In-111 pentetate dtpa / 0.5 mci at UPMC Carlisle
361 Alexander Spring Road, Carlisle, PA · UPMC · · NPI 1689107328
$3,424.80
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.
$5,708.00
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.
$393.41 with AmeriHealth Caritas vs $4,851.80 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 | $393.41 | ↓ -89% |
| Highmark BCBS of PA | Community Blue Medicare Advantage/Complete Blue Medicare Advantage/Security Blue Medicare Advantage/Together Blue Medicare Advantage | $708.14 | ↓ -79% |
| Highmark BCBS of PA | Freedom Blue Medicare Advantage | $708.14 | ↓ -79% |
| Humana | Medicare | $715.29 | ↓ -79% |
| Aetna | Medicare | $746.05 | ↓ -78% |
| Geisinger | Medicare | $751.05 | ↓ -78% |
| Cigna | Medicare | $751.05 | ↓ -78% |
| United Healthcare | Medicare | $765.36 | ↓ -78% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $772.51 | ↓ -77% |
| Prime Net | Managed Medicare | $782.00 | ↓ -77% |
| UPMC Health Plan | CHIP | $995.51 | ↓ -71% |
| Keystone Health Plan | Medicare Advantage | $1,141.60 | ↓ -67% |
| Capital Blue Cross | Medicare Advantage | $1,141.60 | ↓ -67% |
| Keystone Autism Services | ACAP | $1,144.46 | ↓ -67% |
| Cigna | Commercial | $1,212.88 | ↓ -65% |
| Highmark BCBS of PA | Community Blue PPO | $2,011.82 | ↓ -41% |
| Highmark BCBS of PA | CHIP - Managed Care | $2,096.94 | ↓ -39% |
| Prime Net | Legacy Commercial | $2,226.12 | ↓ -35% |
| Highmark BCBS of PA | Commercial | $2,235.35 | ↓ -35% |
| Aetna | ACO | $2,243.24 | ↓ -35% |
| Prime Net | ACO | $2,243.24 | ↓ -35% |
| Prime Net | NonGateKeeper | $2,654.22 | ↓ -23% |
| Prime Net | GateKeeper | $2,671.34 | ↓ -22% |
| Aetna | Commercial | $2,671.34 | ↓ -22% |
| Capital Blue Cross | CHIP | $3,122.28 | ↓ -9% |
| Keystone Health Plan | Commercial | $3,122.28 | ↓ -9% |
| Capital Blue Cross | Commercial | $3,122.28 | ↓ -9% |
| PA Health & Wellness | PA Medicaid HMO | $3,139.40 | ↓ -8% |
| Geisinger | Medicaid/CHIP | $3,139.40 | ↓ -8% |
| United Healthcare | Commercial | $3,516.13 | ↑ +3% |
| Wellspan Population Health | PPO | $3,710.20 | ↑ +8% |
| Geisinger | Commercial | $3,737.60 | ↑ +9% |
| UPMC Health Plan | Commercial | $3,995.60 | ↑ +17% |
| Prime Net | FH-Medical Rental | $4,315.25 | ↑ +26% |
| Multiplan | PPO (Includes PHCS and Humana as Payers) | $4,851.80 | ↑ +42% |
| UPMC Work Partners | Workers Comp | not published by hospital | — |
Visitor-reported prices
Comments
In-111 pentetate dtpa / 0.5 mci at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $1,023.00 | $30.21 – $1,364.00 |
| UPMC Cole | Coudersport | $3,067.80 | $995.51 – $4,090.40 |
| UPMC Community Osteopathic | Harrisburg | $3,424.80 | $50.29 – $4,851.80 |
| UPMC Hamot | Erie | $2,550.60 | $30.21 – $772.51 |
| UPMC Hanover | Hanover | $3,424.80 | $708.14 – $1,144.46 |
| UPMC Lititz | Lititz | $3,424.80 | $708.14 – $1,144.46 |
| UPMC Magee | Pittsburgh | $1,150.80 | $30.49 – $786.82 |
| UPMC Memorial | York | $3,424.80 | $24.62 – $1,155.34 |