Nerve conduction studies 9-10 at UPMC Carlisle
361 Alexander Spring Road, Carlisle, PA · UPMC · · NPI 1689107328
$328.20
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.
$547.00
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.
$74.94 with Prime Net vs $1,586.24 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 | $74.94 | ↓ -77% |
| United Healthcare Community Plan for Families | PA Medicaid | $89.79 | ↓ -73% |
| Capital Blue Cross | Medicare Advantage | $109.40 | ↓ -67% |
| Keystone Health Plan | Medicare Advantage | $109.40 | ↓ -67% |
| Prime Net | Legacy Commercial | $213.33 | ↓ -35% |
| Aetna | ACO | $214.97 | ↓ -35% |
| Prime Net | ACO | $214.97 | ↓ -35% |
| Highmark Wholecare (prev Gateway) | Medicaid | $215.32 | ↓ -34% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $215.32 | ↓ -34% |
| UPMC Health Plan | Managed Medicaid | $220.40 | ↓ -33% |
| Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $230.91 | ↓ -30% |
| Geisinger | Medicaid/CHIP | $246.95 | ↓ -25% |
| Prime Net | NonGateKeeper | $254.35 | ↓ -23% |
| Aetna | Commercial | $256.00 | ↓ -22% |
| Prime Net | GateKeeper | $256.00 | ↓ -22% |
| PA Health & Wellness | PA Medicaid HMO | $288.93 | ↓ -12% |
| Capital Blue Cross | CHIP | $299.21 | ↓ -9% |
| Keystone Health Plan | Commercial | $299.21 | ↓ -9% |
| Capital Blue Cross | Commercial | $299.21 | ↓ -9% |
| UPMC Work Partners | Workers Comp | $316.54 | ↓ -4% |
| United Healthcare | Commercial | $319.00 | ↓ -3% |
| UPMC Health Plan | CHIP | $330.23 | ↑ +1% |
| Wellspan Population Health | PPO | $355.55 | ↑ +8% |
| Geisinger | Commercial | $358.18 | ↑ +9% |
| UPMC Health Plan | Commercial | $382.90 | ↑ +17% |
| Prime Net | FH-Medical Rental | $413.53 | ↑ +26% |
| Cigna | Commercial | $426.66 | ↑ +30% |
| Multiplan | PPO (Includes PHCS and Humana as Payers) | $464.95 | ↑ +42% |
| Highmark BCBS of PA | Community Blue Medicare Advantage/Complete Blue Medicare Advantage/Security Blue Medicare Advantage/Together Blue Medicare Advantage | $502.50 | ↑ +53% |
| Highmark BCBS of PA | Freedom Blue Medicare Advantage | $502.50 | ↑ +53% |
| Humana | Medicare | $507.58 | ↑ +55% |
| Aetna | Medicare | $529.41 | ↑ +61% |
| Cigna | Medicare | $532.96 | ↑ +62% |
| Geisinger | Medicare | $532.96 | ↑ +62% |
| United Healthcare | Medicare | $543.11 | ↑ +65% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $548.19 | ↑ +67% |
| Keystone Autism Services | ACAP | $812.13 | ↑ +147% |
| Highmark BCBS of PA | Community Blue PPO | $1,427.62 | ↑ +335% |
| Highmark BCBS of PA | CHIP - Managed Care | $1,488.02 | ↑ +353% |
| Highmark BCBS of PA | Commercial | $1,586.24 | ↑ +383% |
| Tricare | East Region | not published by hospital | — |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
Visitor-reported prices
Comments
Nerve conduction studies 9-10 at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $496.80 | $68.54 – $662.40 |
| UPMC Bedford | Everett | $1,463.40 | $178.02 – $2,195.10 |
| UPMC Cole | Coudersport | $270.60 | $54.61 – $302.47 |
| UPMC Community Osteopathic | Harrisburg | $328.20 | $89.79 – $558.48 |
| UPMC Hamot | Erie | $2,133.00 | $73.05 – $720.95 |
| UPMC Northwest | Seneca | $1,864.80 | $186.49 – $531.15 |
| UPMC Hanover | Hanover | $328.20 | $89.79 – $811.01 |
| UPMC Horizon-Greenville | Greenville | $1,864.80 | $177.18 – $546.33 |