Infect ag na resp virus 12-25 targets at UPMC Carlisle
361 Alexander Spring Road, Carlisle, PA · UPMC · · NPI 1689107328
$2,317.80
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.
$3,863.00
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.
$316.19 with United Healthcare vs $3,283.55 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 | $316.19 | ↓ -86% |
| Highmark BCBS of PA | Community Blue Medicare Advantage/Complete Blue Medicare Advantage/Security Blue Medicare Advantage/Together Blue Medicare Advantage | $412.61 | ↓ -82% |
| Highmark BCBS of PA | Freedom Blue Medicare Advantage | $412.61 | ↓ -82% |
| Humana | Medicare | $416.78 | ↓ -82% |
| UPMC Work Partners | Workers Comp | $431.07 | ↓ -81% |
| Aetna | Medicare | $434.70 | ↓ -81% |
| Cigna | Medicare | $437.62 | ↓ -81% |
| Geisinger | Medicare | $437.62 | ↓ -81% |
| United Healthcare | Medicare | $445.95 | ↓ -81% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $450.12 | ↓ -81% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $458.33 | ↓ -80% |
| Prime Net | Managed Medicare | $529.23 | ↓ -77% |
| Highmark Wholecare (prev Gateway) | Medicaid | $582.08 | ↓ -75% |
| UPMC Health Plan | Managed Medicaid | $595.83 | ↓ -74% |
| United Healthcare Community Plan for Families | PA Medicaid | $600.41 | ↓ -74% |
| Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $624.25 | ↓ -73% |
| Keystone Autism Services | ACAP | $666.85 | ↓ -71% |
| Geisinger | Medicaid/CHIP | $667.60 | ↓ -71% |
| Keystone Health Plan | Medicare Advantage | $772.60 | ↓ -67% |
| Capital Blue Cross | Medicare Advantage | $772.60 | ↓ -67% |
| PA Health & Wellness | PA Medicaid HMO | $781.09 | ↓ -66% |
| Cigna | Commercial | $1,083.64 | ↓ -53% |
| Highmark BCBS of PA | Community Blue PPO | $1,172.24 | ↓ -49% |
| Highmark BCBS of PA | CHIP - Managed Care | $1,221.83 | ↓ -47% |
| Highmark BCBS of PA | Commercial | $1,302.48 | ↓ -44% |
| Prime Net | Legacy Commercial | $1,506.57 | ↓ -35% |
| Prime Net | ACO | $1,518.16 | ↓ -34% |
| Aetna | ACO | $1,518.16 | ↓ -34% |
| Prime Net | NonGateKeeper | $1,796.30 | ↓ -22% |
| Aetna | Commercial | $1,807.88 | ↓ -22% |
| Prime Net | GateKeeper | $1,807.88 | ↓ -22% |
| Capital Blue Cross | CHIP | $2,113.06 | ↓ -9% |
| Keystone Health Plan | Commercial | $2,113.06 | ↓ -9% |
| Capital Blue Cross | Commercial | $2,113.06 | ↓ -9% |
| UPMC Health Plan | CHIP | $2,482.59 | ↑ +7% |
| Wellspan Population Health | PPO | $2,510.95 | ↑ +8% |
| Geisinger | Commercial | $2,529.49 | ↑ +9% |
| UPMC Health Plan | Commercial | $2,704.10 | ↑ +17% |
| Prime Net | FH-Medical Rental | $2,920.43 | ↑ +26% |
| Multiplan | PPO (Includes PHCS and Humana as Payers) | $3,283.55 | ↑ +42% |
Visitor-reported prices
Comments
Infect ag na resp virus 12-25 targets at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $2,425.80 | $411.91 – $3,234.40 |
| UPMC Bedford | Everett | $2,801.40 | $150.37 – $4,202.10 |
| UPMC Cole | Coudersport | $561.60 | $53.00 – $748.80 |
| UPMC Community Osteopathic | Harrisburg | $2,317.80 | $412.61 – $3,283.55 |
| UPMC East | Monroeville | $2,801.40 | $411.91 – $3,735.20 |
| UPMC Hamot | Erie | $3,204.00 | $411.91 – $637.03 |
| UPMC Northwest | Seneca | $2,801.40 | $377.98 – $527.08 |
| UPMC Hanover | Hanover | $2,317.80 | $316.19 – $666.85 |