Pulse ox multiple at UPMC Carlisle
361 Alexander Spring Road, Carlisle, PA · UPMC · · NPI 1689107328
$102.00
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.
$170.00
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.
$4.90 with AmeriHealth Caritas vs $613.00 with United Healthcare — 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 |
|---|---|---|---|
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $4.90 | ↓ -95% |
| Highmark Wholecare (prev Gateway) | Medicaid | $4.90 | ↓ -95% |
| UPMC Health Plan | Managed Medicaid | $5.02 | ↓ -95% |
| United Healthcare Community Plan for Families | PA Medicaid | $5.06 | ↓ -95% |
| Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $5.26 | ↓ -95% |
| Geisinger | Medicaid/CHIP | $5.62 | ↓ -94% |
| PA Health & Wellness | PA Medicaid HMO | $6.58 | ↓ -94% |
| Prime Net | Managed Medicare | $23.29 | ↓ -77% |
| Aetna | Medicare | $28.05 | ↓ -73% |
| Keystone Health Plan | Medicare Advantage | $34.00 | ↓ -67% |
| Capital Blue Cross | Medicare Advantage | $34.00 | ↓ -67% |
| UPMC Work Partners | Workers Comp | $41.66 | ↓ -59% |
| UPMC Health Plan | CHIP | $43.23 | ↓ -58% |
| Prime Net | Legacy Commercial | $66.30 | ↓ -35% |
| Prime Net | ACO | $66.81 | ↓ -35% |
| Aetna | ACO | $66.81 | ↓ -35% |
| Prime Net | NonGateKeeper | $79.05 | ↓ -23% |
| Aetna | Commercial | $79.56 | ↓ -22% |
| Prime Net | GateKeeper | $79.56 | ↓ -22% |
| Capital Blue Cross | CHIP | $92.99 | ↓ -9% |
| Keystone Health Plan | Commercial | $92.99 | ↓ -9% |
| Capital Blue Cross | Commercial | $92.99 | ↓ -9% |
| Wellspan Population Health | PPO | $110.50 | ↑ +8% |
| Geisinger | Commercial | $111.32 | ↑ +9% |
| UPMC Health Plan | Commercial | $119.00 | ↑ +17% |
| Prime Net | FH-Medical Rental | $128.52 | ↑ +26% |
| Cigna | Commercial | $132.60 | ↑ +30% |
| Multiplan | PPO (Includes PHCS and Humana as Payers) | $144.50 | ↑ +42% |
| United Healthcare | Commercial | $613.00 | ↑ +501% |
Visitor-reported prices
Comments
Pulse ox multiple at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $148.80 | $3.86 – $198.40 |
| UPMC Bedford | Everett | $42.00 | $4.05 – $63.00 |
| UPMC Cole | Coudersport | $45.00 | $4.05 – $60.00 |
| UPMC Community Osteopathic | Harrisburg | $102.00 | $4.90 – $144.50 |
| UPMC East | Monroeville | $86.40 | $4.25 – $115.20 |
| UPMC Hamot | Erie | $163.80 | $4.25 – $43.53 |
| UPMC Northwest | Seneca | $97.20 | $4.25 – $43.71 |
| UPMC Hanover | Hanover | $102.00 | $4.90 – $613.00 |