Apply rigid leg cast 29445 at UPMC Carlisle
361 Alexander Spring Road, Carlisle, PA · UPMC · · NPI 1689107328
$961.80
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.
$1,603.00
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.
$128.87 with AmeriHealth Caritas vs $9,539.00 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 |
|---|---|---|---|
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $128.87 | ↓ -87% |
| Highmark Wholecare (prev Gateway) | Medicaid | $128.87 | ↓ -87% |
| UPMC Health Plan | Managed Medicaid | $131.91 | ↓ -86% |
| United Healthcare Community Plan for Families | PA Medicaid | $132.93 | ↓ -86% |
| Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $138.20 | ↓ -86% |
| Geisinger | Medicaid/CHIP | $147.80 | ↓ -85% |
| PA Health & Wellness | PA Medicaid HMO | $172.93 | ↓ -82% |
| Prime Net | Managed Medicare | $219.61 | ↓ -77% |
| Highmark BCBS of PA | Freedom Blue Medicare Advantage | $251.52 | ↓ -74% |
| Highmark BCBS of PA | Community Blue Medicare Advantage/Complete Blue Medicare Advantage/Security Blue Medicare Advantage/Together Blue Medicare Advantage | $251.52 | ↓ -74% |
| Humana | Medicare | $254.06 | ↓ -74% |
| Aetna | Medicare | $264.98 | ↓ -72% |
| Cigna | Medicare | $266.76 | ↓ -72% |
| Geisinger | Medicare | $266.76 | ↓ -72% |
| United Healthcare | Medicare | $271.84 | ↓ -72% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $274.38 | ↓ -71% |
| Keystone Health Plan | Medicare Advantage | $320.60 | ↓ -67% |
| Capital Blue Cross | Medicare Advantage | $320.60 | ↓ -67% |
| UPMC Work Partners | Workers Comp | $374.29 | ↓ -61% |
| Keystone Autism Services | ACAP | $406.50 | ↓ -58% |
| UPMC Health Plan | CHIP | $538.94 | ↓ -44% |
| Prime Net | Legacy Commercial | $625.17 | ↓ -35% |
| Prime Net | ACO | $629.98 | ↓ -34% |
| Aetna | ACO | $629.98 | ↓ -34% |
| Highmark BCBS of PA | Community Blue PPO | $714.57 | ↓ -26% |
| Highmark BCBS of PA | CHIP - Managed Care | $744.80 | ↓ -23% |
| Prime Net | NonGateKeeper | $745.39 | ↓ -23% |
| Aetna | Commercial | $750.20 | ↓ -22% |
| Prime Net | GateKeeper | $750.20 | ↓ -22% |
| Highmark BCBS of PA | Commercial | $793.96 | ↓ -17% |
| Capital Blue Cross | CHIP | $876.84 | ↓ -9% |
| Keystone Health Plan | Commercial | $876.84 | ↓ -9% |
| Capital Blue Cross | Commercial | $876.84 | ↓ -9% |
| Wellspan Population Health | PPO | $1,041.95 | ↑ +8% |
| Geisinger | Commercial | $1,049.64 | ↑ +9% |
| UPMC Health Plan | Commercial | $1,122.10 | ↑ +17% |
| Prime Net | FH-Medical Rental | $1,211.87 | ↑ +26% |
| Multiplan | PPO (Includes PHCS and Humana as Payers) | $1,362.55 | ↑ +42% |
| Cigna | Commercial | $9,539.00 | ↑ +892% |
| United Healthcare | Commercial | not published by hospital | — |
| Tricare | East Region | not published by hospital | — |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
Visitor-reported prices
Comments
Apply rigid leg cast 29445 at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $581.40 | $101.47 – $775.20 |
| UPMC Cole | Coudersport | $444.60 | $85.93 – $357.66 |
| UPMC Hamot | Erie | $1,155.60 | $111.62 – $388.34 |
| UPMC Northwest | Seneca | $1,426.80 | $111.62 – $665.17 |
| UPMC Hanover | Hanover | $961.80 | $128.87 – $405.94 |
| UPMC Horizon-Greenville | Greenville | $1,082.40 | $111.62 – $475.13 |
| UPMC Jameson | New Castle | $394.80 | $111.62 – $362.64 |
| UPMC Lititz | Lititz | $961.80 | $128.87 – $408.13 |