Pt application of modality >=1 area electrical stimulation each 15 minutes at UPMC Carlisle
361 Alexander Spring Road, Carlisle, PA · UPMC · · NPI 1689107328
$147.00
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.
$245.00
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.
$16.58 with United Healthcare Community Plan for Families vs $387.00 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 | $16.58 | ↓ -89% |
| Prime Net | Managed Medicare | $21.37 | ↓ -85% |
| Aetna | Medicare | $25.74 | ↓ -82% |
| Capital Blue Cross | Medicare Advantage | $31.20 | ↓ -79% |
| Keystone Health Plan | Medicare Advantage | $31.20 | ↓ -79% |
| UPMC Work Partners | Workers Comp | $35.44 | ↓ -76% |
| Prime Net | Legacy Commercial | $60.84 | ↓ -59% |
| Prime Net | ACO | $61.31 | ↓ -58% |
| Aetna | ACO | $61.31 | ↓ -58% |
| Prime Net | NonGateKeeper | $72.54 | ↓ -51% |
| Aetna | Commercial | $73.01 | ↓ -50% |
| Prime Net | GateKeeper | $73.01 | ↓ -50% |
| Keystone Health Plan | Commercial | $85.33 | ↓ -42% |
| Capital Blue Cross | Commercial | $85.33 | ↓ -42% |
| Capital Blue Cross | CHIP | $85.33 | ↓ -42% |
| Geisinger | Medicaid/CHIP | $85.80 | ↓ -42% |
| PA Health & Wellness | PA Medicaid HMO | $85.80 | ↓ -42% |
| UPMC Health Plan | CHIP | $86.97 | ↓ -41% |
| Wellspan Population Health | PPO | $101.40 | ↓ -31% |
| Geisinger | Commercial | $102.15 | ↓ -31% |
| UPMC Health Plan | Commercial | $109.20 | ↓ -26% |
| Prime Net | FH-Medical Rental | $117.94 | ↓ -20% |
| Multiplan | PPO (Includes PHCS and Humana as Payers) | $132.60 | ↓ -10% |
| United Healthcare | Commercial | $148.00 | ↑ +1% |
| Cigna | Commercial | $387.00 | ↑ +163% |
Visitor-reported prices
Comments
Pt application of modality >=1 area electrical stimulation each 15 minutes at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $111.00 | $25.48 – $148.00 |
| UPMC Cole | Coudersport | $65.40 | $15.21 – $87.20 |
| UPMC East | Monroeville | $102.00 | $25.73 – $136.00 |
| UPMC Northwest | Seneca | $76.20 | $34.30 – $105.24 |
| UPMC Hanover | Hanover | $93.60 | $16.58 – $148.00 |
| UPMC Jameson | New Castle | $122.40 | $10.14 – $85.00 |
| UPMC Kane | Kane | $63.60 | $33.87 – $61.07 |
| UPMC Lititz | Lititz | $147.00 | $10.14 – $148.00 |