Ot manual therpy techniques >=1 region each 15 minutes at UPMC Carlisle
361 Alexander Spring Road, Carlisle, PA · UPMC · · NPI 1689107328
$160.80
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.
$268.00
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.
$11.37 with Prime Net vs $387.00 with Cigna — 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 | $11.37 | ↓ -93% |
| Aetna | Medicare | $13.70 | ↓ -91% |
| Capital Blue Cross | Medicare Advantage | $16.60 | ↓ -90% |
| Keystone Health Plan | Medicare Advantage | $16.60 | ↓ -90% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $26.71 | ↓ -83% |
| Highmark Wholecare (prev Gateway) | Medicaid | $26.71 | ↓ -83% |
| UPMC Health Plan | Managed Medicaid | $27.34 | ↓ -83% |
| United Healthcare Community Plan for Families | PA Medicaid | $27.55 | ↓ -83% |
| Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $28.64 | ↓ -82% |
| Geisinger | Medicaid/CHIP | $30.63 | ↓ -81% |
| Prime Net | Legacy Commercial | $32.37 | ↓ -80% |
| Aetna | ACO | $32.62 | ↓ -80% |
| Prime Net | ACO | $32.62 | ↓ -80% |
| PA Health & Wellness | PA Medicaid HMO | $35.84 | ↓ -78% |
| Prime Net | NonGateKeeper | $38.59 | ↓ -76% |
| Prime Net | GateKeeper | $38.84 | ↓ -76% |
| Aetna | Commercial | $38.84 | ↓ -76% |
| Capital Blue Cross | Commercial | $45.40 | ↓ -72% |
| Keystone Health Plan | Commercial | $45.40 | ↓ -72% |
| Capital Blue Cross | CHIP | $45.40 | ↓ -72% |
| UPMC Work Partners | Workers Comp | $49.02 | ↓ -70% |
| Wellspan Population Health | PPO | $53.95 | ↓ -66% |
| Geisinger | Commercial | $54.35 | ↓ -66% |
| UPMC Health Plan | Commercial | $58.10 | ↓ -64% |
| Prime Net | FH-Medical Rental | $62.75 | ↓ -61% |
| Multiplan | PPO (Includes PHCS and Humana as Payers) | $70.55 | ↓ -56% |
| UPMC Health Plan | CHIP | $81.59 | ↓ -49% |
| United Healthcare | Commercial | $148.00 | ↓ -8% |
| Cigna | Commercial | $387.00 | ↑ +141% |
Visitor-reported prices
Comments
Ot manual therpy techniques >=1 region each 15 minutes at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Bedford | Everett | $75.00 | $22.08 – $112.50 |
| UPMC Cole | Coudersport | $70.20 | $22.08 – $92.80 |
| UPMC Community Osteopathic | Harrisburg | $60.60 | $16.60 – $81.59 |
| UPMC East | Monroeville | $83.40 | $23.13 – $111.20 |
| UPMC Hamot | Erie | $67.80 | $23.13 – $100.11 |
| UPMC Northwest | Seneca | $60.00 | $23.13 – $62.72 |
| UPMC Hanover | Hanover | $160.80 | $26.71 – $148.00 |
| UPMC Jameson | New Castle | $62.40 | $18.81 – $85.00 |