Pt therapeutic procedure >=1 area massage each 15 minutes at UPMC Carlisle
361 Alexander Spring Road, Carlisle, PA · UPMC · · NPI 1689107328
$73.80
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.
$123.00
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.
$16.85 with Prime Net 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 |
|---|---|---|---|
| Prime Net | Managed Medicare | $16.85 | ↓ -77% |
| Aetna | Medicare | $20.30 | ↓ -72% |
| Highmark Wholecare (prev Gateway) | Medicaid | $21.27 | ↓ -71% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $21.27 | ↓ -71% |
| UPMC Health Plan | Managed Medicaid | $21.77 | ↓ -71% |
| United Healthcare Community Plan for Families | PA Medicaid | $21.94 | ↓ -70% |
| Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $22.81 | ↓ -69% |
| Geisinger | Medicaid/CHIP | $24.40 | ↓ -67% |
| Keystone Health Plan | Medicare Advantage | $24.60 | ↓ -67% |
| Capital Blue Cross | Medicare Advantage | $24.60 | ↓ -67% |
| PA Health & Wellness | PA Medicaid HMO | $28.55 | ↓ -61% |
| UPMC Work Partners | Workers Comp | $35.83 | ↓ -51% |
| Prime Net | Legacy Commercial | $47.97 | ↓ -35% |
| Prime Net | ACO | $48.34 | ↓ -34% |
| Aetna | ACO | $48.34 | ↓ -34% |
| Prime Net | NonGateKeeper | $57.20 | ↓ -22% |
| Aetna | Commercial | $57.56 | ↓ -22% |
| Prime Net | GateKeeper | $57.56 | ↓ -22% |
| Capital Blue Cross | CHIP | $67.28 | ↓ -9% |
| Keystone Health Plan | Commercial | $67.28 | ↓ -9% |
| Capital Blue Cross | Commercial | $67.28 | ↓ -9% |
| Wellspan Population Health | PPO | $79.95 | ↑ +8% |
| Geisinger | Commercial | $80.54 | ↑ +9% |
| UPMC Health Plan | Commercial | $86.10 | ↑ +17% |
| Prime Net | FH-Medical Rental | $92.99 | ↑ +26% |
| Multiplan | PPO (Includes PHCS and Humana as Payers) | $104.55 | ↑ +42% |
| United Healthcare | Commercial | $193.00 | ↑ +162% |
| Cigna | Commercial | $387.00 | ↑ +424% |
Visitor-reported prices
Comments
Pt therapeutic procedure >=1 area massage each 15 minutes at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Bedford | Everett | $75.00 | $17.59 – $112.50 |
| UPMC Cole | Coudersport | $65.40 | $17.59 – $87.20 |
| UPMC Community Osteopathic | Harrisburg | $73.80 | $21.27 – $104.55 |
| UPMC East | Monroeville | $102.60 | $18.43 – $136.80 |
| UPMC Hamot | Erie | $66.60 | $18.43 – $105.38 |
| UPMC Northwest | Seneca | $105.00 | $18.43 – $66.14 |
| UPMC Hanover | Hanover | $73.80 | $21.27 – $193.00 |
| UPMC Jameson | New Castle | $60.00 | $18.43 – $85.00 |