Cystoscopy and treatment at UPMC Carlisle
361 Alexander Spring Road, Carlisle, PA · UPMC · · NPI 1689107328
not published by hospital
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.
not published by hospital
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.
$572.13 with Highmark Wholecare (prev Gateway) vs $15,197.64 with Highmark BCBS of PA — 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 |
|---|---|---|---|
| Highmark Wholecare (prev Gateway) | Medicaid | $572.13 | — |
| UPMC Health Plan | Managed Medicaid | $585.65 | — |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $608.17 | — |
| Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $613.58 | — |
| Geisinger | Medicaid/CHIP | $656.20 | — |
| PA Health & Wellness | PA Medicaid HMO | $767.74 | — |
| United Healthcare Community Plan for Families | PA Medicaid | $1,016.56 | — |
| UPMC Work Partners | Workers Comp | $2,071.18 | — |
| UPMC Health Plan | CHIP | $2,654.68 | — |
| Highmark BCBS of PA | Freedom Blue Medicare Advantage | $4,814.46 | — |
| Highmark BCBS of PA | Community Blue Medicare Advantage/Complete Blue Medicare Advantage/Security Blue Medicare Advantage/Together Blue Medicare Advantage | $4,814.46 | — |
| Humana | Medicare | $4,863.09 | — |
| Aetna | Medicare | $5,072.20 | — |
| Cigna | Medicare | $5,106.24 | — |
| Geisinger | Medicare | $5,106.24 | — |
| United Healthcare | Medicare | $5,203.51 | — |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $5,252.14 | — |
| Cigna | Commercial | $6,413.00 | — |
| Keystone Autism Services | ACAP | $7,780.94 | — |
| Highmark BCBS of PA | Community Blue PPO | $13,677.93 | — |
| Highmark BCBS of PA | CHIP - Managed Care | $14,256.63 | — |
| Highmark BCBS of PA | Commercial | $15,197.64 | — |
| 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
Cystoscopy and treatment at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Cole | Coudersport | $1,460.40 | $473.02 – $1,979.13 |
| Uniontown Hospital | Uniontown | $2,771.50 | $205.80 – $10,794.09 |
| UPMC Altoona | Altoona | not published | $450.50 – $5,234.35 |
| UPMC Bedford | Everett | not published | $473.02 – $5,234.35 |
| UPMC Community Osteopathic | Harrisburg | not published | $608.17 – $7,348.95 |
| UPMC East | Monroeville | not published | $495.55 – $5,331.28 |
| UPMC Hamot | Erie | not published | $495.55 – $7,049.07 |
| UPMC Northwest | Seneca | not published | $495.55 – $5,088.95 |