Unlisted CT procedure at UPMC Carlisle
361 Alexander Spring Road, Carlisle, PA · UPMC · · NPI 1689107328
$2,254.20
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.
$3,757.00
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.
$46.33 with AmeriHealth Caritas vs $753.95 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 | $46.33 | ↓ -98% |
| United Healthcare Community Plan for Families | PA Medicaid | $69.43 | ↓ -97% |
| UPMC Health Plan | CHIP | $80.58 | ↓ -96% |
| Highmark BCBS of PA | Community Blue Medicare Advantage/Complete Blue Medicare Advantage/Security Blue Medicare Advantage/Together Blue Medicare Advantage | $83.39 | ↓ -96% |
| Highmark BCBS of PA | Freedom Blue Medicare Advantage | $83.39 | ↓ -96% |
| Humana | Medicare | $84.23 | ↓ -96% |
| Aetna | Medicare | $87.85 | ↓ -96% |
| Cigna | Medicare | $88.44 | ↓ -96% |
| Geisinger | Medicare | $88.44 | ↓ -96% |
| United Healthcare | Medicare | $90.13 | ↓ -96% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $90.97 | ↓ -96% |
| Prime Net | Managed Medicare | $121.52 | ↓ -95% |
| Keystone Autism Services | ACAP | $134.77 | ↓ -94% |
| Keystone Health Plan | Medicare Advantage | $177.40 | ↓ -92% |
| Capital Blue Cross | Medicare Advantage | $177.40 | ↓ -92% |
| Highmark BCBS of PA | Community Blue PPO | $236.91 | ↓ -89% |
| Highmark BCBS of PA | CHIP - Managed Care | $246.93 | ↓ -89% |
| Highmark BCBS of PA | Commercial | $263.23 | ↓ -88% |
| Premier Comp Solutions | Worker's Comp | $280.00 | ↓ -88% |
| Prime Net | Legacy Commercial | $345.93 | ↓ -85% |
| Aetna | ACO | $348.59 | ↓ -85% |
| Prime Net | ACO | $348.59 | ↓ -85% |
| Prime Net | NonGateKeeper | $412.45 | ↓ -82% |
| Aetna | Commercial | $415.12 | ↓ -82% |
| Prime Net | GateKeeper | $415.12 | ↓ -82% |
| Cigna | Commercial | $419.44 | ↓ -81% |
| Keystone Health Plan | Commercial | $485.19 | ↓ -78% |
| Capital Blue Cross | Commercial | $485.19 | ↓ -78% |
| Capital Blue Cross | CHIP | $485.19 | ↓ -78% |
| PA Health & Wellness | PA Medicaid HMO | $487.85 | ↓ -78% |
| Geisinger | Medicaid/CHIP | $487.85 | ↓ -78% |
| Wellspan Population Health | PPO | $576.55 | ↓ -74% |
| Geisinger | Commercial | $580.81 | ↓ -74% |
| UPMC Health Plan | Commercial | $620.90 | ↓ -72% |
| United Healthcare | Commercial | $652.83 | ↓ -71% |
| Prime Net | FH-Medical Rental | $670.57 | ↓ -70% |
| Multiplan | PPO (Includes PHCS and Humana as Payers) | $753.95 | ↓ -67% |
| UPMC Work Partners | Workers Comp | not published by hospital | — |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
| Tricare | East Region | not published by hospital | — |
Visitor-reported prices
Comments
Unlisted CT procedure at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $624.00 | $74.89 – $832.00 |
| UPMC Bedford | Everett | $624.00 | $22.47 – $936.00 |
| UPMC Community Osteopathic | Harrisburg | $2,254.20 | $69.43 – $753.95 |
| UPMC East | Monroeville | $624.00 | $22.17 – $832.00 |
| UPMC Hamot | Erie | $624.00 | $40.24 – $118.50 |
| UPMC Northwest | Seneca | $624.00 | $22.37 – $90.67 |
| UPMC Hanover | Hanover | $2,254.20 | $69.43 – $280.00 |
| UPMC Horizon-Greenville | Greenville | $624.00 | $22.45 – $145.70 |