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Pelvic Ultrasound (limited) at UPMC Carlisle
361 Alexander Spring Road, Carlisle, PA · UPMC · · NPI 1689107328
$394.20
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.
$657.00
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.
$24.89 with United Healthcare Community Plan for Families vs $589.04 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 |
|---|---|---|---|
| United Healthcare Community Plan for Families | PA Medicaid | $24.89 | ↓ -94% |
| Highmark Wholecare (prev Gateway) | Medicaid | $40.64 | ↓ -90% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $40.64 | ↓ -90% |
| UPMC Health Plan | Managed Medicaid | $41.60 | ↓ -89% |
| Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $43.58 | ↓ -89% |
| Geisinger | Medicaid/CHIP | $46.61 | ↓ -88% |
| PA Health & Wellness | PA Medicaid HMO | $54.53 | ↓ -86% |
| Prime Net | Managed Medicare | $90.01 | ↓ -77% |
| Highmark BCBS of PA | Community Blue Medicare Advantage/Complete Blue Medicare Advantage/Security Blue Medicare Advantage/Together Blue Medicare Advantage | $100.71 | ↓ -74% |
| Highmark BCBS of PA | Freedom Blue Medicare Advantage | $100.71 | ↓ -74% |
| Humana | Medicare | $101.73 | ↓ -74% |
| Aetna | Medicare | $106.10 | ↓ -73% |
| Cigna | Medicare | $106.82 | ↓ -73% |
| Geisinger | Medicare | $106.82 | ↓ -73% |
| United Healthcare | Medicare | $108.85 | ↓ -72% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $109.87 | ↓ -72% |
| Keystone Health Plan | Medicare Advantage | $131.40 | ↓ -67% |
| Capital Blue Cross | Medicare Advantage | $131.40 | ↓ -67% |
| Premier Comp Solutions | Worker's Comp | $144.04 | ↓ -63% |
| UPMC Work Partners | Workers Comp | $144.04 | ↓ -63% |
| Keystone Autism Services | ACAP | $162.77 | ↓ -59% |
| UPMC Health Plan | CHIP | $208.43 | ↓ -47% |
| Prime Net | Legacy Commercial | $256.23 | ↓ -35% |
| Aetna | ACO | $258.20 | ↓ -35% |
| Prime Net | ACO | $258.20 | ↓ -35% |
| Highmark BCBS of PA | Community Blue PPO | $286.13 | ↓ -27% |
| Highmark BCBS of PA | CHIP - Managed Care | $298.23 | ↓ -24% |
| Prime Net | NonGateKeeper | $305.50 | ↓ -23% |
| Prime Net | GateKeeper | $307.48 | ↓ -22% |
| Aetna | Commercial | $307.48 | ↓ -22% |
| Highmark BCBS of PA | Commercial | $317.92 | ↓ -19% |
| Capital Blue Cross | CHIP | $359.38 | ↓ -9% |
| Keystone Health Plan | Commercial | $359.38 | ↓ -9% |
| Capital Blue Cross | Commercial | $359.38 | ↓ -9% |
| Wellspan Population Health | PPO | $427.05 | ↑ +8% |
| Geisinger | Commercial | $430.20 | ↑ +9% |
| UPMC Health Plan | Commercial | $459.90 | ↑ +17% |
| United Healthcare | Commercial | $483.55 | ↑ +23% |
| Prime Net | FH-Medical Rental | $496.69 | ↑ +26% |
| Multiplan | PPO (Includes PHCS and Humana as Payers) | $558.45 | ↑ +42% |
| Cigna | Commercial | $589.04 | ↑ +49% |
| Tricare | East Region | not published by hospital | — |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
Visitor-reported prices
Comments
Pelvic Ultrasound (limited) at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC East | Monroeville | $633.60 | $35.20 – $844.80 |
| UPMC Passavant-McCandless | Pittsburgh | $519.60 | $35.20 – $736.10 |
| UPMC Hamot | Erie | $462.00 | $35.20 – $508.90 |
| UPMC Altoona | Altoona | $436.80 | $19.00 – $582.40 |
| UPMC Bedford | Everett | $216.00 | $33.60 – $324.00 |
| UPMC Cole | Coudersport | $280.20 | $33.60 – $373.60 |
| UPMC Community Osteopathic | Harrisburg | $394.20 | $24.89 – $301.75 |
| UPMC Hanover | Hanover | $394.20 | $24.89 – $571.59 |