Phosphorus at UPMC Carlisle
361 Alexander Spring Road, Carlisle, PA · UPMC · · NPI 1689107328
$24.00
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.
$40.00
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.
$4.69 with Highmark BCBS of PA vs $34.00 with Multiplan — 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 |
|---|---|---|---|
| Highmark BCBS of PA | Freedom Blue Medicare Advantage | $4.69 | ↓ -80% |
| Highmark BCBS of PA | Community Blue Medicare Advantage/Complete Blue Medicare Advantage/Security Blue Medicare Advantage/Together Blue Medicare Advantage | $4.69 | ↓ -80% |
| Humana | Medicare | $4.74 | ↓ -80% |
| UPMC Work Partners | Workers Comp | $4.91 | ↓ -80% |
| Aetna | Medicare | $4.94 | ↓ -79% |
| Geisinger | Medicare | $4.98 | ↓ -79% |
| Cigna | Medicare | $4.98 | ↓ -79% |
| United Healthcare | Medicare | $5.07 | ↓ -79% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $5.12 | ↓ -79% |
| Prime Net | Managed Medicare | $5.48 | ↓ -77% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $6.55 | ↓ -73% |
| Keystone Autism Services | ACAP | $7.58 | ↓ -68% |
| Capital Blue Cross | Medicare Advantage | $8.00 | ↓ -67% |
| Keystone Health Plan | Medicare Advantage | $8.00 | ↓ -67% |
| Highmark Wholecare (prev Gateway) | Medicaid | $8.32 | ↓ -65% |
| UPMC Health Plan | Managed Medicaid | $8.52 | ↓ -65% |
| United Healthcare Community Plan for Families | PA Medicaid | $8.58 | ↓ -64% |
| Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $8.92 | ↓ -63% |
| Geisinger | Medicaid/CHIP | $9.54 | ↓ -60% |
| PA Health & Wellness | PA Medicaid HMO | $11.16 | ↓ -54% |
| Cigna | Commercial | $12.32 | ↓ -49% |
| Highmark BCBS of PA | Community Blue PPO | $13.33 | ↓ -44% |
| Highmark BCBS of PA | CHIP - Managed Care | $13.90 | ↓ -42% |
| Highmark BCBS of PA | Commercial | $14.81 | ↓ -38% |
| United Healthcare | Commercial | $15.29 | ↓ -36% |
| Prime Net | Legacy Commercial | $15.60 | ↓ -35% |
| Aetna | ACO | $15.72 | ↓ -35% |
| Prime Net | ACO | $15.72 | ↓ -35% |
| UPMC Health Plan | CHIP | $16.13 | ↓ -33% |
| Prime Net | NonGateKeeper | $18.60 | ↓ -23% |
| Aetna | Commercial | $18.72 | ↓ -22% |
| Prime Net | GateKeeper | $18.72 | ↓ -22% |
| Capital Blue Cross | Commercial | $21.88 | ↓ -9% |
| Capital Blue Cross | CHIP | $21.88 | ↓ -9% |
| Keystone Health Plan | Commercial | $21.88 | ↓ -9% |
| Wellspan Population Health | PPO | $26.00 | ↑ +8% |
| Geisinger | Commercial | $26.19 | ↑ +9% |
| UPMC Health Plan | Commercial | $28.00 | ↑ +17% |
| Prime Net | FH-Medical Rental | $30.24 | ↑ +26% |
| Multiplan | PPO (Includes PHCS and Humana as Payers) | $34.00 | ↑ +42% |
Visitor-reported prices
Comments
Phosphorus at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $61.80 | $4.69 – $82.40 |
| UPMC Bedford | Everett | $33.00 | $1.71 – $49.50 |
| UPMC Cole | Coudersport | $37.80 | $3.08 – $50.40 |
| UPMC Community Osteopathic | Harrisburg | $24.60 | $4.69 – $34.00 |
| UPMC East | Monroeville | $70.80 | $4.44 – $94.40 |
| UPMC Hamot | Erie | $98.40 | $4.69 – $9.15 |
| UPMC Northwest | Seneca | $37.20 | $4.30 – $7.53 |
| UPMC Hanover | Hanover | $24.00 | $4.69 – $8.92 |