Ultrasound elastography parenchyma at UPMC Carlisle
361 Alexander Spring Road, Carlisle, PA · UPMC · · NPI 1689107328
$202.20
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.
$337.00
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.
$46.17 with Prime Net vs $589.04 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 | $46.17 | ↓ -77% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $55.95 | ↓ -72% |
| Keystone Health Plan | Medicare Advantage | $67.40 | ↓ -67% |
| Capital Blue Cross | Medicare Advantage | $67.40 | ↓ -67% |
| United Healthcare Community Plan for Families | PA Medicaid | $85.41 | ↓ -58% |
| Highmark BCBS of PA | Community Blue Medicare Advantage/Complete Blue Medicare Advantage/Security Blue Medicare Advantage/Together Blue Medicare Advantage | $100.71 | ↓ -50% |
| Highmark BCBS of PA | Freedom Blue Medicare Advantage | $100.71 | ↓ -50% |
| Humana | Medicare | $101.73 | ↓ -50% |
| Aetna | Medicare | $106.10 | ↓ -48% |
| Cigna | Medicare | $106.82 | ↓ -47% |
| Geisinger | Medicare | $106.82 | ↓ -47% |
| United Healthcare | Medicare | $108.85 | ↓ -46% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $109.87 | ↓ -46% |
| Prime Net | Legacy Commercial | $131.43 | ↓ -35% |
| Premier Comp Solutions | Worker's Comp | $131.94 | ↓ -35% |
| UPMC Work Partners | Workers Comp | $131.94 | ↓ -35% |
| Prime Net | ACO | $132.44 | ↓ -35% |
| Aetna | ACO | $132.44 | ↓ -35% |
| Prime Net | NonGateKeeper | $156.71 | ↓ -22% |
| Aetna | Commercial | $157.72 | ↓ -22% |
| Prime Net | GateKeeper | $157.72 | ↓ -22% |
| Keystone Autism Services | ACAP | $162.77 | ↓ -20% |
| Keystone Health Plan | Commercial | $184.34 | ↓ -9% |
| Capital Blue Cross | Commercial | $184.34 | ↓ -9% |
| Capital Blue Cross | CHIP | $184.34 | ↓ -9% |
| PA Health & Wellness | PA Medicaid HMO | $185.35 | ↓ -8% |
| Geisinger | Medicaid/CHIP | $185.35 | ↓ -8% |
| Wellspan Population Health | PPO | $219.05 | ↑ +8% |
| Geisinger | Commercial | $220.67 | ↑ +9% |
| UPMC Health Plan | Commercial | $235.90 | ↑ +17% |
| United Healthcare | Commercial | $248.03 | ↑ +23% |
| Prime Net | FH-Medical Rental | $254.77 | ↑ +26% |
| Highmark BCBS of PA | Community Blue PPO | $286.13 | ↑ +42% |
| Multiplan | PPO (Includes PHCS and Humana as Payers) | $286.45 | ↑ +42% |
| Highmark BCBS of PA | CHIP - Managed Care | $298.23 | ↑ +47% |
| Highmark BCBS of PA | Commercial | $317.92 | ↑ +57% |
| UPMC Health Plan | CHIP | $533.90 | ↑ +164% |
| Cigna | Commercial | $589.04 | ↑ +191% |
| Tricare | East Region | not published by hospital | — |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
Visitor-reported prices
Comments
Ultrasound elastography parenchyma at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Community Osteopathic | Harrisburg | $202.20 | $67.40 – $533.90 |
| UPMC Hanover | Hanover | $202.20 | $85.41 – $533.90 |
| UPMC Lititz | Lititz | $202.20 | $85.41 – $533.90 |
| UPMC Memorial | York | $202.20 | $36.78 – $533.90 |
| UPMC Somerset | Somerset | $202.20 | $44.68 – $126.08 |
| WellSpan Ephrata Community Hospital | Ephrata | $249.60 | $53.17 – $602.31 |
| WellSpan Good Samaritan Hospital | Lebanon | $249.60 | $56.16 – $602.31 |
| WellSpan Gettysburg Hospital | Gettysburg | $249.60 | $53.17 – $602.31 |