X-ray small intestine follow-through study at UPMC Carlisle
361 Alexander Spring Road, Carlisle, PA · UPMC · · NPI 1689107328
$490.20
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.
?
What you pay up front if you don't use insurance.
$817.00
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.
?
The hospital's undiscounted list price — almost no one pays this.
$47.15 with United Healthcare Community Plan for Families vs $694.45 with Multiplan — same scan, same building. Share
Negotiated rates by payer
?
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 →
?
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 | $47.15 | ↓ -90% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $81.36 | ↓ -83% |
| Highmark Wholecare (prev Gateway) | Medicaid | $81.36 | ↓ -83% |
| UPMC Health Plan | Managed Medicaid | $83.28 | ↓ -83% |
| Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $87.25 | ↓ -82% |
| Geisinger | Medicaid/CHIP | $93.31 | ↓ -81% |
| Premier Comp Solutions | Worker's Comp | $101.29 | ↓ -79% |
| UPMC Work Partners | Workers Comp | $101.29 | ↓ -79% |
| PA Health & Wellness | PA Medicaid HMO | $109.17 | ↓ -78% |
| Prime Net | Managed Medicare | $111.93 | ↓ -77% |
| Aetna | Medicare | $134.81 | ↓ -72% |
| Keystone Health Plan | Medicare Advantage | $163.40 | ↓ -67% |
| Capital Blue Cross | Medicare Advantage | $163.40 | ↓ -67% |
| UPMC Health Plan | CHIP | $200.14 | ↓ -59% |
| Prime Net | Legacy Commercial | $318.63 | ↓ -35% |
| Prime Net | ACO | $321.08 | ↓ -35% |
| Aetna | ACO | $321.08 | ↓ -35% |
| Prime Net | NonGateKeeper | $379.90 | ↓ -23% |
| Aetna | Commercial | $382.36 | ↓ -22% |
| Prime Net | GateKeeper | $382.36 | ↓ -22% |
| Capital Blue Cross | CHIP | $446.90 | ↓ -9% |
| Capital Blue Cross | Commercial | $446.90 | ↓ -9% |
| Keystone Health Plan | Commercial | $446.90 | ↓ -9% |
| Wellspan Population Health | PPO | $531.05 | ↑ +8% |
| Geisinger | Commercial | $534.97 | ↑ +9% |
| UPMC Health Plan | Commercial | $571.90 | ↑ +17% |
| United Healthcare | Commercial | $601.31 | ↑ +23% |
| Prime Net | FH-Medical Rental | $617.65 | ↑ +26% |
| Cigna | Commercial | $637.26 | ↑ +30% |
| Multiplan | PPO (Includes PHCS and Humana as Payers) | $694.45 | ↑ +42% |
Visitor-reported prices
Comments
X-ray small intestine follow-through study at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $397.20 | $25.19 – $529.60 |
| UPMC Bedford | Everett | $419.40 | $67.26 – $629.10 |
| UPMC Cole | Coudersport | $94.20 | $43.52 – $125.60 |
| UPMC Community Osteopathic | Harrisburg | $490.20 | $47.15 – $694.45 |
| UPMC East | Monroeville | $419.40 | $25.43 – $559.20 |
| UPMC Hamot | Erie | $439.20 | $25.19 – $170.27 |
| UPMC Northwest | Seneca | $419.40 | $65.37 – $109.17 |
| UPMC Hanover | Hanover | $490.20 | $47.15 – $109.17 |