Platelets pheresis leukocytes reduced each unit at UPMC Carlisle
361 Alexander Spring Road, Carlisle, PA · UPMC · · NPI 1689107328
$715.80
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.
$1,193.00
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.
$163.44 with Prime Net vs $1,559.99 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 | $163.44 | ↓ -77% |
| United Healthcare | Commercial | $202.25 | ↓ -72% |
| Capital Blue Cross | Medicare Advantage | $238.60 | ↓ -67% |
| Keystone Health Plan | Medicare Advantage | $238.60 | ↓ -67% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $256.28 | ↓ -64% |
| United Healthcare Community Plan for Families | PA Medicaid | $388.09 | ↓ -46% |
| Highmark BCBS of PA | Freedom Blue Medicare Advantage | $461.31 | ↓ -36% |
| Highmark BCBS of PA | Community Blue Medicare Advantage/Complete Blue Medicare Advantage/Security Blue Medicare Advantage/Together Blue Medicare Advantage | $461.31 | ↓ -36% |
| Prime Net | Legacy Commercial | $465.27 | ↓ -35% |
| Humana | Medicare | $465.97 | ↓ -35% |
| Aetna | ACO | $468.85 | ↓ -34% |
| Prime Net | ACO | $468.85 | ↓ -34% |
| Aetna | Medicare | $486.01 | ↓ -32% |
| Cigna | Medicare | $489.27 | ↓ -32% |
| Geisinger | Medicare | $489.27 | ↓ -32% |
| United Healthcare | Medicare | $498.59 | ↓ -30% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $503.25 | ↓ -30% |
| Prime Net | NonGateKeeper | $554.75 | ↓ -22% |
| Prime Net | GateKeeper | $558.32 | ↓ -22% |
| Aetna | Commercial | $558.32 | ↓ -22% |
| Capital Blue Cross | Commercial | $652.57 | ↓ -9% |
| Keystone Health Plan | Commercial | $652.57 | ↓ -9% |
| Capital Blue Cross | CHIP | $652.57 | ↓ -9% |
| PA Health & Wellness | PA Medicaid HMO | $656.15 | ↓ -8% |
| Geisinger | Medicaid/CHIP | $656.15 | ↓ -8% |
| Keystone Autism Services | ACAP | $745.55 | ↑ +4% |
| Wellspan Population Health | PPO | $775.45 | ↑ +8% |
| Geisinger | Commercial | $781.18 | ↑ +9% |
| UPMC Health Plan | Commercial | $835.10 | ↑ +17% |
| Prime Net | FH-Medical Rental | $901.91 | ↑ +26% |
| Cigna | Commercial | $930.54 | ↑ +30% |
| Multiplan | PPO (Includes PHCS and Humana as Payers) | $1,014.05 | ↑ +42% |
| Highmark BCBS of PA | Community Blue PPO | $1,310.59 | ↑ +83% |
| Highmark BCBS of PA | CHIP - Managed Care | $1,366.04 | ↑ +91% |
| Highmark BCBS of PA | Commercial | $1,456.20 | ↑ +103% |
| UPMC Health Plan | CHIP | $1,559.99 | ↑ +118% |
| Tricare | East Region | not published by hospital | — |
| UPMC Work Partners | Workers Comp | not published by hospital | — |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
Visitor-reported prices
Comments
Platelets pheresis leukocytes reduced each unit at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $1,444.20 | $473.58 – $1,925.60 |
| UPMC Bedford | Everett | $1,914.60 | $167.55 – $2,871.90 |
| UPMC Community Osteopathic | Harrisburg | $715.80 | $238.60 – $1,559.99 |
| UPMC East | Monroeville | $3,741.00 | $465.64 – $4,988.00 |
| UPMC Hamot | Erie | $2,521.20 | $485.10 – $864.34 |
| UPMC Northwest | Seneca | $1,644.00 | $421.16 – $501.54 |
| UPMC Hanover | Hanover | $715.80 | $388.09 – $1,559.99 |
| UPMC Horizon-Greenville | Greenville | $4,768.80 | $415.77 – $871.43 |