Closure paravalvlr leak pq at UPMC Carlisle
361 Alexander Spring Road, Carlisle, PA · UPMC · · NPI 1689107328
$5,734.80
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.
?
What you pay up front if you don't use insurance.
$9,558.00
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.
$48.10 with UPMC Health Plan vs $9,539.00 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 |
|---|---|---|---|
| UPMC Health Plan | CHIP | $48.10 | ↓ -99% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $325.29 | ↓ -94% |
| United Healthcare Community Plan for Families | PA Medicaid | $462.29 | ↓ -92% |
| Highmark BCBS of PA | Freedom Blue Medicare Advantage | $585.53 | ↓ -90% |
| Highmark BCBS of PA | Community Blue Medicare Advantage/Complete Blue Medicare Advantage/Security Blue Medicare Advantage/Together Blue Medicare Advantage | $585.53 | ↓ -90% |
| Humana | Medicare | $591.44 | ↓ -90% |
| Aetna | Medicare | $616.87 | ↓ -89% |
| Geisinger | Medicare | $621.01 | ↓ -89% |
| Cigna | Medicare | $621.01 | ↓ -89% |
| United Healthcare | Medicare | $632.84 | ↓ -89% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $638.76 | ↓ -89% |
| Keystone Autism Services | ACAP | $946.30 | ↓ -83% |
| Prime Net | Managed Medicare | $1,309.45 | ↓ -77% |
| Highmark BCBS of PA | Community Blue PPO | $1,663.48 | ↓ -71% |
| Highmark BCBS of PA | CHIP - Managed Care | $1,733.87 | ↓ -70% |
| Highmark BCBS of PA | Commercial | $1,848.31 | ↓ -68% |
| Capital Blue Cross | Medicare Advantage | $1,911.60 | ↓ -67% |
| Keystone Health Plan | Medicare Advantage | $1,911.60 | ↓ -67% |
| Prime Net | Legacy Commercial | $3,727.62 | ↓ -35% |
| Aetna | ACO | $3,756.29 | ↓ -35% |
| Prime Net | ACO | $3,756.29 | ↓ -35% |
| Prime Net | NonGateKeeper | $4,444.47 | ↓ -23% |
| Aetna | Commercial | $4,473.14 | ↓ -22% |
| Prime Net | GateKeeper | $4,473.14 | ↓ -22% |
| Capital Blue Cross | CHIP | $5,228.23 | ↓ -9% |
| Keystone Health Plan | Commercial | $5,228.23 | ↓ -9% |
| Capital Blue Cross | Commercial | $5,228.23 | ↓ -9% |
| PA Health & Wellness | PA Medicaid HMO | $5,256.90 | ↓ -8% |
| Geisinger | Medicaid/CHIP | $5,256.90 | ↓ -8% |
| Wellspan Population Health | PPO | $6,212.70 | ↑ +8% |
| Geisinger | Commercial | $6,258.58 | ↑ +9% |
| UPMC Health Plan | Commercial | $6,690.60 | ↑ +17% |
| Prime Net | FH-Medical Rental | $7,225.85 | ↑ +26% |
| Multiplan | PPO (Includes PHCS and Humana as Payers) | $8,124.30 | ↑ +42% |
| Cigna | Commercial | $9,539.00 | ↑ +66% |
| Tricare | East Region | not published by hospital | — |
| United Healthcare | Commercial | not published by hospital | — |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
| UPMC Work Partners | Workers Comp | not published by hospital | — |
Visitor-reported prices
Comments
Closure paravalvlr leak pq at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $11,757.60 | $18.59 – $9,891.20 |
| UPMC Community Osteopathic | Harrisburg | $5,734.80 | $48.10 – $8,124.30 |
| UPMC Hamot | Erie | $799.80 | $18.59 – $857.29 |
| UPMC Hanover | Hanover | $5,734.80 | $48.10 – $944.99 |
| UPMC Lititz | Lititz | $5,734.80 | $48.10 – $950.10 |
| UPMC Memorial | York | $5,734.80 | $15.15 – $948.56 |
| UPMC Presbyterian | Pittsburgh | $14,788.80 | $18.77 – $648.38 |
| UPMC Somerset | Somerset | $5,734.80 | $18.40 – $636.54 |