Pt wheelchair management each 15 minutes at UPMC Carlisle
361 Alexander Spring Road, Carlisle, PA · UPMC · · NPI 1689107328
$60.60
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.
$101.00
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.
$11.92 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 | $11.92 | ↓ -80% |
| Aetna | Medicare | $14.36 | ↓ -76% |
| Capital Blue Cross | Medicare Advantage | $17.40 | ↓ -71% |
| Keystone Health Plan | Medicare Advantage | $17.40 | ↓ -71% |
| United Healthcare Community Plan for Families | PA Medicaid | $25.73 | ↓ -58% |
| Prime Net | Legacy Commercial | $33.93 | ↓ -44% |
| Aetna | ACO | $34.19 | ↓ -44% |
| Prime Net | ACO | $34.19 | ↓ -44% |
| UPMC Work Partners | Workers Comp | $36.97 | ↓ -39% |
| Prime Net | NonGateKeeper | $40.45 | ↓ -33% |
| Aetna | Commercial | $40.72 | ↓ -33% |
| Prime Net | GateKeeper | $40.72 | ↓ -33% |
| Keystone Health Plan | Commercial | $47.59 | ↓ -21% |
| Capital Blue Cross | Commercial | $47.59 | ↓ -21% |
| Capital Blue Cross | CHIP | $47.59 | ↓ -21% |
| Geisinger | Medicaid/CHIP | $47.85 | ↓ -21% |
| PA Health & Wellness | PA Medicaid HMO | $47.85 | ↓ -21% |
| Wellspan Population Health | PPO | $56.55 | ↓ -7% |
| Geisinger | Commercial | $56.97 | ↓ -6% |
| UPMC Health Plan | Commercial | $60.90 | ↑ +0% |
| Prime Net | FH-Medical Rental | $65.77 | ↑ +9% |
| UPMC Health Plan | CHIP | $69.38 | ↑ +14% |
| Multiplan | PPO (Includes PHCS and Humana as Payers) | $73.95 | ↑ +22% |
| United Healthcare | Commercial | $148.00 | ↑ +144% |
| Cigna | Commercial | $387.00 | ↑ +539% |
Visitor-reported prices
Comments
Pt wheelchair management each 15 minutes at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $121.80 | $25.48 – $162.40 |
| UPMC Cole | Coudersport | $72.00 | $30.81 – $96.00 |
| UPMC Community Osteopathic | Harrisburg | $60.60 | $20.20 – $85.85 |
| UPMC East | Monroeville | $87.60 | $25.73 – $116.80 |
| UPMC Hamot | Erie | $141.60 | $25.48 – $100.11 |
| UPMC Northwest | Seneca | $67.20 | $35.84 – $83.96 |
| UPMC Hanover | Hanover | $60.60 | $25.73 – $148.00 |
| UPMC Jameson | New Castle | $129.60 | $22.07 – $85.00 |