X-ray retrograde pyelogram with or without kidney ureter bladder w/supervision & interpretation at UPMC Carlisle
361 Alexander Spring Road, Carlisle, PA · UPMC · · NPI 1689107328
$896.40
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.
$1,494.00
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.
$29.48 with United Healthcare Community Plan for Families vs $2,006.79 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 | $29.48 | ↓ -97% |
| Highmark Wholecare (prev Gateway) | Medicaid | $47.62 | ↓ -95% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $47.62 | ↓ -95% |
| UPMC Health Plan | Managed Medicaid | $48.75 | ↓ -95% |
| Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $51.08 | ↓ -94% |
| Geisinger | Medicaid/CHIP | $54.62 | ↓ -94% |
| PA Health & Wellness | PA Medicaid HMO | $63.91 | ↓ -93% |
| Prime Net | Managed Medicare | $204.68 | ↓ -77% |
| UPMC Work Partners | Workers Comp | $277.54 | ↓ -69% |
| Premier Comp Solutions | Worker's Comp | $277.54 | ↓ -69% |
| Capital Blue Cross | Medicare Advantage | $298.80 | ↓ -67% |
| Keystone Health Plan | Medicare Advantage | $298.80 | ↓ -67% |
| Highmark BCBS of PA | Community Blue Medicare Advantage/Complete Blue Medicare Advantage/Security Blue Medicare Advantage/Together Blue Medicare Advantage | $338.22 | ↓ -62% |
| Highmark BCBS of PA | Freedom Blue Medicare Advantage | $338.22 | ↓ -62% |
| Humana | Medicare | $341.64 | ↓ -62% |
| Aetna | Medicare | $356.33 | ↓ -60% |
| Geisinger | Medicare | $358.72 | ↓ -60% |
| Cigna | Medicare | $358.72 | ↓ -60% |
| United Healthcare | Medicare | $365.55 | ↓ -59% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $368.97 | ↓ -59% |
| UPMC Health Plan | CHIP | $432.32 | ↓ -52% |
| Keystone Autism Services | ACAP | $546.62 | ↓ -39% |
| Prime Net | Legacy Commercial | $582.66 | ↓ -35% |
| Aetna | ACO | $587.14 | ↓ -35% |
| Prime Net | ACO | $587.14 | ↓ -35% |
| Prime Net | NonGateKeeper | $694.71 | ↓ -23% |
| Aetna | Commercial | $699.19 | ↓ -22% |
| Prime Net | GateKeeper | $699.19 | ↓ -22% |
| Keystone Health Plan | Commercial | $817.22 | ↓ -9% |
| Capital Blue Cross | Commercial | $817.22 | ↓ -9% |
| Capital Blue Cross | CHIP | $817.22 | ↓ -9% |
| Highmark BCBS of PA | Community Blue PPO | $960.90 | ↑ +7% |
| Wellspan Population Health | PPO | $971.10 | ↑ +8% |
| Geisinger | Commercial | $978.27 | ↑ +9% |
| Highmark BCBS of PA | CHIP - Managed Care | $1,001.55 | ↑ +12% |
| UPMC Health Plan | Commercial | $1,045.80 | ↑ +17% |
| Highmark BCBS of PA | Commercial | $1,067.66 | ↑ +19% |
| United Healthcare | Commercial | $1,099.58 | ↑ +23% |
| Prime Net | FH-Medical Rental | $1,129.46 | ↑ +26% |
| Multiplan | PPO (Includes PHCS and Humana as Payers) | $1,269.90 | ↑ +42% |
| Cigna | Commercial | $2,006.79 | ↑ +124% |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
| Tricare | East Region | not published by hospital | — |
Visitor-reported prices
Comments
X-ray retrograde pyelogram with or without kidney ureter bladder w/supervision & interpretation at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $536.40 | $22.50 – $715.20 |
| UPMC Bedford | Everett | $306.60 | $39.38 – $459.90 |
| UPMC Cole | Coudersport | $459.60 | $39.38 – $612.80 |
| UPMC Community Osteopathic | Harrisburg | $896.40 | $29.48 – $432.32 |
| UPMC East | Monroeville | $1,785.00 | $41.25 – $2,380.00 |
| UPMC Hamot | Erie | $372.00 | $41.25 – $566.90 |
| UPMC Northwest | Seneca | $426.00 | $41.25 – $357.50 |
| UPMC Hanover | Hanover | $896.40 | $29.48 – $545.87 |