Augumentation percutaneous vertebral inc cavity creation ea addl thoracic/lumbar vertebral body at UPMC Carlisle
361 Alexander Spring Road, Carlisle, PA · UPMC · · NPI 1689107328
$7,825.80
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.
$13,043.00
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.
$242.61 with United Healthcare Community Plan for Families vs $11,086.55 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 |
|---|---|---|---|
| United Healthcare Community Plan for Families | PA Medicaid | $242.61 | ↓ -97% |
| Prime Net | Managed Medicare | $1,786.89 | ↓ -77% |
| Aetna | Medicare | $2,152.09 | ↓ -73% |
| UPMC Health Plan | CHIP | $2,247.56 | ↓ -71% |
| Keystone Health Plan | Medicare Advantage | $2,608.60 | ↓ -67% |
| Capital Blue Cross | Medicare Advantage | $2,608.60 | ↓ -67% |
| Prime Net | Legacy Commercial | $5,086.77 | ↓ -35% |
| Aetna | ACO | $5,125.90 | ↓ -34% |
| Prime Net | ACO | $5,125.90 | ↓ -34% |
| UPMC Work Partners | Workers Comp | $6,001.33 | ↓ -23% |
| Prime Net | NonGateKeeper | $6,064.99 | ↓ -23% |
| Prime Net | GateKeeper | $6,104.12 | ↓ -22% |
| Aetna | Commercial | $6,104.12 | ↓ -22% |
| Capital Blue Cross | CHIP | $7,134.52 | ↓ -9% |
| Capital Blue Cross | Commercial | $7,134.52 | ↓ -9% |
| Keystone Health Plan | Commercial | $7,134.52 | ↓ -9% |
| Geisinger | Medicaid/CHIP | $7,173.65 | ↓ -8% |
| PA Health & Wellness | PA Medicaid HMO | $7,173.65 | ↓ -8% |
| Wellspan Population Health | PPO | $8,477.95 | ↑ +8% |
| Geisinger | Commercial | $8,540.56 | ↑ +9% |
| UPMC Health Plan | Commercial | $9,130.10 | ↑ +17% |
| Cigna | Commercial | $9,539.00 | ↑ +22% |
| Prime Net | FH-Medical Rental | $9,860.51 | ↑ +26% |
| Multiplan | PPO (Includes PHCS and Humana as Payers) | $11,086.55 | ↑ +42% |
| United Healthcare | Commercial | not published by hospital | — |
Visitor-reported prices
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Augumentation percutaneous vertebral inc cavity creation ea addl thoracic/lumbar vertebral body at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $7,629.60 | $2,247.56 – $10,172.80 |
| UPMC Cole | Coudersport | $396.00 | $182.95 – $5,734.60 |
| UPMC Community Osteopathic | Harrisburg | $7,900.20 | $242.61 – $11,701.33 |
| UPMC East | Monroeville | $14,634.60 | $1,283.96 – $19,512.80 |
| UPMC Hamot | Erie | $16,396.20 | $2,790.43 – $5,734.60 |
| UPMC Hanover | Hanover | $7,825.80 | $242.61 – $6,001.33 |
| UPMC Lititz | Lititz | $7,825.80 | $196.29 – $6,001.33 |
| UPMC Memorial | York | $7,825.80 | $196.29 – $6,001.33 |