Telehealth original site facility fee at UPMC Carlisle
361 Alexander Spring Road, Carlisle, PA · UPMC · · NPI 1689107328
$84.60
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.
$141.00
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.
$19.32 with Prime Net vs $119.85 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 |
|---|---|---|---|
| Prime Net | Managed Medicare | $19.32 | ↓ -77% |
| United Healthcare Community Plan for Families | PA Medicaid | $20.59 | ↓ -76% |
| Aetna | Medicare | $23.27 | ↓ -72% |
| Capital Blue Cross | Medicare Advantage | $28.20 | ↓ -67% |
| Keystone Health Plan | Medicare Advantage | $28.20 | ↓ -67% |
| UPMC Health Plan | CHIP | $40.94 | ↓ -52% |
| Prime Net | Legacy Commercial | $54.99 | ↓ -35% |
| Prime Net | ACO | $55.41 | ↓ -35% |
| Aetna | ACO | $55.41 | ↓ -35% |
| Prime Net | NonGateKeeper | $65.56 | ↓ -23% |
| Aetna | Commercial | $65.99 | ↓ -22% |
| Prime Net | GateKeeper | $65.99 | ↓ -22% |
| Keystone Health Plan | Commercial | $77.13 | ↓ -9% |
| Capital Blue Cross | Commercial | $77.13 | ↓ -9% |
| Capital Blue Cross | CHIP | $77.13 | ↓ -9% |
| Geisinger | Medicaid/CHIP | $77.55 | ↓ -8% |
| PA Health & Wellness | PA Medicaid HMO | $77.55 | ↓ -8% |
| Wellspan Population Health | PPO | $91.65 | ↑ +8% |
| Geisinger | Commercial | $92.33 | ↑ +9% |
| UPMC Health Plan | Commercial | $98.70 | ↑ +17% |
| United Healthcare | Commercial | $103.78 | ↑ +23% |
| Prime Net | FH-Medical Rental | $106.60 | ↑ +26% |
| Cigna | Commercial | $109.98 | ↑ +30% |
| Multiplan | PPO (Includes PHCS and Humana as Payers) | $119.85 | ↑ +42% |
| UPMC Work Partners | Workers Comp | not published by hospital | — |
Visitor-reported prices
Comments
Telehealth original site facility fee at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $90.00 | $15.61 – $120.00 |
| UPMC Cole | Coudersport | $97.80 | $19.13 – $55.20 |
| UPMC Community Osteopathic | Harrisburg | $84.60 | $20.59 – $119.85 |
| UPMC Hanover | Hanover | $84.60 | $20.59 – $40.94 |
| UPMC Kane | Kane | $81.60 | $30.14 – $107.90 |
| UPMC Lititz | Lititz | $84.60 | $20.59 – $40.94 |
| UPMC Magee | Pittsburgh | $107.40 | $15.76 – $40.94 |
| UPMC Memorial | York | $84.60 | $12.73 – $40.94 |