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X-ray nose to rectum for foreign body child at UPMC Carlisle
361 Alexander Spring Road, Carlisle, PA · UPMC · · NPI 1689107328
$188.40
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.
$314.00
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.
$11.40 with United Healthcare Community Plan for Families vs $419.44 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 | $11.40 | ↓ -94% |
| Highmark Wholecare (prev Gateway) | Medicaid | $18.41 | ↓ -90% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $18.41 | ↓ -90% |
| UPMC Health Plan | Managed Medicaid | $18.85 | ↓ -90% |
| Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $19.75 | ↓ -90% |
| Geisinger | Medicaid/CHIP | $21.12 | ↓ -89% |
| PA Health & Wellness | PA Medicaid HMO | $24.71 | ↓ -87% |
| Prime Net | Managed Medicare | $43.02 | ↓ -77% |
| Capital Blue Cross | Medicare Advantage | $62.80 | ↓ -67% |
| Keystone Health Plan | Medicare Advantage | $62.80 | ↓ -67% |
| UPMC Work Partners | Workers Comp | $70.60 | ↓ -63% |
| Premier Comp Solutions | Worker's Comp | $70.60 | ↓ -63% |
| Highmark BCBS of PA | Community Blue Medicare Advantage/Complete Blue Medicare Advantage/Security Blue Medicare Advantage/Together Blue Medicare Advantage | $83.39 | ↓ -56% |
| Highmark BCBS of PA | Freedom Blue Medicare Advantage | $83.39 | ↓ -56% |
| Humana | Medicare | $84.23 | ↓ -55% |
| Aetna | Medicare | $87.85 | ↓ -53% |
| Cigna | Medicare | $88.44 | ↓ -53% |
| Geisinger | Medicare | $88.44 | ↓ -53% |
| United Healthcare | Medicare | $90.13 | ↓ -52% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $90.97 | ↓ -52% |
| UPMC Health Plan | CHIP | $113.06 | ↓ -40% |
| Prime Net | Legacy Commercial | $122.46 | ↓ -35% |
| Prime Net | ACO | $123.40 | ↓ -35% |
| Aetna | ACO | $123.40 | ↓ -35% |
| Keystone Autism Services | ACAP | $134.77 | ↓ -28% |
| Prime Net | NonGateKeeper | $146.01 | ↓ -23% |
| Aetna | Commercial | $146.95 | ↓ -22% |
| Prime Net | GateKeeper | $146.95 | ↓ -22% |
| Capital Blue Cross | Commercial | $171.76 | ↓ -9% |
| Keystone Health Plan | Commercial | $171.76 | ↓ -9% |
| Capital Blue Cross | CHIP | $171.76 | ↓ -9% |
| Wellspan Population Health | PPO | $204.10 | ↑ +8% |
| Geisinger | Commercial | $205.61 | ↑ +9% |
| UPMC Health Plan | Commercial | $219.80 | ↑ +17% |
| United Healthcare | Commercial | $231.10 | ↑ +23% |
| Highmark BCBS of PA | Community Blue PPO | $236.91 | ↑ +26% |
| Prime Net | FH-Medical Rental | $237.38 | ↑ +26% |
| Highmark BCBS of PA | CHIP - Managed Care | $246.93 | ↑ +31% |
| Highmark BCBS of PA | Commercial | $263.23 | ↑ +40% |
| Multiplan | PPO (Includes PHCS and Humana as Payers) | $266.90 | ↑ +42% |
| Cigna | Commercial | $419.44 | ↑ +123% |
| Tricare | East Region | not published by hospital | — |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
Visitor-reported prices
Comments
X-ray nose to rectum for foreign body child at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $172.20 | $8.70 – $229.60 |
| UPMC Bedford | Everett | $108.00 | $15.22 – $162.00 |
| UPMC Northwest | Seneca | $108.60 | $15.95 – $153.85 |
| UPMC Mercy | Pittsburgh | $456.60 | $15.95 – $684.90 |
| UPMC Muncy | Muncy | $243.00 | $11.14 – $324.00 |
| UPMC Passavant-McCandless | Pittsburgh | $419.40 | $15.95 – $594.15 |
| UPMC Presbyterian | Pittsburgh | $490.20 | $10.44 – $694.45 |
| UPMC Somerset | Somerset | $188.40 | $10.01 – $235.50 |