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Circumcision (newborn) at UPMC Carlisle
361 Alexander Spring Road, Carlisle, PA · UPMC · · NPI 1689107328
$1,219.20
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.
$2,032.00
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.
$100.33 with Highmark Wholecare (prev Gateway) vs $6,124.10 with Highmark BCBS of PA — 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 | $100.33 | ↓ -92% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $100.33 | ↓ -92% |
| UPMC Health Plan | Managed Medicaid | $102.70 | ↓ -92% |
| Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $107.60 | ↓ -91% |
| Geisinger | Medicaid/CHIP | $115.07 | ↓ -91% |
| PA Health & Wellness | PA Medicaid HMO | $134.63 | ↓ -89% |
| Prime Net | Managed Medicare | $278.38 | ↓ -77% |
| UPMC Health Plan | CHIP | $401.13 | ↓ -67% |
| Keystone Health Plan | Medicare Advantage | $406.40 | ↓ -67% |
| Capital Blue Cross | Medicare Advantage | $406.40 | ↓ -67% |
| United Healthcare Community Plan for Families | PA Medicaid | $467.67 | ↓ -62% |
| Prime Net | Legacy Commercial | $792.48 | ↓ -35% |
| Aetna | ACO | $798.58 | ↓ -34% |
| Prime Net | ACO | $798.58 | ↓ -34% |
| Prime Net | NonGateKeeper | $944.88 | ↓ -23% |
| Prime Net | GateKeeper | $950.98 | ↓ -22% |
| Aetna | Commercial | $950.98 | ↓ -22% |
| Capital Blue Cross | CHIP | $1,111.50 | ↓ -9% |
| Keystone Health Plan | Commercial | $1,111.50 | ↓ -9% |
| Capital Blue Cross | Commercial | $1,111.50 | ↓ -9% |
| Wellspan Population Health | PPO | $1,320.80 | ↑ +8% |
| Geisinger | Commercial | $1,330.55 | ↑ +9% |
| United Healthcare | Commercial | $1,495.55 | ↑ +23% |
| Prime Net | FH-Medical Rental | $1,536.19 | ↑ +26% |
| Cigna | Commercial | $1,584.96 | ↑ +30% |
| Multiplan | PPO (Includes PHCS and Humana as Payers) | $1,727.20 | ↑ +42% |
| Highmark BCBS of PA | Community Blue Medicare Advantage/Complete Blue Medicare Advantage/Security Blue Medicare Advantage/Together Blue Medicare Advantage | $1,940.05 | ↑ +59% |
| Highmark BCBS of PA | Freedom Blue Medicare Advantage | $1,940.05 | ↑ +59% |
| Humana | Medicare | $1,959.65 | ↑ +61% |
| Aetna | Medicare | $2,043.91 | ↑ +68% |
| Cigna | Medicare | $2,057.63 | ↑ +69% |
| Geisinger | Medicare | $2,057.63 | ↑ +69% |
| United Healthcare | Medicare | $2,096.83 | ↑ +72% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $2,116.42 | ↑ +74% |
| Keystone Autism Services | ACAP | $3,135.44 | ↑ +157% |
| UPMC Health Plan | Commercial | $3,614.86 | ↑ +196% |
| Highmark BCBS of PA | Community Blue PPO | $5,511.71 | ↑ +352% |
| Highmark BCBS of PA | CHIP - Managed Care | $5,744.91 | ↑ +371% |
| Highmark BCBS of PA | Commercial | $6,124.10 | ↑ +402% |
| UPMC Work Partners | Workers Comp | not published by hospital | — |
| Tricare | East Region | not published by hospital | — |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
Visitor-reported prices
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Circumcision (newborn) at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $1,248.60 | $27.00 – $2,089.72 |
| UPMC Cole | Coudersport | $283.80 | $82.95 – $2,325.85 |
| UPMC Hanover | Hanover | $1,219.20 | $100.33 – $3,131.10 |
| UPMC Horizon-Greenville | Greenville | $593.40 | $31.88 – $2,050.66 |
| UPMC Lititz | Lititz | $1,219.20 | $100.33 – $3,148.02 |
| UPMC Magee | Pittsburgh | $2,380.80 | $26.56 – $3,650.56 |
| UPMC Memorial | York | $1,219.20 | $100.33 – $3,142.91 |
| UPMC Northwest | Seneca | $2,149.20 | $86.90 – $3,044.70 |