Cath place 1st order venous 36011 at UPMC Carlisle
361 Alexander Spring Road, Carlisle, PA · UPMC · · NPI 1689107328
$3,873.00
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.
?
What you pay up front if you don't use insurance.
$6,455.00
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.
$145.41 with AmeriHealth Caritas vs $17,298.00 with Cigna — 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 | $145.41 | ↓ -96% |
| Highmark Wholecare (prev Gateway) | Medicaid | $145.41 | ↓ -96% |
| UPMC Health Plan | Managed Medicaid | $148.85 | ↓ -96% |
| Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $155.95 | ↓ -96% |
| Geisinger | Medicaid/CHIP | $166.78 | ↓ -96% |
| PA Health & Wellness | PA Medicaid HMO | $195.13 | ↓ -95% |
| UPMC Work Partners | Workers Comp | $465.29 | ↓ -88% |
| Prime Net | Managed Medicare | $884.34 | ↓ -77% |
| United Healthcare Community Plan for Families | PA Medicaid | $1,016.56 | ↓ -74% |
| Aetna | Medicare | $1,065.08 | ↓ -72% |
| Keystone Health Plan | Medicare Advantage | $1,291.00 | ↓ -67% |
| Capital Blue Cross | Medicare Advantage | $1,291.00 | ↓ -67% |
| Prime Net | Legacy Commercial | $2,517.45 | ↓ -35% |
| Aetna | ACO | $2,536.82 | ↓ -34% |
| Prime Net | ACO | $2,536.82 | ↓ -34% |
| Prime Net | NonGateKeeper | $3,001.57 | ↓ -23% |
| Aetna | Commercial | $3,020.94 | ↓ -22% |
| Prime Net | GateKeeper | $3,020.94 | ↓ -22% |
| Keystone Health Plan | Commercial | $3,530.89 | ↓ -9% |
| Capital Blue Cross | CHIP | $3,530.89 | ↓ -9% |
| Capital Blue Cross | Commercial | $3,530.89 | ↓ -9% |
| Wellspan Population Health | PPO | $4,195.75 | ↑ +8% |
| Geisinger | Commercial | $4,226.73 | ↑ +9% |
| UPMC Health Plan | Commercial | $4,518.50 | ↑ +17% |
| Prime Net | FH-Medical Rental | $4,879.98 | ↑ +26% |
| UPMC Health Plan | CHIP | $5,149.26 | ↑ +33% |
| Multiplan | PPO (Includes PHCS and Humana as Payers) | $5,486.75 | ↑ +42% |
| Cigna | Commercial | $17,298.00 | ↑ +347% |
| United Healthcare | Commercial | not published by hospital | — |
Visitor-reported prices
Comments
Cath place 1st order venous 36011 at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $3,703.20 | $114.50 – $4,937.60 |
| UPMC Community Osteopathic | Harrisburg | $3,910.20 | $145.41 – $6,734.26 |
| UPMC Hamot | Erie | $6,945.60 | $125.95 – $1,631.43 |
| UPMC Northwest | Seneca | $10,167.00 | $125.95 – $4,234.19 |
| UPMC Hanover | Hanover | $3,873.00 | $145.41 – $1,016.56 |
| UPMC Lititz | Lititz | $3,873.00 | $145.41 – $1,016.56 |
| UPMC Magee | Pittsburgh | $5,145.00 | $125.95 – $1,646.97 |
| UPMC McKeesport | Mckeesport | $6,510.00 | $125.95 – $1,646.97 |