Polysomnography sleep staging >=4 parameters age >=6 years w/cpap bipap at UPMC Carlisle
361 Alexander Spring Road, Carlisle, PA · UPMC · · NPI 1689107328
$4,898.40
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.
$8,164.00
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.
$678.15 with United Healthcare Community Plan for Families vs $6,939.40 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 |
|---|---|---|---|
| United Healthcare Community Plan for Families | PA Medicaid | $678.15 | ↓ -86% |
| Highmark Wholecare (prev Gateway) | Medicaid | $822.40 | ↓ -83% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $822.40 | ↓ -83% |
| UPMC Health Plan | Managed Medicaid | $841.83 | ↓ -83% |
| Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $881.98 | ↓ -82% |
| Geisinger | Medicaid/CHIP | $943.24 | ↓ -81% |
| Highmark BCBS of PA | Community Blue Medicare Advantage/Complete Blue Medicare Advantage/Security Blue Medicare Advantage/Together Blue Medicare Advantage | $963.53 | ↓ -80% |
| Highmark BCBS of PA | Freedom Blue Medicare Advantage | $963.53 | ↓ -80% |
| Humana | Medicare | $973.26 | ↓ -80% |
| Aetna | Medicare | $1,015.11 | ↓ -79% |
| Cigna | Medicare | $1,021.92 | ↓ -79% |
| Geisinger | Medicare | $1,021.92 | ↓ -79% |
| United Healthcare | Medicare | $1,041.39 | ↓ -79% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $1,051.12 | ↓ -79% |
| PA Health & Wellness | PA Medicaid HMO | $1,103.57 | ↓ -77% |
| UPMC Work Partners | Workers Comp | $1,117.02 | ↓ -77% |
| Prime Net | Managed Medicare | $1,118.47 | ↓ -77% |
| Keystone Autism Services | ACAP | $1,557.22 | ↓ -68% |
| Keystone Health Plan | Medicare Advantage | $1,632.80 | ↓ -67% |
| Capital Blue Cross | Medicare Advantage | $1,632.80 | ↓ -67% |
| UPMC Health Plan | CHIP | $1,749.72 | ↓ -64% |
| Highmark BCBS of PA | Community Blue PPO | $2,737.39 | ↓ -44% |
| Highmark BCBS of PA | CHIP - Managed Care | $2,853.21 | ↓ -42% |
| Highmark BCBS of PA | Commercial | $3,041.53 | ↓ -38% |
| Prime Net | Legacy Commercial | $3,183.96 | ↓ -35% |
| Prime Net | ACO | $3,208.45 | ↓ -35% |
| Aetna | ACO | $3,208.45 | ↓ -35% |
| Prime Net | NonGateKeeper | $3,796.26 | ↓ -23% |
| Aetna | Commercial | $3,820.75 | ↓ -22% |
| Prime Net | GateKeeper | $3,820.75 | ↓ -22% |
| United Healthcare | Commercial | $3,865.00 | ↓ -21% |
| Capital Blue Cross | Commercial | $4,465.71 | ↓ -9% |
| Keystone Health Plan | Commercial | $4,465.71 | ↓ -9% |
| Capital Blue Cross | CHIP | $4,465.71 | ↓ -9% |
| Wellspan Population Health | PPO | $5,306.60 | ↑ +8% |
| Geisinger | Commercial | $5,345.79 | ↑ +9% |
| UPMC Health Plan | Commercial | $5,714.80 | ↑ +17% |
| Prime Net | FH-Medical Rental | $6,171.98 | ↑ +26% |
| Cigna | Commercial | $6,367.92 | ↑ +30% |
| Multiplan | PPO (Includes PHCS and Humana as Payers) | $6,939.40 | ↑ +42% |
| Tricare | East Region | not published by hospital | — |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
Visitor-reported prices
Comments
Polysomnography sleep staging >=4 parameters age >=6 years w/cpap bipap at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $2,547.00 | $517.67 – $3,396.00 |
| UPMC Bedford | Everett | $3,496.20 | $349.96 – $5,244.30 |
| UPMC Hamot | Erie | $2,308.20 | $292.41 – $1,349.45 |
| UPMC Hanover | Hanover | $4,898.40 | $678.15 – $1,555.06 |
| UPMC Horizon-Greenville | Greenville | $3,305.40 | $679.94 – $1,375.62 |
| UPMC Jameson | New Castle | $3,108.60 | $577.18 – $1,212.45 |
| UPMC Lititz | Lititz | $4,898.40 | $678.15 – $1,563.46 |
| UPMC Memorial | York | $4,898.40 | $462.27 – $1,560.93 |