Radiation treatment delivery at UPMC Carlisle
361 Alexander Spring Road, Carlisle, PA · UPMC · · NPI 1689107328
$1,750.80
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.
?
What you pay up front if you don't use insurance.
$2,918.00
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.
?
The hospital's undiscounted list price — almost no one pays this.
$55.88 with Highmark Wholecare (prev Gateway) vs $26,132.00 with United Healthcare — same scan, same building. Share
Negotiated rates by payer
?
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 →
?
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 |
|---|---|---|---|
| Highmark Wholecare (prev Gateway) | Medicaid | $55.88 | ↓ -97% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $55.88 | ↓ -97% |
| UPMC Health Plan | Managed Medicaid | $57.20 | ↓ -97% |
| United Healthcare Community Plan for Families | PA Medicaid | $57.64 | ↓ -97% |
| Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $59.93 | ↓ -97% |
| Geisinger | Medicaid/CHIP | $64.09 | ↓ -96% |
| PA Health & Wellness | PA Medicaid HMO | $74.98 | ↓ -96% |
| UPMC Work Partners | Workers Comp | $203.63 | ↓ -88% |
| Highmark BCBS of PA | Freedom Blue Medicare Advantage | $249.05 | ↓ -86% |
| Highmark BCBS of PA | Community Blue Medicare Advantage/Complete Blue Medicare Advantage/Security Blue Medicare Advantage/Together Blue Medicare Advantage | $249.05 | ↓ -86% |
| Humana | Medicare | $251.57 | ↓ -86% |
| Aetna | Medicare | $262.39 | ↓ -85% |
| Cigna | Medicare | $264.15 | ↓ -85% |
| Geisinger | Medicare | $264.15 | ↓ -85% |
| United Healthcare | Medicare | $269.18 | ↓ -85% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $271.70 | ↓ -84% |
| UPMC Health Plan | CHIP | $305.82 | ↓ -83% |
| Prime Net | Managed Medicare | $399.77 | ↓ -77% |
| Keystone Autism Services | ACAP | $402.51 | ↓ -77% |
| Keystone Health Plan | Medicare Advantage | $583.60 | ↓ -67% |
| Capital Blue Cross | Medicare Advantage | $583.60 | ↓ -67% |
| Highmark BCBS of PA | Community Blue PPO | $707.57 | ↓ -60% |
| Highmark BCBS of PA | CHIP - Managed Care | $737.50 | ↓ -58% |
| Highmark BCBS of PA | Commercial | $786.18 | ↓ -55% |
| Prime Net | Legacy Commercial | $1,138.02 | ↓ -35% |
| Prime Net | ACO | $1,146.77 | ↓ -35% |
| Aetna | ACO | $1,146.77 | ↓ -35% |
| Cigna | Commercial | $1,242.19 | ↓ -29% |
| Prime Net | NonGateKeeper | $1,356.87 | ↓ -23% |
| Aetna | Commercial | $1,365.62 | ↓ -22% |
| Prime Net | GateKeeper | $1,365.62 | ↓ -22% |
| Capital Blue Cross | CHIP | $1,596.15 | ↓ -9% |
| Keystone Health Plan | Commercial | $1,596.15 | ↓ -9% |
| Capital Blue Cross | Commercial | $1,596.15 | ↓ -9% |
| Wellspan Population Health | PPO | $1,896.70 | ↑ +8% |
| Geisinger | Commercial | $1,910.71 | ↑ +9% |
| UPMC Health Plan | Commercial | $2,042.60 | ↑ +17% |
| Prime Net | FH-Medical Rental | $2,206.01 | ↑ +26% |
| Multiplan | PPO (Includes PHCS and Humana as Payers) | $2,480.30 | ↑ +42% |
| United Healthcare | Commercial | $26,132.00 | ↑ +1393% |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
| Tricare | East Region | not published by hospital | — |
Visitor-reported prices
Comments
Radiation treatment delivery at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $600.00 | $44.00 – $800.00 |
| UPMC Community Osteopathic | Harrisburg | $1,750.80 | $55.88 – $2,480.30 |
| UPMC East | Monroeville | $431.40 | $48.40 – $575.20 |
| UPMC Northwest | Seneca | $952.80 | $48.40 – $263.26 |
| UPMC Horizon-Greenville | Greenville | $952.80 | $48.40 – $270.78 |
| UPMC Lititz | Lititz | $1,750.80 | $55.88 – $404.13 |
| UPMC Magee | Pittsburgh | $1,702.80 | $48.40 – $270.78 |
| UPMC McKeesport | Mckeesport | $642.60 | $48.40 – $275.79 |