Red blood cells each unit at UPMC Carlisle
361 Alexander Spring Road, Carlisle, PA · UPMC · · NPI 1689107328
$200.40
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.
$334.00
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.
$38.10 with Highmark Wholecare (prev Gateway) vs $2,411.64 with UPMC Health Plan — 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 |
|---|---|---|---|
| Highmark Wholecare (prev Gateway) | Medicaid | $38.10 | ↓ -81% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $38.10 | ↓ -81% |
| UPMC Health Plan | Managed Medicaid | $39.00 | ↓ -81% |
| United Healthcare Community Plan for Families | PA Medicaid | $39.30 | ↓ -80% |
| Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $40.86 | ↓ -80% |
| Geisinger | Medicaid/CHIP | $43.70 | ↓ -78% |
| Prime Net | Managed Medicare | $45.76 | ↓ -77% |
| PA Health & Wellness | PA Medicaid HMO | $51.13 | ↓ -74% |
| Capital Blue Cross | Medicare Advantage | $66.80 | ↓ -67% |
| Keystone Health Plan | Medicare Advantage | $66.80 | ↓ -67% |
| Prime Net | Legacy Commercial | $130.26 | ↓ -35% |
| Prime Net | ACO | $131.26 | ↓ -35% |
| Aetna | ACO | $131.26 | ↓ -35% |
| Highmark BCBS of PA | Community Blue Medicare Advantage/Complete Blue Medicare Advantage/Security Blue Medicare Advantage/Together Blue Medicare Advantage | $136.68 | ↓ -32% |
| Highmark BCBS of PA | Freedom Blue Medicare Advantage | $136.68 | ↓ -32% |
| Humana | Medicare | $138.06 | ↓ -31% |
| Aetna | Medicare | $144.00 | ↓ -28% |
| Cigna | Medicare | $144.96 | ↓ -28% |
| Geisinger | Medicare | $144.96 | ↓ -28% |
| United Healthcare | Medicare | $147.72 | ↓ -26% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $149.10 | ↓ -26% |
| Prime Net | NonGateKeeper | $155.31 | ↓ -23% |
| Aetna | Commercial | $156.31 | ↓ -22% |
| Prime Net | GateKeeper | $156.31 | ↓ -22% |
| Keystone Health Plan | Commercial | $182.70 | ↓ -9% |
| Capital Blue Cross | Commercial | $182.70 | ↓ -9% |
| Capital Blue Cross | CHIP | $182.70 | ↓ -9% |
| UPMC Work Partners | Workers Comp | $198.09 | ↓ -1% |
| United Healthcare | Commercial | $202.25 | ↑ +1% |
| Wellspan Population Health | PPO | $217.10 | ↑ +8% |
| Geisinger | Commercial | $218.70 | ↑ +9% |
| Keystone Autism Services | ACAP | $220.90 | ↑ +10% |
| UPMC Health Plan | Commercial | $233.80 | ↑ +17% |
| Prime Net | FH-Medical Rental | $252.50 | ↑ +26% |
| Cigna | Commercial | $260.52 | ↑ +30% |
| Multiplan | PPO (Includes PHCS and Humana as Payers) | $283.90 | ↑ +42% |
| Highmark BCBS of PA | Community Blue PPO | $388.31 | ↑ +94% |
| Highmark BCBS of PA | CHIP - Managed Care | $404.74 | ↑ +102% |
| Highmark BCBS of PA | Commercial | $431.45 | ↑ +115% |
| UPMC Health Plan | CHIP | $2,411.64 | ↑ +1103% |
| Tricare | East Region | not published by hospital | — |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
Visitor-reported prices
Comments
Red blood cells each unit at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $462.60 | $30.00 – $616.80 |
| UPMC Bedford | Everett | $525.60 | $31.50 – $788.40 |
| UPMC Community Osteopathic | Harrisburg | $200.40 | $38.10 – $2,411.64 |
| UPMC East | Monroeville | $375.00 | $33.00 – $500.00 |
| UPMC Hamot | Erie | $360.00 | $33.00 – $189.29 |
| UPMC Northwest | Seneca | $1,855.20 | $33.00 – $189.29 |
| UPMC Hanover | Hanover | $200.40 | $38.10 – $220.59 |
| UPMC Jameson | New Castle | $209.40 | $33.00 – $189.29 |