Oncoprotein dcp at UPMC Carlisle
361 Alexander Spring Road, Carlisle, PA · UPMC · · NPI 1689107328
$233.40
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.
$389.00
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.
$53.29 with Prime Net vs $420.22 with UPMC Health Plan — 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 | $53.29 | ↓ -77% |
| Highmark BCBS of PA | Freedom Blue Medicare Advantage | $63.77 | ↓ -73% |
| Highmark BCBS of PA | Community Blue Medicare Advantage/Complete Blue Medicare Advantage/Security Blue Medicare Advantage/Together Blue Medicare Advantage | $63.77 | ↓ -73% |
| Humana | Medicare | $64.41 | ↓ -72% |
| UPMC Work Partners | Workers Comp | $66.62 | ↓ -71% |
| Aetna | Medicare | $67.18 | ↓ -71% |
| Cigna | Medicare | $67.63 | ↓ -71% |
| Geisinger | Medicare | $67.63 | ↓ -71% |
| United Healthcare | Medicare | $68.92 | ↓ -70% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $69.56 | ↓ -70% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $73.81 | ↓ -68% |
| Keystone Health Plan | Medicare Advantage | $77.80 | ↓ -67% |
| Capital Blue Cross | Medicare Advantage | $77.80 | ↓ -67% |
| Highmark Wholecare (prev Gateway) | Medicaid | $93.74 | ↓ -60% |
| United Healthcare | Commercial | $95.42 | ↓ -59% |
| UPMC Health Plan | Managed Medicaid | $95.95 | ↓ -59% |
| United Healthcare Community Plan for Families | PA Medicaid | $96.69 | ↓ -59% |
| Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $100.53 | ↓ -57% |
| Keystone Autism Services | ACAP | $103.06 | ↓ -56% |
| Geisinger | Medicaid/CHIP | $107.51 | ↓ -54% |
| PA Health & Wellness | PA Medicaid HMO | $125.79 | ↓ -46% |
| Prime Net | Legacy Commercial | $151.71 | ↓ -35% |
| Aetna | ACO | $152.88 | ↓ -34% |
| Prime Net | ACO | $152.88 | ↓ -34% |
| Cigna | Commercial | $167.48 | ↓ -28% |
| Prime Net | NonGateKeeper | $180.88 | ↓ -23% |
| Highmark BCBS of PA | Community Blue PPO | $181.16 | ↓ -22% |
| Aetna | Commercial | $182.05 | ↓ -22% |
| Prime Net | GateKeeper | $182.05 | ↓ -22% |
| Highmark BCBS of PA | CHIP - Managed Care | $188.82 | ↓ -19% |
| Highmark BCBS of PA | Commercial | $201.29 | ↓ -14% |
| Capital Blue Cross | Commercial | $212.78 | ↓ -9% |
| Keystone Health Plan | Commercial | $212.78 | ↓ -9% |
| Capital Blue Cross | CHIP | $212.78 | ↓ -9% |
| Wellspan Population Health | PPO | $252.85 | ↑ +8% |
| Geisinger | Commercial | $254.72 | ↑ +9% |
| UPMC Health Plan | Commercial | $272.30 | ↑ +17% |
| Prime Net | FH-Medical Rental | $294.08 | ↑ +26% |
| Multiplan | PPO (Includes PHCS and Humana as Payers) | $330.65 | ↑ +42% |
| UPMC Health Plan | CHIP | $420.22 | ↑ +80% |
Visitor-reported prices
Comments
Oncoprotein dcp at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Community Osteopathic | Harrisburg | $233.40 | $63.77 – $420.22 |
| UPMC Hanover | Hanover | $233.40 | $63.77 – $103.06 |
| UPMC Lititz | Lititz | $233.40 | $63.77 – $103.06 |
| UPMC Memorial | York | $233.40 | $66.62 – $465.93 |
| UPMC Passavant-McCandless | Pittsburgh | $571.80 | $59.86 – $176.47 |
| UPMC Somerset | Somerset | $233.40 | $63.66 – $102.59 |
| UPMC Williamsport | Williamsport | $861.60 | $63.66 – $94.48 |