Urea nitrogen at UPMC Carlisle
361 Alexander Spring Road, Carlisle, PA · UPMC · · NPI 1689107328
$21.00
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.
$35.00
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.
$3.91 with Highmark BCBS of PA vs $30.18 with UPMC Health Plan — 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 |
|---|---|---|---|
| Highmark BCBS of PA | Community Blue Medicare Advantage/Complete Blue Medicare Advantage/Security Blue Medicare Advantage/Together Blue Medicare Advantage | $3.91 | ↓ -81% |
| Highmark BCBS of PA | Freedom Blue Medicare Advantage | $3.91 | ↓ -81% |
| Humana | Medicare | $3.95 | ↓ -81% |
| UPMC Work Partners | Workers Comp | $4.09 | ↓ -81% |
| Aetna | Medicare | $4.12 | ↓ -80% |
| Geisinger | Medicare | $4.15 | ↓ -80% |
| Cigna | Medicare | $4.15 | ↓ -80% |
| United Healthcare | Medicare | $4.23 | ↓ -80% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $4.27 | ↓ -80% |
| Prime Net | Managed Medicare | $4.79 | ↓ -77% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $5.44 | ↓ -74% |
| Keystone Autism Services | ACAP | $6.32 | ↓ -70% |
| Highmark Wholecare (prev Gateway) | Medicaid | $6.91 | ↓ -67% |
| Capital Blue Cross | Medicare Advantage | $7.00 | ↓ -67% |
| Keystone Health Plan | Medicare Advantage | $7.00 | ↓ -67% |
| UPMC Health Plan | Managed Medicaid | $7.07 | ↓ -66% |
| United Healthcare Community Plan for Families | PA Medicaid | $7.13 | ↓ -66% |
| Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $7.41 | ↓ -65% |
| Geisinger | Medicaid/CHIP | $7.92 | ↓ -62% |
| PA Health & Wellness | PA Medicaid HMO | $9.27 | ↓ -56% |
| Cigna | Commercial | $10.28 | ↓ -51% |
| Highmark BCBS of PA | Community Blue PPO | $11.11 | ↓ -47% |
| Highmark BCBS of PA | CHIP - Managed Care | $11.58 | ↓ -45% |
| United Healthcare | Commercial | $12.11 | ↓ -42% |
| Highmark BCBS of PA | Commercial | $12.34 | ↓ -41% |
| Prime Net | Legacy Commercial | $13.65 | ↓ -35% |
| Aetna | ACO | $13.76 | ↓ -34% |
| Prime Net | ACO | $13.76 | ↓ -34% |
| Prime Net | NonGateKeeper | $16.27 | ↓ -23% |
| Aetna | Commercial | $16.38 | ↓ -22% |
| Prime Net | GateKeeper | $16.38 | ↓ -22% |
| Capital Blue Cross | Commercial | $19.14 | ↓ -9% |
| Capital Blue Cross | CHIP | $19.14 | ↓ -9% |
| Keystone Health Plan | Commercial | $19.14 | ↓ -9% |
| Wellspan Population Health | PPO | $22.75 | ↑ +8% |
| Geisinger | Commercial | $22.92 | ↑ +9% |
| UPMC Health Plan | Commercial | $24.50 | ↑ +17% |
| Prime Net | FH-Medical Rental | $26.46 | ↑ +26% |
| Multiplan | PPO (Includes PHCS and Humana as Payers) | $29.75 | ↑ +42% |
| UPMC Health Plan | CHIP | $30.18 | ↑ +44% |
Visitor-reported prices
Comments
Urea nitrogen at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $50.40 | $3.90 – $67.20 |
| UPMC Bedford | Everett | $30.00 | $1.43 – $45.00 |
| UPMC Cole | Coudersport | $30.60 | $2.57 – $40.80 |
| UPMC Community Osteopathic | Harrisburg | $21.60 | $3.91 – $30.18 |
| UPMC East | Monroeville | $58.80 | $3.90 – $78.40 |
| UPMC Hamot | Erie | $55.80 | $3.90 – $7.62 |
| UPMC Northwest | Seneca | $34.80 | $3.58 – $6.26 |
| UPMC Hanover | Hanover | $21.00 | $3.91 – $7.41 |