Prp i/hern init block >5 yr at UPMC Carlisle
361 Alexander Spring Road, Carlisle, PA · UPMC · · NPI 1689107328
not published by hospital
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.
not published by hospital
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.
$1,016.56 with United Healthcare Community Plan for Families vs $16,693.00 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 |
|---|---|---|---|
| United Healthcare Community Plan for Families | PA Medicaid | $1,016.56 | — |
| UPMC Work Partners | Workers Comp | $1,279.63 | — |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $1,856.78 | — |
| Highmark BCBS of PA | Community Blue Medicare Advantage/Complete Blue Medicare Advantage/Security Blue Medicare Advantage/Together Blue Medicare Advantage | $3,342.21 | — |
| Highmark BCBS of PA | Freedom Blue Medicare Advantage | $3,342.21 | — |
| Humana | Medicare | $3,375.97 | — |
| Aetna | Medicare | $3,521.14 | — |
| Geisinger | Medicare | $3,544.77 | — |
| Cigna | Medicare | $3,544.77 | — |
| United Healthcare | Medicare | $3,612.29 | — |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $3,646.05 | — |
| UPMC Health Plan | CHIP | $5,151.27 | — |
| Keystone Autism Services | ACAP | $5,401.55 | — |
| Highmark BCBS of PA | Community Blue PPO | $9,495.25 | — |
| Highmark BCBS of PA | CHIP - Managed Care | $9,896.99 | — |
| Highmark BCBS of PA | Commercial | $10,550.24 | — |
| Cigna | Commercial | $16,693.00 | — |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
| Tricare | East Region | not published by hospital | — |
| United Healthcare | Commercial | not published by hospital | — |
Visitor-reported prices
Comments
Prp i/hern init block >5 yr at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Cole | Coudersport | $883.80 | $408.32 – $1,677.17 |
| UPMC Community Osteopathic | Harrisburg | $1,536.60 | $114.60 – $5,151.27 |
| UPMC East | Monroeville | $9,009.00 | $1,326.21 – $12,012.00 |
| UPMC Mercy | Pittsburgh | $8,917.80 | $1,348.02 – $3,700.99 |
| UPMC Passavant-McCandless | Pittsburgh | $9,925.80 | $1,326.21 – $3,700.99 |
| UPMC Presbyterian | Pittsburgh | $12,411.60 | $931.20 – $3,700.99 |
| UPMC Somerset | Somerset | $1,536.60 | $557.75 – $3,364.54 |
| Uniontown Hospital | Uniontown | $2,236.00 | $3,470.33 – $8,085.87 |