I-123 ioflupane diag at UPMC Carlisle
361 Alexander Spring Road, Carlisle, PA · UPMC · · NPI 1689107328
$8,455.20
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.
$14,092.00
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.
$763.41 with AmeriHealth Caritas vs $11,978.20 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 |
|---|---|---|---|
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $763.41 | ↓ -91% |
| Highmark BCBS of PA | Community Blue Medicare Advantage/Complete Blue Medicare Advantage/Security Blue Medicare Advantage/Together Blue Medicare Advantage | $1,374.14 | ↓ -84% |
| Highmark BCBS of PA | Freedom Blue Medicare Advantage | $1,374.14 | ↓ -84% |
| Humana | Medicare | $1,388.02 | ↓ -84% |
| Aetna | Medicare | $1,447.70 | ↓ -83% |
| Geisinger | Medicare | $1,457.42 | ↓ -83% |
| Cigna | Medicare | $1,457.42 | ↓ -83% |
| United Healthcare | Medicare | $1,485.18 | ↓ -82% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $1,499.06 | ↓ -82% |
| Prime Net | Managed Medicare | $1,930.60 | ↓ -77% |
| Keystone Autism Services | ACAP | $2,220.83 | ↓ -74% |
| Capital Blue Cross | Medicare Advantage | $2,818.40 | ↓ -67% |
| Keystone Health Plan | Medicare Advantage | $2,818.40 | ↓ -67% |
| Cigna | Commercial | $3,549.48 | ↓ -58% |
| Highmark BCBS of PA | Community Blue PPO | $3,903.95 | ↓ -54% |
| Highmark BCBS of PA | CHIP - Managed Care | $4,069.12 | ↓ -52% |
| Highmark BCBS of PA | Commercial | $4,337.70 | ↓ -49% |
| Prime Net | Legacy Commercial | $5,495.88 | ↓ -35% |
| Aetna | ACO | $5,538.16 | ↓ -34% |
| Prime Net | ACO | $5,538.16 | ↓ -34% |
| Prime Net | NonGateKeeper | $6,552.78 | ↓ -23% |
| Aetna | Commercial | $6,595.06 | ↓ -22% |
| Prime Net | GateKeeper | $6,595.06 | ↓ -22% |
| Capital Blue Cross | CHIP | $7,708.32 | ↓ -9% |
| Keystone Health Plan | Commercial | $7,708.32 | ↓ -9% |
| Capital Blue Cross | Commercial | $7,708.32 | ↓ -9% |
| PA Health & Wellness | PA Medicaid HMO | $7,750.60 | ↓ -8% |
| Geisinger | Medicaid/CHIP | $7,750.60 | ↓ -8% |
| United Healthcare | Commercial | $8,680.67 | ↑ +3% |
| Wellspan Population Health | PPO | $9,159.80 | ↑ +8% |
| Geisinger | Commercial | $9,227.44 | ↑ +9% |
| UPMC Health Plan | Commercial | $9,864.40 | ↑ +17% |
| UPMC Health Plan | CHIP | $9,864.40 | ↑ +17% |
| Prime Net | FH-Medical Rental | $10,653.55 | ↑ +26% |
| Multiplan | PPO (Includes PHCS and Humana as Payers) | $11,978.20 | ↑ +42% |
| UPMC Work Partners | Workers Comp | not published by hospital | — |
Visitor-reported prices
Comments
I-123 ioflupane diag at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $5,746.20 | $1,415.50 – $7,661.60 |
| UPMC Community Osteopathic | Harrisburg | $8,455.20 | $1,374.14 – $11,978.20 |
| UPMC Hamot | Erie | $11,215.20 | $1,388.02 – $2,517.36 |
| UPMC Hanover | Hanover | $8,455.20 | $1,374.14 – $2,220.83 |
| UPMC Lititz | Lititz | $8,455.20 | $1,374.14 – $2,220.83 |
| UPMC Memorial | York | $8,455.20 | $1,447.70 – $3,220.82 |
| UPMC Muncy | Muncy | $5,594.40 | $1,398.60 – $8,391.60 |
| UPMC Presbyterian | Pittsburgh | $10,771.80 | $1,499.06 – $2,198.71 |