St treatment swallow dysfunction/oral at UPMC Carlisle
361 Alexander Spring Road, Carlisle, PA · UPMC · · NPI 1689107328
$384.60
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.
$641.00
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.
$46.31 with Prime Net vs $387.00 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 |
|---|---|---|---|
| Prime Net | Managed Medicare | $46.31 | ↓ -88% |
| Aetna | Medicare | $55.77 | ↓ -85% |
| United Healthcare Community Plan for Families | PA Medicaid | $62.54 | ↓ -84% |
| Capital Blue Cross | Medicare Advantage | $67.60 | ↓ -82% |
| Keystone Health Plan | Medicare Advantage | $67.60 | ↓ -82% |
| UPMC Work Partners | Workers Comp | $86.85 | ↓ -77% |
| Prime Net | Legacy Commercial | $131.82 | ↓ -66% |
| Prime Net | ACO | $132.83 | ↓ -65% |
| Aetna | ACO | $132.83 | ↓ -65% |
| Prime Net | NonGateKeeper | $157.17 | ↓ -59% |
| Aetna | Commercial | $158.18 | ↓ -59% |
| Prime Net | GateKeeper | $158.18 | ↓ -59% |
| Keystone Health Plan | Commercial | $184.89 | ↓ -52% |
| Capital Blue Cross | Commercial | $184.89 | ↓ -52% |
| Capital Blue Cross | CHIP | $184.89 | ↓ -52% |
| Geisinger | Medicaid/CHIP | $185.90 | ↓ -52% |
| PA Health & Wellness | PA Medicaid HMO | $185.90 | ↓ -52% |
| United Healthcare | Commercial | $193.00 | ↓ -50% |
| Wellspan Population Health | PPO | $219.70 | ↓ -43% |
| Geisinger | Commercial | $221.32 | ↓ -42% |
| UPMC Health Plan | Commercial | $236.60 | ↓ -38% |
| Prime Net | FH-Medical Rental | $255.53 | ↓ -34% |
| UPMC Health Plan | CHIP | $262.70 | ↓ -32% |
| Multiplan | PPO (Includes PHCS and Humana as Payers) | $287.30 | ↓ -25% |
| Cigna | Commercial | $387.00 | ↑ +1% |
Visitor-reported prices
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St treatment swallow dysfunction/oral at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $199.20 | $82.99 – $265.60 |
| UPMC Bedford | Everett | $362.40 | $82.99 – $543.60 |
| UPMC Cole | Coudersport | $272.40 | $82.99 – $363.20 |
| UPMC Community Osteopathic | Harrisburg | $384.60 | $62.54 – $900.95 |
| UPMC East | Monroeville | $316.20 | $89.57 – $421.60 |
| UPMC Hamot | Erie | $316.20 | $89.57 – $195.96 |
| UPMC Northwest | Seneca | $130.20 | $84.21 – $373.98 |
| UPMC Hanover | Hanover | $384.60 | $62.54 – $262.70 |