Cath malecot 28fr 4-wing ltx at UPMC Carlisle
361 Alexander Spring Road, Carlisle, PA · UPMC · · NPI 1689107328
$372.00
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.
$620.00
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.
$5.89 with Prime Net vs $287.00 with UPMC Health Plan — 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 |
|---|---|---|---|
| Prime Net | Managed Medicare | $5.89 | ↓ -98% |
| Aetna | Medicare | $7.09 | ↓ -98% |
| Keystone Health Plan | Medicare Advantage | $8.60 | ↓ -98% |
| Capital Blue Cross | Medicare Advantage | $8.60 | ↓ -98% |
| Prime Net | Legacy Commercial | $16.77 | ↓ -95% |
| Prime Net | ACO | $16.90 | ↓ -95% |
| Aetna | ACO | $16.90 | ↓ -95% |
| Prime Net | NonGateKeeper | $20.00 | ↓ -95% |
| Aetna | Commercial | $20.12 | ↓ -95% |
| Prime Net | GateKeeper | $20.12 | ↓ -95% |
| Keystone Health Plan | Commercial | $23.52 | ↓ -94% |
| Capital Blue Cross | Commercial | $23.52 | ↓ -94% |
| Capital Blue Cross | CHIP | $23.52 | ↓ -94% |
| Geisinger | Medicaid/CHIP | $23.65 | ↓ -94% |
| PA Health & Wellness | PA Medicaid HMO | $23.65 | ↓ -94% |
| Wellspan Population Health | PPO | $27.95 | ↓ -92% |
| Geisinger | Commercial | $28.16 | ↓ -92% |
| UPMC Health Plan | Commercial | $30.10 | ↓ -92% |
| United Healthcare | Commercial | $31.65 | ↓ -91% |
| Prime Net | FH-Medical Rental | $32.51 | ↓ -91% |
| Cigna | Commercial | $33.54 | ↓ -91% |
| Multiplan | PPO (Includes PHCS and Humana as Payers) | $36.55 | ↓ -90% |
| UPMC Health Plan | CHIP | $287.00 | ↓ -23% |
| UPMC Work Partners | Workers Comp | not published by hospital | — |
Visitor-reported prices
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Cath malecot 28fr 4-wing ltx at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $1,965.00 | $5.00 – $287.00 |
| UPMC Bedford | Everett | $1,220.40 | $3.50 – $287.00 |
| UPMC Cole | Coudersport | $567.00 | $28.50 – $120.00 |
| UPMC Community Osteopathic | Harrisburg | $2,099.40 | $3.80 – $406.83 |
| UPMC East | Monroeville | $1,728.60 | $2.50 – $287.00 |
| UPMC Hamot | Erie | $1,496.40 | $77.29 – $77.29 |
| UPMC Northwest | Seneca | $655.20 | $200.59 – $347.30 |
| UPMC Hanover | Hanover | $780.00 | $287.00 – $287.00 |