Tc-99m exame autol wbc diag per dose at UPMC Carlisle
361 Alexander Spring Road, Carlisle, PA · UPMC · · NPI 1689107328
$7,144.80
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.
$11,908.00
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.
$572.18 with AmeriHealth Caritas vs $10,121.80 with Multiplan — 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 | $572.18 | ↓ -92% |
| Highmark BCBS of PA | Community Blue Medicare Advantage/Complete Blue Medicare Advantage/Security Blue Medicare Advantage/Together Blue Medicare Advantage | $1,029.92 | ↓ -86% |
| Highmark BCBS of PA | Freedom Blue Medicare Advantage | $1,029.92 | ↓ -86% |
| Humana | Medicare | $1,040.32 | ↓ -85% |
| Aetna | Medicare | $1,085.05 | ↓ -85% |
| Geisinger | Medicare | $1,092.34 | ↓ -85% |
| Cigna | Medicare | $1,092.34 | ↓ -85% |
| United Healthcare | Medicare | $1,113.14 | ↓ -84% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $1,123.55 | ↓ -84% |
| UPMC Health Plan | CHIP | $1,336.55 | ↓ -81% |
| Prime Net | Managed Medicare | $1,631.40 | ↓ -77% |
| Keystone Autism Services | ACAP | $1,664.51 | ↓ -77% |
| Cigna | Commercial | $2,282.44 | ↓ -68% |
| Capital Blue Cross | Medicare Advantage | $2,381.60 | ↓ -67% |
| Keystone Health Plan | Medicare Advantage | $2,381.60 | ↓ -67% |
| Highmark BCBS of PA | Community Blue PPO | $2,926.00 | ↓ -59% |
| Highmark BCBS of PA | CHIP - Managed Care | $3,049.80 | ↓ -57% |
| Highmark BCBS of PA | Commercial | $3,251.10 | ↓ -54% |
| Prime Net | Legacy Commercial | $4,644.12 | ↓ -35% |
| Aetna | ACO | $4,679.84 | ↓ -35% |
| Prime Net | ACO | $4,679.84 | ↓ -35% |
| Prime Net | NonGateKeeper | $5,537.22 | ↓ -23% |
| Prime Net | GateKeeper | $5,572.94 | ↓ -22% |
| Aetna | Commercial | $5,572.94 | ↓ -22% |
| Capital Blue Cross | CHIP | $6,513.68 | ↓ -9% |
| Keystone Health Plan | Commercial | $6,513.68 | ↓ -9% |
| Capital Blue Cross | Commercial | $6,513.68 | ↓ -9% |
| PA Health & Wellness | PA Medicaid HMO | $6,549.40 | ↓ -8% |
| Geisinger | Medicaid/CHIP | $6,549.40 | ↓ -8% |
| United Healthcare | Commercial | $7,335.33 | ↑ +3% |
| Wellspan Population Health | PPO | $7,740.20 | ↑ +8% |
| Geisinger | Commercial | $7,797.36 | ↑ +9% |
| UPMC Health Plan | Commercial | $8,335.60 | ↑ +17% |
| Prime Net | FH-Medical Rental | $9,002.45 | ↑ +26% |
| Multiplan | PPO (Includes PHCS and Humana as Payers) | $10,121.80 | ↑ +42% |
| UPMC Work Partners | Workers Comp | not published by hospital | — |
Visitor-reported prices
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Tc-99m exame autol wbc diag per dose at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Community Osteopathic | Harrisburg | $7,144.80 | $1,029.92 – $10,121.80 |
| UPMC Hanover | Hanover | $7,144.80 | $1,029.92 – $1,664.51 |
| UPMC Lititz | Lititz | $7,144.80 | $1,029.92 – $1,664.51 |
| UPMC Memorial | York | $7,144.80 | $1,060.38 – $1,664.51 |
| UPMC Somerset | Somerset | $7,144.80 | $800.55 – $1,123.44 |
| Uniontown Hospital | Uniontown | $3,301.50 | $934.13 – $2,176.52 |
| WellSpan Gettysburg Hospital | Gettysburg | $6,904.80 | $780.24 – $6,118.88 |