Nerve conduction studies 1-2 at UPMC Carlisle
361 Alexander Spring Road, Carlisle, PA · UPMC · · NPI 1689107328
$177.60
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.
$296.00
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.
$40.55 with Prime Net vs $467.73 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 | $40.55 | ↓ -77% |
| United Healthcare Community Plan for Families | PA Medicaid | $41.24 | ↓ -77% |
| Capital Blue Cross | Medicare Advantage | $59.20 | ↓ -67% |
| Keystone Health Plan | Medicare Advantage | $59.20 | ↓ -67% |
| Highmark Wholecare (prev Gateway) | Medicaid | $91.17 | ↓ -49% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $91.17 | ↓ -49% |
| UPMC Health Plan | Managed Medicaid | $93.33 | ↓ -47% |
| Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $97.78 | ↓ -45% |
| Geisinger | Medicaid/CHIP | $104.57 | ↓ -41% |
| Prime Net | Legacy Commercial | $115.44 | ↓ -35% |
| Aetna | ACO | $116.33 | ↓ -34% |
| Prime Net | ACO | $116.33 | ↓ -34% |
| PA Health & Wellness | PA Medicaid HMO | $122.34 | ↓ -31% |
| UPMC Work Partners | Workers Comp | $134.05 | ↓ -25% |
| Prime Net | NonGateKeeper | $137.64 | ↓ -23% |
| Aetna | Commercial | $138.53 | ↓ -22% |
| Prime Net | GateKeeper | $138.53 | ↓ -22% |
| Highmark BCBS of PA | Freedom Blue Medicare Advantage | $148.17 | ↓ -17% |
| Highmark BCBS of PA | Community Blue Medicare Advantage/Complete Blue Medicare Advantage/Security Blue Medicare Advantage/Together Blue Medicare Advantage | $148.17 | ↓ -17% |
| Humana | Medicare | $149.67 | ↓ -16% |
| Aetna | Medicare | $156.11 | ↓ -12% |
| Cigna | Medicare | $157.15 | ↓ -12% |
| Geisinger | Medicare | $157.15 | ↓ -12% |
| United Healthcare | Medicare | $160.15 | ↓ -10% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $161.64 | ↓ -9% |
| Capital Blue Cross | Commercial | $161.91 | ↓ -9% |
| Capital Blue Cross | CHIP | $161.91 | ↓ -9% |
| Keystone Health Plan | Commercial | $161.91 | ↓ -9% |
| UPMC Health Plan | CHIP | $189.39 | ↑ +7% |
| Wellspan Population Health | PPO | $192.40 | ↑ +8% |
| Geisinger | Commercial | $193.82 | ↑ +9% |
| UPMC Health Plan | Commercial | $207.20 | ↑ +17% |
| Prime Net | FH-Medical Rental | $223.78 | ↑ +26% |
| Cigna | Commercial | $230.88 | ↑ +30% |
| Keystone Autism Services | ACAP | $239.47 | ↑ +35% |
| Multiplan | PPO (Includes PHCS and Humana as Payers) | $251.60 | ↑ +42% |
| United Healthcare | Commercial | $319.00 | ↑ +80% |
| Highmark BCBS of PA | Community Blue PPO | $420.96 | ↑ +137% |
| Highmark BCBS of PA | CHIP - Managed Care | $438.77 | ↑ +147% |
| Highmark BCBS of PA | Commercial | $467.73 | ↑ +163% |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
| Tricare | East Region | not published by hospital | — |
Visitor-reported prices
Comments
Nerve conduction studies 1-2 at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $325.20 | $31.48 – $433.60 |
| UPMC Bedford | Everett | $334.80 | $53.82 – $502.20 |
| UPMC Cole | Coudersport | $117.00 | $24.39 – $128.09 |
| UPMC Community Osteopathic | Harrisburg | $177.60 | $41.24 – $251.60 |
| UPMC Hamot | Erie | $229.20 | $33.55 – $205.40 |
| UPMC Northwest | Seneca | $209.40 | $78.97 – $156.63 |
| UPMC Hanover | Hanover | $177.60 | $41.24 – $239.15 |
| UPMC Horizon-Greenville | Greenville | $209.40 | $78.97 – $161.10 |