Rmvl icd by tv extr at UPMC Carlisle
361 Alexander Spring Road, Carlisle, PA · UPMC · · NPI 1689107328
$4,589.40
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.
$7,649.00
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.
$1,016.56 with United Healthcare Community Plan for Families vs $17,298.00 with Cigna — 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 |
|---|---|---|---|
| United Healthcare Community Plan for Families | PA Medicaid | $1,016.56 | ↓ -78% |
| Prime Net | Managed Medicare | $1,047.91 | ↓ -77% |
| Keystone Health Plan | Medicare Advantage | $1,529.80 | ↓ -67% |
| Capital Blue Cross | Medicare Advantage | $1,529.80 | ↓ -67% |
| UPMC Work Partners | Workers Comp | $1,779.98 | ↓ -61% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $1,914.79 | ↓ -58% |
| Prime Net | Legacy Commercial | $2,983.11 | ↓ -35% |
| Aetna | ACO | $3,006.06 | ↓ -34% |
| Prime Net | ACO | $3,006.06 | ↓ -34% |
| Highmark BCBS of PA | Community Blue Medicare Advantage/Complete Blue Medicare Advantage/Security Blue Medicare Advantage/Together Blue Medicare Advantage | $3,446.62 | ↓ -25% |
| Highmark BCBS of PA | Freedom Blue Medicare Advantage | $3,446.62 | ↓ -25% |
| Humana | Medicare | $3,481.43 | ↓ -24% |
| Prime Net | NonGateKeeper | $3,556.78 | ↓ -23% |
| Prime Net | GateKeeper | $3,579.73 | ↓ -22% |
| Aetna | Commercial | $3,579.73 | ↓ -22% |
| Aetna | Medicare | $3,631.13 | ↓ -21% |
| Cigna | Medicare | $3,655.50 | ↓ -20% |
| Geisinger | Medicare | $3,655.50 | ↓ -20% |
| United Healthcare | Medicare | $3,725.13 | ↓ -19% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $3,759.94 | ↓ -18% |
| Capital Blue Cross | CHIP | $4,184.00 | ↓ -9% |
| Capital Blue Cross | Commercial | $4,184.00 | ↓ -9% |
| Keystone Health Plan | Commercial | $4,184.00 | ↓ -9% |
| PA Health & Wellness | PA Medicaid HMO | $4,206.95 | ↓ -8% |
| Geisinger | Medicaid/CHIP | $4,206.95 | ↓ -8% |
| Wellspan Population Health | PPO | $4,971.85 | ↑ +8% |
| Geisinger | Commercial | $5,008.57 | ↑ +9% |
| UPMC Health Plan | Commercial | $5,354.30 | ↑ +17% |
| Keystone Autism Services | ACAP | $5,570.29 | ↑ +21% |
| Prime Net | FH-Medical Rental | $5,782.64 | ↑ +26% |
| Multiplan | PPO (Includes PHCS and Humana as Payers) | $6,501.65 | ↑ +42% |
| Highmark BCBS of PA | Community Blue PPO | $9,791.87 | ↑ +113% |
| Highmark BCBS of PA | CHIP - Managed Care | $10,206.16 | ↑ +122% |
| Highmark BCBS of PA | Commercial | $10,879.82 | ↑ +137% |
| UPMC Health Plan | CHIP | $15,318.41 | ↑ +234% |
| Cigna | Commercial | $17,298.00 | ↑ +277% |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
| Tricare | East Region | not published by hospital | — |
| United Healthcare | Commercial | not published by hospital | — |
Visitor-reported prices
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Rmvl icd by tv extr at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $2,798.40 | $1,598.33 – $3,747.21 |
| UPMC Community Osteopathic | Harrisburg | $4,589.40 | $1,016.56 – $15,318.41 |
| UPMC Hamot | Erie | $3,372.00 | $1,598.33 – $5,046.33 |
| UPMC Hanover | Hanover | $4,589.40 | $1,016.56 – $15,318.41 |
| UPMC Lititz | Lititz | $4,589.40 | $1,016.56 – $15,318.41 |
| UPMC Memorial | York | $4,589.40 | $1,016.56 – $15,318.41 |
| UPMC Mercy | Pittsburgh | $4,519.80 | $1,598.33 – $3,816.60 |
| UPMC Passavant-McCandless | Pittsburgh | $3,049.80 | $1,613.55 – $3,816.60 |