Magnetic image bone marrow at UPMC Carlisle
361 Alexander Spring Road, Carlisle, PA · UPMC · · NPI 1689107328
$1,656.00
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.
$2,760.00
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.
$228.92 with Highmark BCBS of PA vs $2,346.00 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 | $228.92 | ↓ -86% |
| Highmark BCBS of PA | Freedom Blue Medicare Advantage | $228.92 | ↓ -86% |
| Humana | Medicare | $231.23 | ↓ -86% |
| Aetna | Medicare | $241.17 | ↓ -85% |
| Geisinger | Medicare | $242.79 | ↓ -85% |
| Cigna | Medicare | $242.79 | ↓ -85% |
| United Healthcare | Medicare | $247.42 | ↓ -85% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $249.73 | ↓ -85% |
| United Healthcare Community Plan for Families | PA Medicaid | $263.43 | ↓ -84% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $330.72 | ↓ -80% |
| Highmark Wholecare (prev Gateway) | Medicaid | $330.72 | ↓ -80% |
| UPMC Health Plan | Managed Medicaid | $338.53 | ↓ -80% |
| Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $354.68 | ↓ -79% |
| Keystone Autism Services | ACAP | $369.97 | ↓ -78% |
| Prime Net | Managed Medicare | $378.12 | ↓ -77% |
| Geisinger | Medicaid/CHIP | $379.31 | ↓ -77% |
| Premier Comp Solutions | Worker's Comp | $425.00 | ↓ -74% |
| PA Health & Wellness | PA Medicaid HMO | $443.79 | ↓ -73% |
| Keystone Health Plan | Medicare Advantage | $552.00 | ↓ -67% |
| Capital Blue Cross | Medicare Advantage | $552.00 | ↓ -67% |
| Highmark BCBS of PA | Community Blue PPO | $650.36 | ↓ -61% |
| Highmark BCBS of PA | CHIP - Managed Care | $677.87 | ↓ -59% |
| Highmark BCBS of PA | Commercial | $722.62 | ↓ -56% |
| UPMC Work Partners | Workers Comp | $823.82 | ↓ -50% |
| Prime Net | Legacy Commercial | $1,076.40 | ↓ -35% |
| Aetna | ACO | $1,084.68 | ↓ -35% |
| Prime Net | ACO | $1,084.68 | ↓ -35% |
| Cigna | Commercial | $1,224.77 | ↓ -26% |
| Prime Net | NonGateKeeper | $1,283.40 | ↓ -23% |
| Aetna | Commercial | $1,291.68 | ↓ -22% |
| Prime Net | GateKeeper | $1,291.68 | ↓ -22% |
| Keystone Health Plan | Commercial | $1,509.72 | ↓ -9% |
| Capital Blue Cross | CHIP | $1,509.72 | ↓ -9% |
| Capital Blue Cross | Commercial | $1,509.72 | ↓ -9% |
| Wellspan Population Health | PPO | $1,794.00 | ↑ +8% |
| Geisinger | Commercial | $1,807.25 | ↑ +9% |
| UPMC Health Plan | Commercial | $1,932.00 | ↑ +17% |
| UPMC Health Plan | CHIP | $1,932.00 | ↑ +17% |
| United Healthcare | Commercial | $2,031.36 | ↑ +23% |
| Prime Net | FH-Medical Rental | $2,086.56 | ↑ +26% |
| Multiplan | PPO (Includes PHCS and Humana as Payers) | $2,346.00 | ↑ +42% |
| Tricare | East Region | not published by hospital | — |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
Visitor-reported prices
Comments
Magnetic image bone marrow at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Community Osteopathic | Harrisburg | $1,656.00 | $235.40 – $2,346.00 |
| UPMC Hanover | Hanover | $1,656.00 | $228.61 – $823.82 |
| UPMC Kane | Kane | $1,557.00 | $286.45 – $941.41 |
| UPMC Lititz | Lititz | $1,656.00 | $229.84 – $823.82 |
| UPMC Magee | Pittsburgh | $2,211.60 | $215.68 – $894.51 |
| UPMC Memorial | York | $1,656.00 | $241.76 – $2,119.85 |
| UPMC Passavant-McCandless | Pittsburgh | $2,412.60 | $214.16 – $915.36 |
| UPMC Presbyterian | Pittsburgh | $3,581.40 | $241.31 – $1,118.14 |