Insitu hybridization auto at UPMC Carlisle
361 Alexander Spring Road, Carlisle, PA · UPMC · · NPI 1689107328
$664.80
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.
$1,108.00
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.
$131.80 with United Healthcare Community Plan for Families vs $1,075.41 with Highmark BCBS of PA — 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 Community Plan for Families | PA Medicaid | $131.80 | ↓ -80% |
| Prime Net | Managed Medicare | $151.80 | ↓ -77% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $156.49 | ↓ -76% |
| Highmark Wholecare (prev Gateway) | Medicaid | $198.74 | ↓ -70% |
| UPMC Health Plan | Managed Medicaid | $203.44 | ↓ -69% |
| Cigna | Commercial | $206.44 | ↓ -69% |
| Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $213.14 | ↓ -68% |
| Capital Blue Cross | Medicare Advantage | $221.60 | ↓ -67% |
| Keystone Health Plan | Medicare Advantage | $221.60 | ↓ -67% |
| Geisinger | Medicaid/CHIP | $227.94 | ↓ -66% |
| PA Health & Wellness | PA Medicaid HMO | $266.69 | ↓ -60% |
| Highmark BCBS of PA | Community Blue Medicare Advantage/Complete Blue Medicare Advantage/Security Blue Medicare Advantage/Together Blue Medicare Advantage | $340.68 | ↓ -49% |
| Highmark BCBS of PA | Freedom Blue Medicare Advantage | $340.68 | ↓ -49% |
| Humana | Medicare | $344.12 | ↓ -48% |
| Aetna | Medicare | $358.92 | ↓ -46% |
| Geisinger | Medicare | $361.33 | ↓ -46% |
| Cigna | Medicare | $361.33 | ↓ -46% |
| United Healthcare | Medicare | $368.21 | ↓ -45% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $371.65 | ↓ -44% |
| UPMC Work Partners | Workers Comp | $374.44 | ↓ -44% |
| Prime Net | Legacy Commercial | $432.12 | ↓ -35% |
| Prime Net | ACO | $435.44 | ↓ -35% |
| Aetna | ACO | $435.44 | ↓ -35% |
| UPMC Health Plan | CHIP | $487.26 | ↓ -27% |
| Prime Net | NonGateKeeper | $515.22 | ↓ -23% |
| Aetna | Commercial | $518.54 | ↓ -22% |
| Prime Net | GateKeeper | $518.54 | ↓ -22% |
| Keystone Autism Services | ACAP | $550.59 | ↓ -17% |
| Capital Blue Cross | CHIP | $606.08 | ↓ -9% |
| Keystone Health Plan | Commercial | $606.08 | ↓ -9% |
| Capital Blue Cross | Commercial | $606.08 | ↓ -9% |
| Wellspan Population Health | PPO | $720.20 | ↑ +8% |
| Geisinger | Commercial | $725.52 | ↑ +9% |
| UPMC Health Plan | Commercial | $775.60 | ↑ +17% |
| Prime Net | FH-Medical Rental | $837.65 | ↑ +26% |
| Multiplan | PPO (Includes PHCS and Humana as Payers) | $941.80 | ↑ +42% |
| Highmark BCBS of PA | Community Blue PPO | $967.87 | ↑ +46% |
| Highmark BCBS of PA | CHIP - Managed Care | $1,008.82 | ↑ +52% |
| Highmark BCBS of PA | Commercial | $1,075.41 | ↑ +62% |
| Tricare | East Region | not published by hospital | — |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
Visitor-reported prices
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Insitu hybridization auto at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $1,162.80 | $100.61 – $1,550.40 |
| UPMC Community Osteopathic | Harrisburg | $664.80 | $131.80 – $941.80 |
| UPMC East | Monroeville | $1,042.80 | $134.04 – $1,390.40 |
| UPMC Hamot | Erie | $1,314.60 | $38.10 – $427.47 |
| UPMC Northwest | Seneca | $1,438.20 | $135.28 – $360.10 |
| UPMC Hanover | Hanover | $664.80 | $131.80 – $549.82 |
| UPMC Jameson | New Castle | $711.00 | $45.13 – $370.35 |
| UPMC Lititz | Lititz | $664.80 | $131.80 – $552.80 |