Control nosebleed pack+caut 30905 at UPMC Carlisle
361 Alexander Spring Road, Carlisle, PA · UPMC · · NPI 1689107328
$992.40
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.
$1,654.00
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.
$100.97 with AmeriHealth Caritas vs $1,731.91 with UPMC Health Plan — 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 | $100.97 | ↓ -90% |
| Highmark Wholecare (prev Gateway) | Medicaid | $100.97 | ↓ -90% |
| UPMC Health Plan | Managed Medicaid | $103.35 | ↓ -90% |
| Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $108.28 | ↓ -89% |
| Geisinger | Medicaid/CHIP | $115.80 | ↓ -88% |
| Highmark BCBS of PA | Community Blue Medicare Advantage/Complete Blue Medicare Advantage/Security Blue Medicare Advantage/Together Blue Medicare Advantage | $122.08 | ↓ -88% |
| Highmark BCBS of PA | Freedom Blue Medicare Advantage | $122.08 | ↓ -88% |
| Humana | Medicare | $123.31 | ↓ -88% |
| Aetna | Medicare | $128.61 | ↓ -87% |
| Cigna | Medicare | $129.48 | ↓ -87% |
| Geisinger | Medicare | $129.48 | ↓ -87% |
| United Healthcare | Medicare | $131.94 | ↓ -87% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $133.17 | ↓ -87% |
| PA Health & Wellness | PA Medicaid HMO | $135.48 | ↓ -86% |
| Keystone Autism Services | ACAP | $197.30 | ↓ -80% |
| Prime Net | Managed Medicare | $226.60 | ↓ -77% |
| Keystone Health Plan | Medicare Advantage | $330.80 | ↓ -67% |
| Capital Blue Cross | Medicare Advantage | $330.80 | ↓ -67% |
| Highmark BCBS of PA | Community Blue PPO | $346.82 | ↓ -65% |
| Highmark BCBS of PA | CHIP - Managed Care | $361.50 | ↓ -64% |
| UPMC Work Partners | Workers Comp | $370.02 | ↓ -63% |
| Highmark BCBS of PA | Commercial | $385.36 | ↓ -61% |
| Prime Net | Legacy Commercial | $645.06 | ↓ -35% |
| Prime Net | ACO | $650.02 | ↓ -35% |
| Aetna | ACO | $650.02 | ↓ -35% |
| Prime Net | NonGateKeeper | $769.11 | ↓ -23% |
| Prime Net | GateKeeper | $774.07 | ↓ -22% |
| Aetna | Commercial | $774.07 | ↓ -22% |
| Capital Blue Cross | CHIP | $904.74 | ↓ -9% |
| Capital Blue Cross | Commercial | $904.74 | ↓ -9% |
| Keystone Health Plan | Commercial | $904.74 | ↓ -9% |
| United Healthcare Community Plan for Families | PA Medicaid | $1,016.56 | ↑ +2% |
| Wellspan Population Health | PPO | $1,075.10 | ↑ +8% |
| Geisinger | Commercial | $1,083.04 | ↑ +9% |
| UPMC Health Plan | Commercial | $1,157.80 | ↑ +17% |
| Prime Net | FH-Medical Rental | $1,250.42 | ↑ +26% |
| Cigna | Commercial | $1,290.12 | ↑ +30% |
| Multiplan | PPO (Includes PHCS and Humana as Payers) | $1,405.90 | ↑ +42% |
| UPMC Health Plan | CHIP | $1,731.91 | ↑ +75% |
| 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
Control nosebleed pack+caut 30905 at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $2,275.20 | $79.50 – $3,033.60 |
| UPMC Bedford | Everett | $3,207.60 | $44.34 – $4,811.40 |
| UPMC Cole | Coudersport | $1,266.00 | $83.47 – $771.51 |
| UPMC Community Osteopathic | Harrisburg | $992.40 | $100.97 – $1,731.91 |
| UPMC East | Monroeville | $2,281.20 | $87.45 – $3,041.60 |
| UPMC Hamot | Erie | $2,337.60 | $87.45 – $545.04 |
| UPMC Northwest | Seneca | $1,632.00 | $87.45 – $400.24 |
| UPMC Hanover | Hanover | $992.40 | $100.97 – $1,016.56 |