Treatment radiation delivery level 2 at UPMC Carlisle
361 Alexander Spring Road, Carlisle, PA · UPMC · · NPI 1689107328
$834.00
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.
$1,390.00
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.
$41.27 with AmeriHealth Caritas vs $26,132.00 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 | $41.27 | ↓ -95% |
| Highmark Wholecare (prev Gateway) | Medicaid | $41.27 | ↓ -95% |
| UPMC Health Plan | Managed Medicaid | $42.25 | ↓ -95% |
| United Healthcare Community Plan for Families | PA Medicaid | $42.58 | ↓ -95% |
| Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $44.27 | ↓ -95% |
| Geisinger | Medicaid/CHIP | $47.34 | ↓ -94% |
| PA Health & Wellness | PA Medicaid HMO | $55.39 | ↓ -93% |
| UPMC Work Partners | Workers Comp | $182.36 | ↓ -78% |
| Prime Net | Managed Medicare | $190.43 | ↓ -77% |
| Highmark BCBS of PA | Community Blue Medicare Advantage/Complete Blue Medicare Advantage/Security Blue Medicare Advantage/Together Blue Medicare Advantage | $249.05 | ↓ -70% |
| Highmark BCBS of PA | Freedom Blue Medicare Advantage | $249.05 | ↓ -70% |
| Humana | Medicare | $251.57 | ↓ -70% |
| Aetna | Medicare | $262.39 | ↓ -69% |
| Cigna | Medicare | $264.15 | ↓ -68% |
| Geisinger | Medicare | $264.15 | ↓ -68% |
| United Healthcare | Medicare | $269.18 | ↓ -68% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $271.70 | ↓ -67% |
| Keystone Health Plan | Medicare Advantage | $278.00 | ↓ -67% |
| Capital Blue Cross | Medicare Advantage | $278.00 | ↓ -67% |
| UPMC Health Plan | CHIP | $289.18 | ↓ -65% |
| Keystone Autism Services | ACAP | $402.51 | ↓ -52% |
| Prime Net | Legacy Commercial | $542.10 | ↓ -35% |
| Prime Net | ACO | $546.27 | ↓ -35% |
| Aetna | ACO | $546.27 | ↓ -35% |
| Prime Net | NonGateKeeper | $646.35 | ↓ -23% |
| Prime Net | GateKeeper | $650.52 | ↓ -22% |
| Aetna | Commercial | $650.52 | ↓ -22% |
| Highmark BCBS of PA | Community Blue PPO | $707.57 | ↓ -15% |
| Highmark BCBS of PA | CHIP - Managed Care | $737.50 | ↓ -12% |
| Keystone Health Plan | Commercial | $760.33 | ↓ -9% |
| Capital Blue Cross | Commercial | $760.33 | ↓ -9% |
| Capital Blue Cross | CHIP | $760.33 | ↓ -9% |
| Highmark BCBS of PA | Commercial | $786.18 | ↓ -6% |
| Wellspan Population Health | PPO | $903.50 | ↑ +8% |
| Geisinger | Commercial | $910.17 | ↑ +9% |
| UPMC Health Plan | Commercial | $973.00 | ↑ +17% |
| Prime Net | FH-Medical Rental | $1,050.84 | ↑ +26% |
| Multiplan | PPO (Includes PHCS and Humana as Payers) | $1,181.50 | ↑ +42% |
| Cigna | Commercial | $1,242.19 | ↑ +49% |
| United Healthcare | Commercial | $26,132.00 | ↑ +3033% |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
| Tricare | East Region | not published by hospital | — |
Visitor-reported prices
Comments
Treatment radiation delivery level 2 at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $1,172.40 | $32.50 – $1,563.20 |
| UPMC Community Osteopathic | Harrisburg | $834.00 | $41.27 – $1,181.50 |
| UPMC Lititz | Lititz | $834.00 | $41.27 – $404.13 |
| UPMC Memorial | York | $834.00 | $41.27 – $1,286.88 |
| UPMC Passavant-McCandless | Pittsburgh | $1,557.60 | $35.75 – $275.79 |
| UPMC Presbyterian | Pittsburgh | $1,503.60 | $35.75 – $275.79 |
| UPMC Somerset | Somerset | $834.00 | $35.75 – $250.72 |
| UPMC St. Margaret | Pittsburgh | $659.40 | $35.75 – $275.79 |