Cholangiogram percutaneous compl at UPMC Carlisle
361 Alexander Spring Road, Carlisle, PA · UPMC · · NPI 1689107328
$7,069.80
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.
$11,783.00
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.
$223.80 with Highmark Wholecare (prev Gateway) vs $16,693.00 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 |
|---|---|---|---|
| Highmark Wholecare (prev Gateway) | Medicaid | $223.80 | ↓ -97% |
| UPMC Health Plan | Managed Medicaid | $229.09 | ↓ -97% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $237.90 | ↓ -97% |
| Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $240.01 | ↓ -97% |
| Geisinger | Medicaid/CHIP | $256.68 | ↓ -96% |
| PA Health & Wellness | PA Medicaid HMO | $300.31 | ↓ -96% |
| United Healthcare Community Plan for Families | PA Medicaid | $1,016.56 | ↓ -86% |
| UPMC Work Partners | Workers Comp | $1,102.42 | ↓ -84% |
| Prime Net | Managed Medicare | $1,614.27 | ↓ -77% |
| Capital Blue Cross | Medicare Advantage | $2,356.60 | ↓ -67% |
| Keystone Health Plan | Medicare Advantage | $2,356.60 | ↓ -67% |
| Highmark BCBS of PA | Community Blue Medicare Advantage/Complete Blue Medicare Advantage/Security Blue Medicare Advantage/Together Blue Medicare Advantage | $3,342.21 | ↓ -53% |
| Highmark BCBS of PA | Freedom Blue Medicare Advantage | $3,342.21 | ↓ -53% |
| Humana | Medicare | $3,375.97 | ↓ -52% |
| Aetna | Medicare | $3,521.14 | ↓ -50% |
| Cigna | Medicare | $3,544.77 | ↓ -50% |
| Geisinger | Medicare | $3,544.77 | ↓ -50% |
| United Healthcare | Medicare | $3,612.29 | ↓ -49% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $3,646.05 | ↓ -48% |
| Prime Net | Legacy Commercial | $4,595.37 | ↓ -35% |
| Aetna | ACO | $4,630.72 | ↓ -34% |
| Prime Net | ACO | $4,630.72 | ↓ -34% |
| Keystone Autism Services | ACAP | $5,401.55 | ↓ -24% |
| Prime Net | NonGateKeeper | $5,479.10 | ↓ -22% |
| Aetna | Commercial | $5,514.44 | ↓ -22% |
| Prime Net | GateKeeper | $5,514.44 | ↓ -22% |
| Keystone Health Plan | Commercial | $6,445.30 | ↓ -9% |
| Capital Blue Cross | Commercial | $6,445.30 | ↓ -9% |
| Capital Blue Cross | CHIP | $6,445.30 | ↓ -9% |
| Wellspan Population Health | PPO | $7,658.95 | ↑ +8% |
| Geisinger | Commercial | $7,715.51 | ↑ +9% |
| UPMC Health Plan | CHIP | $8,248.10 | ↑ +17% |
| UPMC Health Plan | Commercial | $8,248.10 | ↑ +17% |
| Prime Net | FH-Medical Rental | $8,907.95 | ↑ +26% |
| Highmark BCBS of PA | Community Blue PPO | $9,495.25 | ↑ +34% |
| Highmark BCBS of PA | CHIP - Managed Care | $9,896.99 | ↑ +40% |
| Multiplan | PPO (Includes PHCS and Humana as Payers) | $10,015.55 | ↑ +42% |
| Highmark BCBS of PA | Commercial | $10,550.24 | ↑ +49% |
| Cigna | Commercial | $16,693.00 | ↑ +136% |
| Tricare | East Region | not published by hospital | — |
| United Healthcare | Commercial | not published by hospital | — |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
Visitor-reported prices
Comments
Cholangiogram percutaneous compl at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Community Osteopathic | Harrisburg | $7,069.80 | $237.90 – $10,015.55 |
| UPMC East | Monroeville | $3,342.00 | $193.84 – $4,456.00 |
| UPMC Hamot | Erie | $3,495.00 | $193.84 – $4,893.48 |
| UPMC Hanover | Hanover | $7,069.80 | $223.80 – $5,394.10 |
| UPMC Jameson | New Castle | $2,453.40 | $193.84 – $4,542.13 |
| UPMC Kane | Kane | $2,247.00 | $193.84 – $3,496.39 |
| UPMC Lititz | Lititz | $7,069.80 | $223.80 – $5,423.23 |
| UPMC Magee | Pittsburgh | $3,153.00 | $193.84 – $3,633.70 |