Mr sfty med physics xm cstmz at UPMC Carlisle
361 Alexander Spring Road, Carlisle, PA · UPMC · · NPI 1689107328
$444.00
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.
$740.00
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.
$101.38 with Prime Net vs $722.62 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 |
|---|---|---|---|
| Prime Net | Managed Medicare | $101.38 | ↓ -77% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $127.18 | ↓ -71% |
| Keystone Health Plan | Medicare Advantage | $148.00 | ↓ -67% |
| Capital Blue Cross | Medicare Advantage | $148.00 | ↓ -67% |
| Premier Comp Solutions | Worker's Comp | $208.57 | ↓ -53% |
| UPMC Work Partners | Workers Comp | $208.57 | ↓ -53% |
| Highmark BCBS of PA | Freedom Blue Medicare Advantage | $228.92 | ↓ -48% |
| Highmark BCBS of PA | Community Blue Medicare Advantage/Complete Blue Medicare Advantage/Security Blue Medicare Advantage/Together Blue Medicare Advantage | $228.92 | ↓ -48% |
| Humana | Medicare | $231.23 | ↓ -48% |
| Aetna | Medicare | $241.17 | ↓ -46% |
| Geisinger | Medicare | $242.79 | ↓ -45% |
| Cigna | Medicare | $242.79 | ↓ -45% |
| United Healthcare | Medicare | $247.42 | ↓ -44% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $249.73 | ↓ -44% |
| Prime Net | Legacy Commercial | $288.60 | ↓ -35% |
| Prime Net | ACO | $290.82 | ↓ -35% |
| Aetna | ACO | $290.82 | ↓ -35% |
| Prime Net | NonGateKeeper | $344.10 | ↓ -23% |
| Prime Net | GateKeeper | $346.32 | ↓ -22% |
| Aetna | Commercial | $346.32 | ↓ -22% |
| Keystone Autism Services | ACAP | $369.97 | ↓ -17% |
| Keystone Health Plan | Commercial | $404.78 | ↓ -9% |
| Capital Blue Cross | CHIP | $404.78 | ↓ -9% |
| Capital Blue Cross | Commercial | $404.78 | ↓ -9% |
| Geisinger | Medicaid/CHIP | $407.00 | ↓ -8% |
| PA Health & Wellness | PA Medicaid HMO | $407.00 | ↓ -8% |
| Wellspan Population Health | PPO | $481.00 | ↑ +8% |
| Geisinger | Commercial | $484.55 | ↑ +9% |
| UPMC Health Plan | Commercial | $518.00 | ↑ +17% |
| UPMC Health Plan | CHIP | $518.00 | ↑ +17% |
| United Healthcare | Commercial | $544.64 | ↑ +23% |
| Prime Net | FH-Medical Rental | $559.44 | ↑ +26% |
| Cigna | Commercial | $577.20 | ↑ +30% |
| Multiplan | PPO (Includes PHCS and Humana as Payers) | $629.00 | ↑ +42% |
| Highmark BCBS of PA | Community Blue PPO | $650.36 | ↑ +46% |
| Highmark BCBS of PA | CHIP - Managed Care | $677.87 | ↑ +53% |
| Highmark BCBS of PA | Commercial | $722.62 | ↑ +63% |
Visitor-reported prices
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Mr sfty med physics xm cstmz at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $439.80 | $60.36 – $586.40 |
| UPMC Bedford | Everett | $444.00 | $83.15 – $666.00 |
| UPMC Cole | Coudersport | $439.80 | $184.41 – $586.40 |
| UPMC Community Osteopathic | Harrisburg | $444.00 | $148.00 – $629.00 |
| UPMC East | Monroeville | $444.00 | $135.66 – $592.00 |
| UPMC Hamot | Erie | $444.00 | $182.38 – $287.25 |
| UPMC Northwest | Seneca | $444.00 | $156.65 – $248.89 |
| UPMC Hanover | Hanover | $444.00 | $208.57 – $369.47 |