Destroy cervthor facet jnt 64633 at UPMC Carlisle
361 Alexander Spring Road, Carlisle, PA · UPMC · · NPI 1689107328
$2,606.40
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.
$4,344.00
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.
$595.13 with Prime Net vs $5,837.87 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 |
|---|---|---|---|
| Prime Net | Managed Medicare | $595.13 | ↓ -77% |
| UPMC Work Partners | Workers Comp | $658.41 | ↓ -75% |
| Keystone Health Plan | Medicare Advantage | $868.80 | ↓ -67% |
| Capital Blue Cross | Medicare Advantage | $868.80 | ↓ -67% |
| United Healthcare Community Plan for Families | PA Medicaid | $1,016.56 | ↓ -61% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $1,027.43 | ↓ -61% |
| Prime Net | Legacy Commercial | $1,694.16 | ↓ -35% |
| Aetna | ACO | $1,707.19 | ↓ -35% |
| Prime Net | ACO | $1,707.19 | ↓ -35% |
| Highmark BCBS of PA | Community Blue Medicare Advantage/Complete Blue Medicare Advantage/Security Blue Medicare Advantage/Together Blue Medicare Advantage | $1,849.38 | ↓ -29% |
| Highmark BCBS of PA | Freedom Blue Medicare Advantage | $1,849.38 | ↓ -29% |
| Humana | Medicare | $1,868.06 | ↓ -28% |
| Aetna | Medicare | $1,948.39 | ↓ -25% |
| Cigna | Medicare | $1,961.46 | ↓ -25% |
| Geisinger | Medicare | $1,961.46 | ↓ -25% |
| United Healthcare | Medicare | $1,998.82 | ↓ -23% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $2,017.50 | ↓ -23% |
| Prime Net | NonGateKeeper | $2,019.96 | ↓ -23% |
| Aetna | Commercial | $2,032.99 | ↓ -22% |
| Prime Net | GateKeeper | $2,032.99 | ↓ -22% |
| Keystone Health Plan | Commercial | $2,376.17 | ↓ -9% |
| Capital Blue Cross | CHIP | $2,376.17 | ↓ -9% |
| Capital Blue Cross | Commercial | $2,376.17 | ↓ -9% |
| PA Health & Wellness | PA Medicaid HMO | $2,389.20 | ↓ -8% |
| Geisinger | Medicaid/CHIP | $2,389.20 | ↓ -8% |
| Wellspan Population Health | PPO | $2,823.60 | ↑ +8% |
| Geisinger | Commercial | $2,844.45 | ↑ +9% |
| Keystone Autism Services | ACAP | $2,988.90 | ↑ +15% |
| UPMC Health Plan | Commercial | $3,040.80 | ↑ +17% |
| Prime Net | FH-Medical Rental | $3,284.06 | ↑ +26% |
| Cigna | Commercial | $3,397.00 | ↑ +30% |
| Multiplan | PPO (Includes PHCS and Humana as Payers) | $3,692.40 | ↑ +42% |
| UPMC Health Plan | CHIP | $3,770.59 | ↑ +45% |
| Highmark BCBS of PA | Community Blue PPO | $5,254.11 | ↑ +102% |
| Highmark BCBS of PA | CHIP - Managed Care | $5,476.40 | ↑ +110% |
| Highmark BCBS of PA | Commercial | $5,837.87 | ↑ +124% |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
| Tricare | East Region | not published by hospital | — |
| United Healthcare | Commercial | not published by hospital | — |
Visitor-reported prices
Comments
Destroy cervthor facet jnt 64633 at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Cole | Coudersport | $512.40 | $236.73 – $771.51 |
| UPMC Community Osteopathic | Harrisburg | $2,606.40 | $658.41 – $3,770.59 |
| UPMC East | Monroeville | $3,417.60 | $629.15 – $4,556.80 |
| UPMC Northwest | Seneca | $4,080.60 | $629.15 – $2,010.67 |
| UPMC Horizon-Greenville | Greenville | $2,396.40 | $629.15 – $2,010.67 |
| UPMC Jameson | New Castle | $2,396.40 | $629.15 – $2,513.34 |
| UPMC Kane | Kane | $1,947.60 | $629.15 – $2,776.57 |
| UPMC Lititz | Lititz | $2,606.40 | $658.41 – $3,770.59 |