Sleep study unattended at UPMC Carlisle
361 Alexander Spring Road, Carlisle, PA · UPMC · · NPI 1689107328
$984.00
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.
$1,640.00
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.
$82.32 with AmeriHealth Caritas vs $3,620.00 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 |
|---|---|---|---|
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $82.32 | ↓ -92% |
| United Healthcare Community Plan for Families | PA Medicaid | $116.21 | ↓ -88% |
| Highmark BCBS of PA | Freedom Blue Medicare Advantage | $148.17 | ↓ -85% |
| Highmark BCBS of PA | Community Blue Medicare Advantage/Complete Blue Medicare Advantage/Security Blue Medicare Advantage/Together Blue Medicare Advantage | $148.17 | ↓ -85% |
| Humana | Medicare | $149.67 | ↓ -85% |
| Aetna | Medicare | $156.11 | ↓ -84% |
| Geisinger | Medicare | $157.15 | ↓ -84% |
| Cigna | Medicare | $157.15 | ↓ -84% |
| United Healthcare | Medicare | $160.15 | ↓ -84% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $161.64 | ↓ -84% |
| Prime Net | Managed Medicare | $224.68 | ↓ -77% |
| Aetna | ACO | $239.00 | ↓ -76% |
| Keystone Autism Services | ACAP | $239.47 | ↓ -76% |
| Aetna | Commercial | $284.00 | ↓ -71% |
| Keystone Health Plan | Medicare Advantage | $328.00 | ↓ -67% |
| Capital Blue Cross | Medicare Advantage | $328.00 | ↓ -67% |
| Highmark BCBS of PA | Community Blue PPO | $420.96 | ↓ -57% |
| Highmark BCBS of PA | CHIP - Managed Care | $438.77 | ↓ -55% |
| Highmark BCBS of PA | Commercial | $467.73 | ↓ -52% |
| Prime Net | Legacy Commercial | $639.60 | ↓ -35% |
| Prime Net | ACO | $644.52 | ↓ -35% |
| Prime Net | NonGateKeeper | $762.60 | ↓ -23% |
| UPMC Work Partners | Workers Comp | $766.32 | ↓ -22% |
| Prime Net | GateKeeper | $767.52 | ↓ -22% |
| Capital Blue Cross | Commercial | $897.08 | ↓ -9% |
| Capital Blue Cross | CHIP | $897.08 | ↓ -9% |
| Keystone Health Plan | Commercial | $897.08 | ↓ -9% |
| PA Health & Wellness | PA Medicaid HMO | $902.00 | ↓ -8% |
| Geisinger | Medicaid/CHIP | $902.00 | ↓ -8% |
| Wellspan Population Health | PPO | $1,066.00 | ↑ +8% |
| Geisinger | Commercial | $1,073.87 | ↑ +9% |
| UPMC Health Plan | Commercial | $1,148.00 | ↑ +17% |
| Prime Net | FH-Medical Rental | $1,239.84 | ↑ +26% |
| UPMC Health Plan | CHIP | $1,266.05 | ↑ +29% |
| Cigna | Commercial | $1,279.20 | ↑ +30% |
| Multiplan | PPO (Includes PHCS and Humana as Payers) | $1,394.00 | ↑ +42% |
| United Healthcare | Commercial | $3,620.00 | ↑ +268% |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
| Tricare | East Region | not published by hospital | — |
Visitor-reported prices
Comments
Sleep study unattended at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Hanover | Hanover | $984.00 | $116.21 – $1,266.05 |
| UPMC Horizon-Greenville | Greenville | $1,057.80 | $133.55 – $732.26 |
| UPMC Lititz | Lititz | $984.00 | $116.21 – $1,266.05 |
| UPMC Magee | Pittsburgh | $1,653.60 | $139.61 – $732.26 |
| UPMC McKeesport | Mckeesport | $1,642.80 | $138.27 – $732.26 |
| UPMC Memorial | York | $984.00 | $116.21 – $1,266.05 |
| UPMC Mercy | Pittsburgh | $919.80 | $124.35 – $863.52 |
| UPMC Passavant-McCandless | Pittsburgh | $1,375.80 | $138.62 – $851.47 |