Myocrd img pet 1 std w/ct at UPMC Carlisle
361 Alexander Spring Road, Carlisle, PA · UPMC · · NPI 1689107328
$5,639.40
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.
$9,399.00
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.
$14.17 with United Healthcare Community Plan for Families vs $7,989.15 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 |
|---|---|---|---|
| United Healthcare Community Plan for Families | PA Medicaid | $14.17 | ↓ -100% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $99.29 | ↓ -98% |
| Highmark Wholecare (prev Gateway) | Medicaid | $99.29 | ↓ -98% |
| UPMC Health Plan | Managed Medicaid | $101.63 | ↓ -98% |
| Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $106.48 | ↓ -98% |
| Geisinger | Medicaid/CHIP | $113.88 | ↓ -98% |
| PA Health & Wellness | PA Medicaid HMO | $133.23 | ↓ -98% |
| OneCall | Worker's Comp | $800.00 | ↓ -86% |
| Prime Net | Managed Medicare | $1,287.66 | ↓ -77% |
| Highmark BCBS of PA | Community Blue Medicare Advantage/Complete Blue Medicare Advantage/Security Blue Medicare Advantage/Together Blue Medicare Advantage | $1,381.37 | ↓ -76% |
| Highmark BCBS of PA | Freedom Blue Medicare Advantage | $1,381.37 | ↓ -76% |
| Humana | Medicare | $1,395.32 | ↓ -75% |
| Aetna | Medicare | $1,455.32 | ↓ -74% |
| Cigna | Medicare | $1,465.09 | ↓ -74% |
| Geisinger | Medicare | $1,465.09 | ↓ -74% |
| United Healthcare | Medicare | $1,492.99 | ↓ -74% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $1,506.95 | ↓ -73% |
| Keystone Health Plan | Medicare Advantage | $1,879.80 | ↓ -67% |
| Capital Blue Cross | Medicare Advantage | $1,879.80 | ↓ -67% |
| Keystone Autism Services | ACAP | $2,232.51 | ↓ -60% |
| Prime Net | Legacy Commercial | $3,665.61 | ↓ -35% |
| Aetna | ACO | $3,693.81 | ↓ -34% |
| Prime Net | ACO | $3,693.81 | ↓ -34% |
| Highmark BCBS of PA | Community Blue PPO | $3,924.48 | ↓ -30% |
| Highmark BCBS of PA | CHIP - Managed Care | $4,090.52 | ↓ -27% |
| Highmark BCBS of PA | Commercial | $4,360.51 | ↓ -23% |
| Prime Net | NonGateKeeper | $4,370.53 | ↓ -23% |
| Prime Net | GateKeeper | $4,398.73 | ↓ -22% |
| Aetna | Commercial | $4,398.73 | ↓ -22% |
| Capital Blue Cross | Commercial | $5,141.25 | ↓ -9% |
| Keystone Health Plan | Commercial | $5,141.25 | ↓ -9% |
| Capital Blue Cross | CHIP | $5,141.25 | ↓ -9% |
| Wellspan Population Health | PPO | $6,109.35 | ↑ +8% |
| Geisinger | Commercial | $6,154.47 | ↑ +9% |
| UPMC Health Plan | CHIP | $6,579.30 | ↑ +17% |
| UPMC Health Plan | Commercial | $6,579.30 | ↑ +17% |
| United Healthcare | Commercial | $6,917.66 | ↑ +23% |
| Prime Net | FH-Medical Rental | $7,105.64 | ↑ +26% |
| Cigna | Commercial | $7,584.17 | ↑ +34% |
| Multiplan | PPO (Includes PHCS and Humana as Payers) | $7,989.15 | ↑ +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
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Myocrd img pet 1 std w/ct at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Community Osteopathic | Harrisburg | $5,639.40 | $14.17 – $7,989.15 |
| UPMC Hanover | Hanover | $5,639.40 | $14.17 – $2,229.42 |
| UPMC Lititz | Lititz | $5,639.40 | $14.17 – $2,241.47 |
| UPMC Memorial | York | $5,639.40 | $14.17 – $2,237.82 |
| UPMC Somerset | Somerset | $5,639.40 | $12.44 – $1,390.59 |
| Uniontown Hospital | Uniontown | $2,292.00 | $11.90 – $2,878.70 |