Hla ii typing 1 loc hr at UPMC Carlisle
361 Alexander Spring Road, Carlisle, PA · UPMC · · NPI 1689107328
$714.60
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.
$1,191.00
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.
$57.95 with Prime Net vs $416.98 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 | $57.95 | ↓ -92% |
| Keystone Health Plan | Medicare Advantage | $84.60 | ↓ -88% |
| Capital Blue Cross | Medicare Advantage | $84.60 | ↓ -88% |
| Highmark BCBS of PA | Community Blue Medicare Advantage/Complete Blue Medicare Advantage/Security Blue Medicare Advantage/Together Blue Medicare Advantage | $122.44 | ↓ -83% |
| Highmark BCBS of PA | Freedom Blue Medicare Advantage | $122.44 | ↓ -83% |
| Humana | Medicare | $123.68 | ↓ -83% |
| UPMC Work Partners | Workers Comp | $127.93 | ↓ -82% |
| Aetna | Medicare | $129.00 | ↓ -82% |
| Geisinger | Medicare | $129.86 | ↓ -82% |
| Cigna | Medicare | $129.86 | ↓ -82% |
| United Healthcare | Medicare | $132.34 | ↓ -81% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $133.57 | ↓ -81% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $134.98 | ↓ -81% |
| Prime Net | Legacy Commercial | $164.97 | ↓ -77% |
| Prime Net | ACO | $166.24 | ↓ -77% |
| Aetna | ACO | $166.24 | ↓ -77% |
| Highmark Wholecare (prev Gateway) | Medicaid | $171.42 | ↓ -76% |
| UPMC Health Plan | Managed Medicaid | $175.47 | ↓ -75% |
| United Healthcare Community Plan for Families | PA Medicaid | $176.82 | ↓ -75% |
| Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $183.84 | ↓ -74% |
| Geisinger | Medicaid/CHIP | $196.61 | ↓ -72% |
| Prime Net | NonGateKeeper | $196.69 | ↓ -72% |
| Keystone Autism Services | ACAP | $197.89 | ↓ -72% |
| Aetna | Commercial | $197.96 | ↓ -72% |
| Prime Net | GateKeeper | $197.96 | ↓ -72% |
| United Healthcare | Commercial | $203.88 | ↓ -71% |
| PA Health & Wellness | PA Medicaid HMO | $230.03 | ↓ -68% |
| Capital Blue Cross | Commercial | $231.38 | ↓ -68% |
| Keystone Health Plan | Commercial | $231.38 | ↓ -68% |
| Capital Blue Cross | CHIP | $231.38 | ↓ -68% |
| Wellspan Population Health | PPO | $274.95 | ↓ -62% |
| Geisinger | Commercial | $276.98 | ↓ -61% |
| UPMC Health Plan | Commercial | $296.10 | ↓ -59% |
| Prime Net | FH-Medical Rental | $319.79 | ↓ -55% |
| Cigna | Commercial | $321.56 | ↓ -55% |
| Highmark BCBS of PA | Community Blue PPO | $347.86 | ↓ -51% |
| Multiplan | PPO (Includes PHCS and Humana as Payers) | $359.55 | ↓ -50% |
| Highmark BCBS of PA | CHIP - Managed Care | $362.58 | ↓ -49% |
| Highmark BCBS of PA | Commercial | $386.51 | ↓ -46% |
| UPMC Health Plan | CHIP | $416.98 | ↓ -42% |
Visitor-reported prices
Comments
Hla ii typing 1 loc hr at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $1,843.80 | $122.24 – $2,224.80 |
| UPMC Community Osteopathic | Harrisburg | $714.60 | $84.60 – $416.98 |
| UPMC East | Monroeville | $1,173.60 | $114.71 – $1,564.80 |
| UPMC Hamot | Erie | $1,952.40 | $122.24 – $445.78 |
| UPMC Hanover | Hanover | $714.60 | $122.44 – $197.89 |
| UPMC Horizon-Greenville | Greenville | $1,952.40 | $110.73 – $232.09 |
| UPMC Jameson | New Castle | $1,173.60 | $122.24 – $453.64 |
| UPMC Lititz | Lititz | $714.60 | $122.44 – $197.89 |