.89 – $329.68 |
| UPMC Memorial | York | $384.00 | $183.32 – $1,198.07 |
| UPMC Passavant-McCandless | Pittsburgh | $1,113.60 | $164.72 – $257.16 |