Myocrd img pet 2rtracer CT at UPMC Carlisle
361 Alexander Spring Road, Carlisle, PA · UPMC · · NPI 1689107328
$10,748.40
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.
$17,914.00
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.
$1,847.23 with Highmark BCBS of PA vs $15,226.90 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 | Freedom Blue Medicare Advantage | $1,847.23 | ↓ -83% |
| Highmark BCBS of PA | Community Blue Medicare Advantage/Complete Blue Medicare Advantage/Security Blue Medicare Advantage/Together Blue Medicare Advantage | $1,847.23 | ↓ -83% |
| Humana | Medicare | $1,865.89 | ↓ -83% |
| Aetna | Medicare | $1,946.12 | ↓ -82% |
| Geisinger | Medicare | $1,959.18 | ↓ -82% |
| Cigna | Medicare | $1,959.18 | ↓ -82% |
| United Healthcare | Medicare | $1,996.50 | ↓ -81% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $2,015.16 | ↓ -81% |
| Prime Net | Managed Medicare | $2,454.22 | ↓ -77% |
| United Healthcare Community Plan for Families | PA Medicaid | $2,700.83 | ↓ -75% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $2,728.44 | ↓ -75% |
| Highmark Wholecare (prev Gateway) | Medicaid | $2,728.44 | ↓ -75% |
| UPMC Health Plan | Managed Medicaid | $2,792.89 | ↓ -74% |
| Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $2,926.09 | ↓ -73% |
| Keystone Autism Services | ACAP | $2,985.42 | ↓ -72% |
| Geisinger | Medicaid/CHIP | $3,129.33 | ↓ -71% |
| Keystone Health Plan | Medicare Advantage | $3,582.80 | ↓ -67% |
| Capital Blue Cross | Medicare Advantage | $3,582.80 | ↓ -67% |
| PA Health & Wellness | PA Medicaid HMO | $3,661.27 | ↓ -66% |
| Highmark BCBS of PA | Community Blue PPO | $5,248.00 | ↓ -51% |
| Highmark BCBS of PA | CHIP - Managed Care | $5,470.04 | ↓ -49% |
| Highmark BCBS of PA | Commercial | $5,831.09 | ↓ -46% |
| Prime Net | Legacy Commercial | $6,986.46 | ↓ -35% |
| Aetna | ACO | $7,040.20 | ↓ -35% |
| Prime Net | ACO | $7,040.20 | ↓ -35% |
| Prime Net | NonGateKeeper | $8,330.01 | ↓ -23% |
| Prime Net | GateKeeper | $8,383.75 | ↓ -22% |
| Aetna | Commercial | $8,383.75 | ↓ -22% |
| Capital Blue Cross | Commercial | $9,798.96 | ↓ -9% |
| Keystone Health Plan | Commercial | $9,798.96 | ↓ -9% |
| Capital Blue Cross | CHIP | $9,798.96 | ↓ -9% |
| Wellspan Population Health | PPO | $11,644.10 | ↑ +8% |
| Geisinger | Commercial | $11,730.09 | ↑ +9% |
| UPMC Health Plan | CHIP | $12,539.80 | ↑ +17% |
| UPMC Health Plan | Commercial | $12,539.80 | ↑ +17% |
| United Healthcare | Commercial | $13,184.70 | ↑ +23% |
| Prime Net | FH-Medical Rental | $13,542.98 | ↑ +26% |
| Cigna | Commercial | $14,455.20 | ↑ +34% |
| Multiplan | PPO (Includes PHCS and Humana as Payers) | $15,226.90 | ↑ +42% |
| Tricare | East Region | not published by hospital | — |
| UPMC Work Partners | Workers Comp | not published by hospital | — |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
Visitor-reported prices
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Myocrd img pet 2rtracer CT at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Community Osteopathic | Harrisburg | $10,748.40 | $1,899.48 – $15,226.90 |
| UPMC Hanover | Hanover | $10,748.40 | $1,844.68 – $2,981.30 |
| UPMC Lititz | Lititz | $10,748.40 | $1,854.65 – $2,997.41 |
| UPMC Memorial | York | $10,748.40 | $912.27 – $16,848.44 |
| UPMC Somerset | Somerset | $10,748.40 | $1,107.97 – $2,986.03 |
| Uniontown Hospital | Uniontown | $3,574.00 | $74.12 – $4,456.37 |