Declotting thrombolytic agent implanted vas access device 36 at UPMC Carlisle
361 Alexander Spring Road, Carlisle, PA · UPMC · · NPI 1689107328
$740.40
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.
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What you pay up front if you don't use insurance.
$1,234.00
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.
$31.83 with AmeriHealth Caritas vs $1,048.90 with Multiplan — 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 |
|---|---|---|---|
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $31.83 | ↓ -96% |
| Highmark Wholecare (prev Gateway) | Medicaid | $31.83 | ↓ -96% |
| UPMC Health Plan | Managed Medicaid | $32.58 | ↓ -96% |
| United Healthcare Community Plan for Families | PA Medicaid | $32.83 | ↓ -96% |
| Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $34.13 | ↓ -95% |
| Geisinger | Medicaid/CHIP | $36.50 | ↓ -95% |
| PA Health & Wellness | PA Medicaid HMO | $42.71 | ↓ -94% |
| UPMC Work Partners | Workers Comp | $57.91 | ↓ -92% |
| Prime Net | Managed Medicare | $169.06 | ↓ -77% |
| Keystone Health Plan | Medicare Advantage | $246.80 | ↓ -67% |
| Capital Blue Cross | Medicare Advantage | $246.80 | ↓ -67% |
| Highmark BCBS of PA | Community Blue Medicare Advantage/Complete Blue Medicare Advantage/Security Blue Medicare Advantage/Together Blue Medicare Advantage | $314.13 | ↓ -58% |
| Highmark BCBS of PA | Freedom Blue Medicare Advantage | $314.13 | ↓ -58% |
| Humana | Medicare | $317.30 | ↓ -57% |
| Aetna | Medicare | $330.94 | ↓ -55% |
| Geisinger | Medicare | $333.17 | ↓ -55% |
| Cigna | Medicare | $333.17 | ↓ -55% |
| United Healthcare | Medicare | $339.51 | ↓ -54% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $342.68 | ↓ -54% |
| Prime Net | Legacy Commercial | $481.26 | ↓ -35% |
| Prime Net | ACO | $484.96 | ↓ -35% |
| Aetna | ACO | $484.96 | ↓ -35% |
| Keystone Autism Services | ACAP | $507.68 | ↓ -31% |
| UPMC Health Plan | CHIP | $514.30 | ↓ -31% |
| Prime Net | NonGateKeeper | $573.81 | ↓ -23% |
| Aetna | Commercial | $577.51 | ↓ -22% |
| Prime Net | GateKeeper | $577.51 | ↓ -22% |
| Capital Blue Cross | CHIP | $675.00 | ↓ -9% |
| Keystone Health Plan | Commercial | $675.00 | ↓ -9% |
| Capital Blue Cross | Commercial | $675.00 | ↓ -9% |
| Wellspan Population Health | PPO | $802.10 | ↑ +8% |
| Geisinger | Commercial | $808.02 | ↑ +9% |
| UPMC Health Plan | Commercial | $863.80 | ↑ +17% |
| Highmark BCBS of PA | Community Blue PPO | $892.44 | ↑ +21% |
| Highmark BCBS of PA | CHIP - Managed Care | $930.20 | ↑ +26% |
| Prime Net | FH-Medical Rental | $932.90 | ↑ +26% |
| Cigna | Commercial | $962.52 | ↑ +30% |
| Highmark BCBS of PA | Commercial | $991.59 | ↑ +34% |
| Multiplan | PPO (Includes PHCS and Humana as Payers) | $1,048.90 | ↑ +42% |
| United Healthcare | Commercial | not published by hospital | — |
| Tricare | East Region | not published by hospital | — |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
Visitor-reported prices
Comments
Declotting thrombolytic agent implanted vas access device 36 at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $496.80 | $25.06 – $662.40 |
| UPMC Bedford | Everett | $393.60 | $26.31 – $590.40 |
| UPMC Cole | Coudersport | $100.80 | $18.57 – $98.03 |
| UPMC Community Osteopathic | Harrisburg | $740.40 | $31.83 – $1,048.90 |
| UPMC East | Monroeville | $266.40 | $27.57 – $355.20 |
| UPMC Hamot | Erie | $294.60 | $27.57 – $459.65 |
| UPMC Northwest | Seneca | $381.60 | $27.57 – $332.04 |
| UPMC Hanover | Hanover | $740.40 | $31.83 – $506.98 |