Scan duplex extracranial arteries unilateral/limited study at UPMC Carlisle
361 Alexander Spring Road, Carlisle, PA · UPMC · · NPI 1689107328
$379.80
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.
$633.00
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.
$86.72 with Prime Net vs $801.00 with United Healthcare — 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 | $86.72 | ↓ -77% |
| Highmark BCBS of PA | Freedom Blue Medicare Advantage | $100.71 | ↓ -73% |
| Highmark BCBS of PA | Community Blue Medicare Advantage/Complete Blue Medicare Advantage/Security Blue Medicare Advantage/Together Blue Medicare Advantage | $100.71 | ↓ -73% |
| Humana | Medicare | $101.73 | ↓ -73% |
| Aetna | Medicare | $106.10 | ↓ -72% |
| Cigna | Medicare | $106.82 | ↓ -72% |
| Geisinger | Medicare | $106.82 | ↓ -72% |
| United Healthcare | Medicare | $108.85 | ↓ -71% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $109.87 | ↓ -71% |
| Keystone Health Plan | Medicare Advantage | $126.60 | ↓ -67% |
| Capital Blue Cross | Medicare Advantage | $126.60 | ↓ -67% |
| United Healthcare Community Plan for Families | PA Medicaid | $156.34 | ↓ -59% |
| Keystone Autism Services | ACAP | $162.77 | ↓ -57% |
| Highmark Wholecare (prev Gateway) | Medicaid | $175.35 | ↓ -54% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $175.35 | ↓ -54% |
| UPMC Health Plan | Managed Medicaid | $179.49 | ↓ -53% |
| Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $188.05 | ↓ -50% |
| Geisinger | Medicaid/CHIP | $201.11 | ↓ -47% |
| PA Health & Wellness | PA Medicaid HMO | $235.30 | ↓ -38% |
| Prime Net | Legacy Commercial | $246.87 | ↓ -35% |
| Aetna | ACO | $248.77 | ↓ -34% |
| Prime Net | ACO | $248.77 | ↓ -34% |
| Highmark BCBS of PA | Community Blue PPO | $286.13 | ↓ -25% |
| Prime Net | NonGateKeeper | $294.35 | ↓ -22% |
| Aetna | Commercial | $296.24 | ↓ -22% |
| Prime Net | GateKeeper | $296.24 | ↓ -22% |
| Highmark BCBS of PA | CHIP - Managed Care | $298.23 | ↓ -21% |
| Highmark BCBS of PA | Commercial | $317.92 | ↓ -16% |
| Capital Blue Cross | Commercial | $346.25 | ↓ -9% |
| Keystone Health Plan | Commercial | $346.25 | ↓ -9% |
| Capital Blue Cross | CHIP | $346.25 | ↓ -9% |
| Wellspan Population Health | PPO | $411.45 | ↑ +8% |
| Geisinger | Commercial | $414.49 | ↑ +9% |
| UPMC Health Plan | CHIP | $422.52 | ↑ +11% |
| UPMC Health Plan | Commercial | $443.10 | ↑ +17% |
| Prime Net | FH-Medical Rental | $478.55 | ↑ +26% |
| Multiplan | PPO (Includes PHCS and Humana as Payers) | $538.05 | ↑ +42% |
| UPMC Work Partners | Workers Comp | $554.17 | ↑ +46% |
| Cigna | Commercial | $589.04 | ↑ +55% |
| United Healthcare | Commercial | $801.00 | ↑ +111% |
| Tricare | East Region | not published by hospital | — |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
Visitor-reported prices
Comments
Scan duplex extracranial arteries unilateral/limited study at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $679.20 | $119.34 – $905.60 |
| UPMC Community Osteopathic | Harrisburg | $379.80 | $103.55 – $567.38 |
| UPMC East | Monroeville | $873.00 | $101.65 – $1,164.00 |
| UPMC Hamot | Erie | $539.40 | $117.01 – $554.36 |
| UPMC Northwest | Seneca | $490.20 | $91.94 – $542.16 |
| UPMC Hanover | Hanover | $379.80 | $100.57 – $567.38 |
| UPMC Horizon-Greenville | Greenville | $777.00 | $90.77 – $542.16 |
| UPMC Jameson | New Castle | $425.40 | $101.38 – $542.16 |