Pt application of modality >=1 area ultrasound each 15 minutes at UPMC Carlisle
361 Alexander Spring Road, Carlisle, PA · UPMC · · NPI 1689107328
$155.40
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.
$259.00
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.
$13.69 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 | $13.69 | ↓ -91% |
| Prime Net | Managed Medicare | $13.97 | ↓ -91% |
| Aetna | Medicare | $16.83 | ↓ -89% |
| Capital Blue Cross | Medicare Advantage | $20.40 | ↓ -87% |
| Keystone Health Plan | Medicare Advantage | $20.40 | ↓ -87% |
| UPMC Work Partners | Workers Comp | $29.24 | ↓ -81% |
| Prime Net | Legacy Commercial | $39.78 | ↓ -74% |
| Prime Net | ACO | $40.09 | ↓ -74% |
| Aetna | ACO | $40.09 | ↓ -74% |
| Prime Net | NonGateKeeper | $47.43 | ↓ -69% |
| Aetna | Commercial | $47.74 | ↓ -69% |
| Prime Net | GateKeeper | $47.74 | ↓ -69% |
| Keystone Health Plan | Commercial | $55.79 | ↓ -64% |
| Capital Blue Cross | Commercial | $55.79 | ↓ -64% |
| Capital Blue Cross | CHIP | $55.79 | ↓ -64% |
| Geisinger | Medicaid/CHIP | $56.10 | ↓ -64% |
| PA Health & Wellness | PA Medicaid HMO | $56.10 | ↓ -64% |
| Wellspan Population Health | PPO | $66.30 | ↓ -57% |
| Geisinger | Commercial | $66.79 | ↓ -57% |
| UPMC Health Plan | Commercial | $71.40 | ↓ -54% |
| Prime Net | FH-Medical Rental | $77.11 | ↓ -50% |
| UPMC Health Plan | CHIP | $86.69 | ↓ -44% |
| Multiplan | PPO (Includes PHCS and Humana as Payers) | $86.70 | ↓ -44% |
| United Healthcare | Commercial | $148.00 | ↓ -5% |
| Cigna | Commercial | $387.00 | ↑ +149% |
Visitor-reported prices
Comments
Pt application of modality >=1 area ultrasound each 15 minutes at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Cole | Coudersport | $96.00 | $14.78 – $128.00 |
| UPMC East | Monroeville | $102.00 | $25.73 – $136.00 |
| UPMC Hanover | Hanover | $132.00 | $13.69 – $148.00 |
| UPMC Kane | Kane | $90.60 | $27.94 – $60.68 |
| UPMC Lititz | Lititz | $132.00 | $9.85 – $148.00 |
| UPMC Memorial | York | $132.00 | $9.85 – $148.00 |
| UPMC Muncy | Muncy | $101.40 | $13.38 – $31.80 |
| UPMC Wellsboro | Wellsboro | $122.40 | $13.38 – $24.37 |