Vaccine hepatitis a (hepa) adult im at UPMC Carlisle
361 Alexander Spring Road, Carlisle, PA · UPMC · · NPI 1689107328
$46.80
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.
$78.00
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.
$10.50 with United Healthcare Community Plan for Families vs $124.71 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 |
|---|---|---|---|
| United Healthcare Community Plan for Families | PA Medicaid | $10.50 | ↓ -78% |
| Prime Net | Managed Medicare | $10.69 | ↓ -77% |
| Aetna | Medicare | $12.87 | ↓ -73% |
| Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $13.62 | ↓ -71% |
| Geisinger | Medicaid/CHIP | $14.57 | ↓ -69% |
| Keystone Health Plan | Medicare Advantage | $15.60 | ↓ -67% |
| Capital Blue Cross | Medicare Advantage | $15.60 | ↓ -67% |
| Keystone Health Plan | Commercial | $25.04 | ↓ -46% |
| Capital Blue Cross | CHIP | $25.04 | ↓ -46% |
| Capital Blue Cross | Commercial | $25.04 | ↓ -46% |
| Prime Net | Legacy Commercial | $30.42 | ↓ -35% |
| Prime Net | ACO | $30.65 | ↓ -35% |
| Aetna | ACO | $30.65 | ↓ -35% |
| UPMC Work Partners | Workers Comp | $31.76 | ↓ -32% |
| Prime Net | NonGateKeeper | $36.27 | ↓ -23% |
| Aetna | Commercial | $36.50 | ↓ -22% |
| Prime Net | GateKeeper | $36.50 | ↓ -22% |
| United Healthcare | Commercial | $48.05 | ↑ +3% |
| Wellspan Population Health | PPO | $50.70 | ↑ +8% |
| Geisinger | Commercial | $51.07 | ↑ +9% |
| UPMC Health Plan | Commercial | $54.60 | ↑ +17% |
| Prime Net | FH-Medical Rental | $58.97 | ↑ +26% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $65.70 | ↑ +40% |
| Multiplan | PPO (Includes PHCS and Humana as Payers) | $66.30 | ↑ +42% |
| PA Health & Wellness | PA Medicaid HMO | $73.79 | ↑ +58% |
| Highmark Wholecare (prev Gateway) | Medicaid | $75.27 | ↑ +61% |
| UPMC Health Plan | Managed Medicaid | $81.17 | ↑ +73% |
| UPMC Health Plan | CHIP | $90.77 | ↑ +94% |
| Cigna | Commercial | $124.71 | ↑ +166% |
Visitor-reported prices
Comments
Vaccine hepatitis a (hepa) adult im at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $81.00 | $10.00 – $214.83 |
| UPMC Cole | Coudersport | $262.80 | $10.50 – $350.40 |
| UPMC Community Osteopathic | Harrisburg | $46.80 | $10.50 – $184.00 |
| UPMC Hamot | Erie | $108.00 | $11.00 – $191.28 |
| UPMC Northwest | Seneca | $81.00 | $11.00 – $286.80 |
| UPMC Hanover | Hanover | $46.80 | $10.50 – $124.71 |
| UPMC Kane | Kane | $211.80 | $11.00 – $118.16 |
| UPMC Lititz | Lititz | $46.80 | $10.50 – $124.71 |