Mopath procedure level 1 at UPMC Carlisle
361 Alexander Spring Road, Carlisle, PA · UPMC · · NPI 1689107328
$138.60
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.
$231.00
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.
$29.87 with Prime Net vs $310.30 with UPMC Health Plan — 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 |
|---|---|---|---|
| Prime Net | Managed Medicare | $29.87 | ↓ -78% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $35.18 | ↓ -75% |
| Capital Blue Cross | Medicare Advantage | $43.60 | ↓ -69% |
| Keystone Health Plan | Medicare Advantage | $43.60 | ↓ -69% |
| United Healthcare Community Plan for Families | PA Medicaid | $51.12 | ↓ -63% |
| Highmark BCBS of PA | Community Blue Medicare Advantage/Complete Blue Medicare Advantage/Security Blue Medicare Advantage/Together Blue Medicare Advantage | $63.32 | ↓ -54% |
| Highmark BCBS of PA | Freedom Blue Medicare Advantage | $63.32 | ↓ -54% |
| Humana | Medicare | $63.96 | ↓ -54% |
| UPMC Work Partners | Workers Comp | $66.15 | ↓ -52% |
| Aetna | Medicare | $66.71 | ↓ -52% |
| Geisinger | Medicare | $67.16 | ↓ -52% |
| Cigna | Medicare | $67.16 | ↓ -52% |
| United Healthcare | Medicare | $68.44 | ↓ -51% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $69.08 | ↓ -50% |
| Prime Net | Legacy Commercial | $85.02 | ↓ -39% |
| Aetna | ACO | $85.67 | ↓ -38% |
| Prime Net | ACO | $85.67 | ↓ -38% |
| Prime Net | NonGateKeeper | $101.37 | ↓ -27% |
| Prime Net | GateKeeper | $102.02 | ↓ -26% |
| Aetna | Commercial | $102.02 | ↓ -26% |
| Keystone Autism Services | ACAP | $102.34 | ↓ -26% |
| Capital Blue Cross | CHIP | $119.25 | ↓ -14% |
| Keystone Health Plan | Commercial | $119.25 | ↓ -14% |
| Capital Blue Cross | Commercial | $119.25 | ↓ -14% |
| PA Health & Wellness | PA Medicaid HMO | $119.90 | ↓ -13% |
| Geisinger | Medicaid/CHIP | $119.90 | ↓ -13% |
| Wellspan Population Health | PPO | $141.70 | ↑ +2% |
| Geisinger | Commercial | $142.75 | ↑ +3% |
| UPMC Health Plan | Commercial | $152.60 | ↑ +10% |
| United Healthcare | Commercial | $161.68 | ↑ +17% |
| Prime Net | FH-Medical Rental | $164.81 | ↑ +19% |
| Cigna | Commercial | $166.28 | ↑ +20% |
| Highmark BCBS of PA | Community Blue PPO | $179.89 | ↑ +30% |
| Multiplan | PPO (Includes PHCS and Humana as Payers) | $185.30 | ↑ +34% |
| Highmark BCBS of PA | CHIP - Managed Care | $187.51 | ↑ +35% |
| Highmark BCBS of PA | Commercial | $199.88 | ↑ +44% |
| UPMC Health Plan | CHIP | $310.30 | ↑ +124% |
Visitor-reported prices
Comments
Mopath procedure level 1 at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $621.00 | $63.21 – $387.20 |
| UPMC Bedford | Everett | $639.00 | $23.08 – $457.20 |
| UPMC Community Osteopathic | Harrisburg | $138.60 | $43.60 – $310.30 |
| UPMC East | Monroeville | $1,253.40 | $63.21 – $406.40 |
| UPMC Hamot | Erie | $1,253.40 | $63.21 – $191.05 |
| UPMC Northwest | Seneca | $837.60 | $58.01 – $69.08 |
| UPMC Hanover | Hanover | $138.60 | $51.12 – $310.30 |
| UPMC Horizon-Greenville | Greenville | $1,476.00 | $57.26 – $120.02 |