Injection, renflexis at UPMC Carlisle
361 Alexander Spring Road, Carlisle, PA · UPMC · · NPI 1689107328
$451.80
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.
$753.00
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.
$26.73 with Highmark BCBS of PA vs $640.05 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 |
|---|---|---|---|
| Highmark BCBS of PA | Community Blue Medicare Advantage/Complete Blue Medicare Advantage/Security Blue Medicare Advantage/Together Blue Medicare Advantage | $26.73 | ↓ -94% |
| Highmark BCBS of PA | Freedom Blue Medicare Advantage | $26.73 | ↓ -94% |
| Humana | Medicare | $27.00 | ↓ -94% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $27.00 | ↓ -94% |
| PA Health & Wellness | PA Medicaid HMO | $27.00 | ↓ -94% |
| Geisinger | Medicaid/CHIP | $27.00 | ↓ -94% |
| Highmark Wholecare (prev Gateway) | Medicaid | $27.54 | ↓ -94% |
| Aetna | Medicare | $28.16 | ↓ -94% |
| Cigna | Medicare | $28.35 | ↓ -94% |
| Geisinger | Medicare | $28.35 | ↓ -94% |
| United Healthcare | Medicare | $28.89 | ↓ -94% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $29.16 | ↓ -94% |
| UPMC Health Plan | Managed Medicaid | $29.70 | ↓ -93% |
| UPMC Health Plan | CHIP | $33.21 | ↓ -93% |
| Keystone Autism Services | ACAP | $43.20 | ↓ -90% |
| Cigna | Commercial | $44.41 | ↓ -90% |
| Highmark BCBS of PA | Community Blue PPO | $75.94 | ↓ -83% |
| Highmark BCBS of PA | CHIP - Managed Care | $79.15 | ↓ -82% |
| Highmark BCBS of PA | Commercial | $84.38 | ↓ -81% |
| Prime Net | Managed Medicare | $103.16 | ↓ -77% |
| Keystone Health Plan | Medicare Advantage | $150.60 | ↓ -67% |
| Capital Blue Cross | Medicare Advantage | $150.60 | ↓ -67% |
| United Healthcare | Commercial | $221.22 | ↓ -51% |
| Capital Blue Cross | Commercial | $241.71 | ↓ -47% |
| Keystone Health Plan | Commercial | $241.71 | ↓ -47% |
| Capital Blue Cross | CHIP | $241.71 | ↓ -47% |
| Prime Net | Legacy Commercial | $293.67 | ↓ -35% |
| Aetna | ACO | $295.93 | ↓ -34% |
| Prime Net | ACO | $295.93 | ↓ -34% |
| UPMC Work Partners | Workers Comp | $306.62 | ↓ -32% |
| Prime Net | NonGateKeeper | $350.14 | ↓ -23% |
| Aetna | Commercial | $352.40 | ↓ -22% |
| Prime Net | GateKeeper | $352.40 | ↓ -22% |
| Wellspan Population Health | PPO | $489.45 | ↑ +8% |
| Geisinger | Commercial | $493.06 | ↑ +9% |
| UPMC Health Plan | Commercial | $527.10 | ↑ +17% |
| Prime Net | FH-Medical Rental | $569.27 | ↑ +26% |
| Multiplan | PPO (Includes PHCS and Humana as Payers) | $640.05 | ↑ +42% |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
| Tricare | East Region | not published by hospital | — |
Visitor-reported prices
Comments
Injection, renflexis at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $216.80 | $17.05 – $216.80 |
| UPMC Bedford | Everett | $228.80 | $9.74 – $257.40 |
| UPMC Community Osteopathic | Harrisburg | $451.80 | $26.73 – $640.05 |
| UPMC East | Monroeville | $1,719.60 | $17.05 – $228.80 |
| UPMC Hamot | Erie | $240.00 | $17.05 – $52.46 |
| UPMC Northwest | Seneca | $228.80 | $17.05 – $29.16 |
| UPMC Hanover | Hanover | $451.80 | $26.73 – $43.20 |
| UPMC Horizon-Greenville | Greenville | $228.80 | $17.05 – $50.67 |