Unlisted fetal invas px w/us at UPMC Carlisle
361 Alexander Spring Road, Carlisle, PA · UPMC · · NPI 1689107328
$348.60
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.
$581.00
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.
$79.60 with Prime Net vs $9,539.00 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 | $79.60 | ↓ -77% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $105.84 | ↓ -70% |
| Capital Blue Cross | Medicare Advantage | $116.20 | ↓ -67% |
| Keystone Health Plan | Medicare Advantage | $116.20 | ↓ -67% |
| United Healthcare Community Plan for Families | PA Medicaid | $142.34 | ↓ -59% |
| Highmark BCBS of PA | Community Blue Medicare Advantage/Complete Blue Medicare Advantage/Security Blue Medicare Advantage/Together Blue Medicare Advantage | $190.52 | ↓ -45% |
| Highmark BCBS of PA | Freedom Blue Medicare Advantage | $190.52 | ↓ -45% |
| Humana | Medicare | $192.44 | ↓ -45% |
| Aetna | Medicare | $200.71 | ↓ -42% |
| Cigna | Medicare | $202.06 | ↓ -42% |
| Geisinger | Medicare | $202.06 | ↓ -42% |
| United Healthcare | Medicare | $205.91 | ↓ -41% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $207.84 | ↓ -40% |
| Prime Net | Legacy Commercial | $226.59 | ↓ -35% |
| Aetna | ACO | $228.33 | ↓ -35% |
| Prime Net | ACO | $228.33 | ↓ -35% |
| Prime Net | NonGateKeeper | $270.17 | ↓ -22% |
| Prime Net | GateKeeper | $271.91 | ↓ -22% |
| Aetna | Commercial | $271.91 | ↓ -22% |
| Keystone Autism Services | ACAP | $307.90 | ↓ -12% |
| Keystone Health Plan | Commercial | $317.81 | ↓ -9% |
| Capital Blue Cross | CHIP | $317.81 | ↓ -9% |
| Capital Blue Cross | Commercial | $317.81 | ↓ -9% |
| Geisinger | Medicaid/CHIP | $319.55 | ↓ -8% |
| PA Health & Wellness | PA Medicaid HMO | $319.55 | ↓ -8% |
| Wellspan Population Health | PPO | $377.65 | ↑ +8% |
| Geisinger | Commercial | $380.44 | ↑ +9% |
| UPMC Health Plan | Commercial | $406.70 | ↑ +17% |
| UPMC Health Plan | CHIP | $406.70 | ↑ +17% |
| United Healthcare | Commercial | $427.62 | ↑ +23% |
| Prime Net | FH-Medical Rental | $439.24 | ↑ +26% |
| Multiplan | PPO (Includes PHCS and Humana as Payers) | $493.85 | ↑ +42% |
| Highmark BCBS of PA | Community Blue PPO | $541.26 | ↑ +55% |
| Highmark BCBS of PA | CHIP - Managed Care | $564.16 | ↑ +62% |
| Highmark BCBS of PA | Commercial | $601.39 | ↑ +73% |
| Cigna | Commercial | $9,539.00 | ↑ +2636% |
| Tricare | East Region | not published by hospital | — |
| UPMC Work Partners | Workers Comp | not published by hospital | — |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
Visitor-reported prices
Comments
Unlisted fetal invas px w/us at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Community Osteopathic | Harrisburg | $348.60 | $116.20 – $493.85 |
| UPMC Hanover | Hanover | $348.60 | $142.34 – $307.49 |
| UPMC Lititz | Lititz | $348.60 | $142.34 – $309.15 |
| UPMC Magee | Pittsburgh | $357.60 | $179.50 – $210.97 |
| UPMC Memorial | York | $348.60 | $142.34 – $638.96 |
| UPMC Somerset | Somerset | $348.60 | $124.96 – $207.11 |
| AHN WEXFORD HOSPITAL | WEXFORD | not published | $110.56 – $642.14 |
| GROVE CITY HOSPITAL | GROVE CITY | not published | $133.71 – $551.06 |