Arterial blood draw/perc 36620 at UPMC Carlisle
361 Alexander Spring Road, Carlisle, PA · UPMC · · NPI 1689107328
$667.80
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.
?
What you pay up front if you don't use insurance.
$1,113.00
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.
$60.43 with AmeriHealth Caritas vs $1,016.56 with United Healthcare Community Plan for Families — 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 |
|---|---|---|---|
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $60.43 | ↓ -91% |
| Highmark Wholecare (prev Gateway) | Medicaid | $60.43 | ↓ -91% |
| UPMC Health Plan | Managed Medicaid | $61.85 | ↓ -91% |
| Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $64.80 | ↓ -90% |
| Geisinger | Medicaid/CHIP | $69.31 | ↓ -90% |
| PA Health & Wellness | PA Medicaid HMO | $81.09 | ↓ -88% |
| Prime Net | Managed Medicare | $152.48 | ↓ -77% |
| UPMC Work Partners | Workers Comp | $172.85 | ↓ -74% |
| Aetna | Medicare | $183.65 | ↓ -72% |
| Keystone Health Plan | Medicare Advantage | $222.60 | ↓ -67% |
| Capital Blue Cross | Medicare Advantage | $222.60 | ↓ -67% |
| UPMC Health Plan | CHIP | $301.84 | ↓ -55% |
| Prime Net | Legacy Commercial | $434.07 | ↓ -35% |
| Prime Net | ACO | $437.41 | ↓ -34% |
| Aetna | ACO | $437.41 | ↓ -34% |
| Prime Net | NonGateKeeper | $517.54 | ↓ -23% |
| Prime Net | GateKeeper | $520.88 | ↓ -22% |
| Aetna | Commercial | $520.88 | ↓ -22% |
| Keystone Health Plan | Commercial | $608.81 | ↓ -9% |
| Capital Blue Cross | Commercial | $608.81 | ↓ -9% |
| Capital Blue Cross | CHIP | $608.81 | ↓ -9% |
| Wellspan Population Health | PPO | $723.45 | ↑ +8% |
| Geisinger | Commercial | $728.79 | ↑ +9% |
| UPMC Health Plan | Commercial | $779.10 | ↑ +17% |
| Prime Net | FH-Medical Rental | $841.43 | ↑ +26% |
| Cigna | Commercial | $868.14 | ↑ +30% |
| Multiplan | PPO (Includes PHCS and Humana as Payers) | $946.05 | ↑ +42% |
| United Healthcare Community Plan for Families | PA Medicaid | $1,016.56 | ↑ +52% |
| United Healthcare | Commercial | not published by hospital | — |
Visitor-reported prices
Comments
Arterial blood draw/perc 36620 at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $201.60 | $47.58 – $268.80 |
| UPMC Bedford | Everett | $543.00 | $49.96 – $814.50 |
| UPMC Cole | Coudersport | $170.40 | $49.96 – $191.20 |
| UPMC Community Osteopathic | Harrisburg | $667.80 | $60.43 – $1,016.56 |
| UPMC East | Monroeville | $388.80 | $52.34 – $518.40 |
| UPMC Hamot | Erie | $633.60 | $52.34 – $178.28 |
| UPMC Northwest | Seneca | $607.20 | $52.34 – $241.22 |
| UPMC Hanover | Hanover | $667.80 | $60.43 – $1,016.56 |