Red blood cells leukocytes reduced irradiated each unit at UPMC Carlisle
361 Alexander Spring Road, Carlisle, PA · UPMC · · NPI 1689107328
$376.80
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.
$628.00
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.
$86.04 with Prime Net vs $929.71 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 |
|---|---|---|---|
| Prime Net | Managed Medicare | $86.04 | ↓ -77% |
| Capital Blue Cross | Medicare Advantage | $125.60 | ↓ -67% |
| Keystone Health Plan | Medicare Advantage | $125.60 | ↓ -67% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $134.59 | ↓ -64% |
| United Healthcare | Commercial | $202.25 | ↓ -46% |
| United Healthcare Community Plan for Families | PA Medicaid | $207.06 | ↓ -45% |
| Highmark BCBS of PA | Freedom Blue Medicare Advantage | $242.25 | ↓ -36% |
| Highmark BCBS of PA | Community Blue Medicare Advantage/Complete Blue Medicare Advantage/Security Blue Medicare Advantage/Together Blue Medicare Advantage | $242.25 | ↓ -36% |
| Humana | Medicare | $244.70 | ↓ -35% |
| Prime Net | Legacy Commercial | $244.92 | ↓ -35% |
| Aetna | ACO | $246.80 | ↓ -35% |
| Prime Net | ACO | $246.80 | ↓ -35% |
| Aetna | Medicare | $255.22 | ↓ -32% |
| Cigna | Medicare | $256.94 | ↓ -32% |
| Geisinger | Medicare | $256.94 | ↓ -32% |
| United Healthcare | Medicare | $261.83 | ↓ -31% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $264.28 | ↓ -30% |
| Prime Net | NonGateKeeper | $292.02 | ↓ -23% |
| Prime Net | GateKeeper | $293.90 | ↓ -22% |
| Aetna | Commercial | $293.90 | ↓ -22% |
| Capital Blue Cross | Commercial | $343.52 | ↓ -9% |
| Keystone Health Plan | Commercial | $343.52 | ↓ -9% |
| Capital Blue Cross | CHIP | $343.52 | ↓ -9% |
| PA Health & Wellness | PA Medicaid HMO | $345.40 | ↓ -8% |
| Geisinger | Medicaid/CHIP | $345.40 | ↓ -8% |
| Keystone Autism Services | ACAP | $391.52 | ↑ +4% |
| Wellspan Population Health | PPO | $408.20 | ↑ +8% |
| Geisinger | Commercial | $411.21 | ↑ +9% |
| UPMC Health Plan | Commercial | $439.60 | ↑ +17% |
| Prime Net | FH-Medical Rental | $474.77 | ↑ +26% |
| Cigna | Commercial | $489.84 | ↑ +30% |
| Multiplan | PPO (Includes PHCS and Humana as Payers) | $533.80 | ↑ +42% |
| Highmark BCBS of PA | Community Blue PPO | $688.24 | ↑ +83% |
| Highmark BCBS of PA | CHIP - Managed Care | $717.36 | ↑ +90% |
| Highmark BCBS of PA | Commercial | $764.71 | ↑ +103% |
| UPMC Health Plan | CHIP | $929.71 | ↑ +147% |
| Tricare | East Region | not published by hospital | — |
| UPMC Work Partners | Workers Comp | not published by hospital | — |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
Visitor-reported prices
Comments
Red blood cells leukocytes reduced irradiated each unit at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $658.80 | $248.70 – $878.40 |
| UPMC Bedford | Everett | $2,047.80 | $87.99 – $3,071.70 |
| UPMC Community Osteopathic | Harrisburg | $376.80 | $125.60 – $929.71 |
| UPMC East | Monroeville | $642.60 | $244.53 – $856.80 |
| UPMC Hamot | Erie | $837.60 | $259.71 – $303.98 |
| UPMC Northwest | Seneca | $910.20 | $221.17 – $263.38 |
| UPMC Hanover | Hanover | $376.80 | $207.06 – $929.71 |
| UPMC Horizon-Greenville | Greenville | $1,114.80 | $218.34 – $457.62 |