MRI w/cont, breast, uni at UPMC Carlisle
361 Alexander Spring Road, Carlisle, PA · UPMC · · NPI 1689107328
$1,294.80
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.
?
What you pay up front if you don't use insurance.
$2,158.00
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.
?
The hospital's undiscounted list price — almost no one pays this.
$144.11 with United Healthcare Community Plan for Families vs $1,834.30 with Multiplan — same scan, same building. Share
Negotiated rates by payer
?
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 →
?
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 | $144.11 | ↓ -89% |
| Aetna | Medicare | $224.25 | ↓ -83% |
| Prime Net | Managed Medicare | $295.65 | ↓ -77% |
| Keystone Health Plan | Medicare Advantage | $431.60 | ↓ -67% |
| Capital Blue Cross | Medicare Advantage | $431.60 | ↓ -67% |
| Premier Comp Solutions | Worker's Comp | $500.00 | ↓ -61% |
| Prime Net | Legacy Commercial | $841.62 | ↓ -35% |
| Aetna | ACO | $848.09 | ↓ -35% |
| Prime Net | ACO | $848.09 | ↓ -35% |
| Cigna | Commercial | $957.68 | ↓ -26% |
| Prime Net | NonGateKeeper | $1,003.47 | ↓ -23% |
| Aetna | Commercial | $1,009.94 | ↓ -22% |
| Prime Net | GateKeeper | $1,009.94 | ↓ -22% |
| Capital Blue Cross | CHIP | $1,180.43 | ↓ -9% |
| Keystone Health Plan | Commercial | $1,180.43 | ↓ -9% |
| Capital Blue Cross | Commercial | $1,180.43 | ↓ -9% |
| Geisinger | Medicaid/CHIP | $1,186.90 | ↓ -8% |
| PA Health & Wellness | PA Medicaid HMO | $1,186.90 | ↓ -8% |
| Wellspan Population Health | PPO | $1,402.70 | ↑ +8% |
| Geisinger | Commercial | $1,413.06 | ↑ +9% |
| UPMC Health Plan | CHIP | $1,510.60 | ↑ +17% |
| UPMC Health Plan | Commercial | $1,510.60 | ↑ +17% |
| United Healthcare | Commercial | $1,588.29 | ↑ +23% |
| Prime Net | FH-Medical Rental | $1,631.45 | ↑ +26% |
| Multiplan | PPO (Includes PHCS and Humana as Payers) | $1,834.30 | ↑ +42% |
| Tricare | East Region | not published by hospital | — |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
| UPMC Work Partners | Workers Comp | not published by hospital | — |
Visitor-reported prices
Comments
MRI w/cont, breast, uni at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Community Osteopathic | Harrisburg | $1,294.80 | $144.11 – $1,834.30 |
| UPMC Hanover | Hanover | $1,294.80 | $144.11 – $957.68 |
| UPMC Lititz | Lititz | $1,294.80 | $144.11 – $957.68 |
| UPMC Memorial | York | $1,294.80 | $144.11 – $957.68 |
| UPMC Somerset | Somerset | $1,294.80 | $126.51 – $266.12 |
| Uniontown Hospital | Uniontown | $1,038.50 | $170.01 – $396.12 |