Angio trnslmnl balloon same artery ini at UPMC Carlisle
361 Alexander Spring Road, Carlisle, PA · UPMC · · NPI 1689107328
$12,116.40
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.
$20,194.00
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.
$370.54 with Highmark Wholecare (prev Gateway) vs $17,164.90 with Multiplan — 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 Wholecare (prev Gateway) | Medicaid | $370.54 | ↓ -97% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $370.54 | ↓ -97% |
| UPMC Health Plan | Managed Medicaid | $379.29 | ↓ -97% |
| Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $397.38 | ↓ -97% |
| Geisinger | Medicaid/CHIP | $424.98 | ↓ -96% |
| PA Health & Wellness | PA Medicaid HMO | $497.22 | ↓ -96% |
| United Healthcare Community Plan for Families | PA Medicaid | $1,016.56 | ↓ -92% |
| Prime Net | Managed Medicare | $2,766.58 | ↓ -77% |
| UPMC Work Partners | Workers Comp | $2,822.37 | ↓ -77% |
| Premier Comp Solutions | Worker's Comp | $2,822.37 | ↓ -77% |
| Capital Blue Cross | Medicare Advantage | $4,038.80 | ↓ -67% |
| Keystone Health Plan | Medicare Advantage | $4,038.80 | ↓ -67% |
| Highmark BCBS of PA | Community Blue Medicare Advantage/Complete Blue Medicare Advantage/Security Blue Medicare Advantage/Together Blue Medicare Advantage | $5,399.65 | ↓ -55% |
| Highmark BCBS of PA | Freedom Blue Medicare Advantage | $5,399.65 | ↓ -55% |
| Humana | Medicare | $5,454.19 | ↓ -55% |
| Aetna | Medicare | $5,688.72 | ↓ -53% |
| Geisinger | Medicare | $5,726.90 | ↓ -53% |
| Cigna | Medicare | $5,726.90 | ↓ -53% |
| United Healthcare | Medicare | $5,835.98 | ↓ -52% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $5,890.53 | ↓ -51% |
| Prime Net | Legacy Commercial | $7,875.66 | ↓ -35% |
| Aetna | ACO | $7,936.24 | ↓ -35% |
| Prime Net | ACO | $7,936.24 | ↓ -35% |
| Keystone Autism Services | ACAP | $8,726.70 | ↓ -28% |
| Prime Net | NonGateKeeper | $9,390.21 | ↓ -23% |
| Prime Net | GateKeeper | $9,450.79 | ↓ -22% |
| Aetna | Commercial | $9,450.79 | ↓ -22% |
| Capital Blue Cross | CHIP | $11,046.12 | ↓ -9% |
| Keystone Health Plan | Commercial | $11,046.12 | ↓ -9% |
| Capital Blue Cross | Commercial | $11,046.12 | ↓ -9% |
| Wellspan Population Health | PPO | $13,126.10 | ↑ +8% |
| Geisinger | Commercial | $13,223.03 | ↑ +9% |
| UPMC Health Plan | CHIP | $14,135.80 | ↑ +17% |
| UPMC Health Plan | Commercial | $14,135.80 | ↑ +17% |
| United Healthcare | Commercial | $14,862.78 | ↑ +23% |
| Prime Net | FH-Medical Rental | $15,266.66 | ↑ +26% |
| Highmark BCBS of PA | Community Blue PPO | $15,340.45 | ↑ +27% |
| Cigna | Commercial | $15,751.32 | ↑ +30% |
| Highmark BCBS of PA | CHIP - Managed Care | $15,989.50 | ↑ +32% |
| Highmark BCBS of PA | Commercial | $17,044.89 | ↑ +41% |
| Multiplan | PPO (Includes PHCS and Humana as Payers) | $17,164.90 | ↑ +42% |
| Tricare | East Region | not published by hospital | — |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
Visitor-reported prices
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Angio trnslmnl balloon same artery ini at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $9,243.60 | $291.76 – $12,324.80 |
| UPMC Community Osteopathic | Harrisburg | $12,116.40 | $370.54 – $17,164.90 |
| UPMC East | Monroeville | $8,659.20 | $320.94 – $11,545.60 |
| UPMC Hamot | Erie | $6,041.40 | $320.94 – $7,905.86 |
| UPMC Northwest | Seneca | $9,692.40 | $320.94 – $5,707.51 |
| UPMC Hanover | Hanover | $12,116.40 | $370.54 – $8,714.66 |
| UPMC Jameson | New Castle | $8,139.60 | $320.94 – $7,338.22 |
| UPMC Lititz | Lititz | $12,116.40 | $370.54 – $8,761.73 |