Respirator motion mgmt simul at UPMC Carlisle
361 Alexander Spring Road, Carlisle, PA · UPMC · · NPI 1689107328
$1,757.40
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.
?
What you pay up front if you don't use insurance.
$2,929.00
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.
$317.11 with United Healthcare Community Plan for Families 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 |
|---|---|---|---|
| United Healthcare Community Plan for Families | PA Medicaid | $317.11 | ↓ -82% |
| Prime Net | Managed Medicare | $401.27 | ↓ -77% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $410.88 | ↓ -77% |
| Highmark Wholecare (prev Gateway) | Medicaid | $410.88 | ↓ -77% |
| UPMC Health Plan | Managed Medicaid | $420.59 | ↓ -76% |
| Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $440.65 | ↓ -75% |
| Geisinger | Medicaid/CHIP | $471.25 | ↓ -73% |
| Aetna | Medicare | $483.29 | ↓ -72% |
| PA Health & Wellness | PA Medicaid HMO | $551.36 | ↓ -69% |
| Keystone Health Plan | Medicare Advantage | $585.80 | ↓ -67% |
| Capital Blue Cross | Medicare Advantage | $585.80 | ↓ -67% |
| UPMC Work Partners | Workers Comp | $594.51 | ↓ -66% |
| Prime Net | Legacy Commercial | $1,142.31 | ↓ -35% |
| Aetna | ACO | $1,151.10 | ↓ -34% |
| Prime Net | ACO | $1,151.10 | ↓ -34% |
| Prime Net | NonGateKeeper | $1,361.98 | ↓ -23% |
| Aetna | Commercial | $1,370.77 | ↓ -22% |
| Prime Net | GateKeeper | $1,370.77 | ↓ -22% |
| Capital Blue Cross | CHIP | $1,602.16 | ↓ -9% |
| Keystone Health Plan | Commercial | $1,602.16 | ↓ -9% |
| Capital Blue Cross | Commercial | $1,602.16 | ↓ -9% |
| Cigna | Commercial | $1,782.00 | ↑ +1% |
| Wellspan Population Health | PPO | $1,903.85 | ↑ +8% |
| Geisinger | Commercial | $1,917.91 | ↑ +9% |
| UPMC Health Plan | Commercial | $2,050.30 | ↑ +17% |
| Prime Net | FH-Medical Rental | $2,214.32 | ↑ +26% |
| Multiplan | PPO (Includes PHCS and Humana as Payers) | $2,489.65 | ↑ +42% |
| UPMC Health Plan | CHIP | $2,768.98 | ↑ +58% |
| United Healthcare | Commercial | $26,132.00 | ↑ +1387% |
Visitor-reported prices
Comments
Respirator motion mgmt simul at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $1,374.00 | $223.20 – $1,832.00 |
| UPMC Community Osteopathic | Harrisburg | $1,757.40 | $317.11 – $2,768.98 |
| UPMC East | Monroeville | $1,189.20 | $225.33 – $1,585.60 |
| UPMC Horizon-Greenville | Greenville | $1,189.20 | $339.71 – $568.09 |
| UPMC Magee | Pittsburgh | $1,189.20 | $225.33 – $568.09 |
| UPMC McKeesport | Mckeesport | $1,189.20 | $225.33 – $568.09 |
| UPMC Memorial | York | $1,757.40 | $181.92 – $1,978.24 |
| UPMC Passavant-McCandless | Pittsburgh | $1,260.60 | $225.33 – $660.57 |