Dx bronchoscope/wash 31622 at UPMC Carlisle
361 Alexander Spring Road, Carlisle, PA · UPMC · · NPI 1689107328
$2,168.40
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.
$3,614.00
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.
$170.00 with Highmark Wholecare (prev Gateway) vs $5,155.35 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 |
|---|---|---|---|
| Highmark Wholecare (prev Gateway) | Medicaid | $170.00 | ↓ -92% |
| UPMC Health Plan | Managed Medicaid | $174.02 | ↓ -92% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $180.71 | ↓ -92% |
| Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $182.32 | ↓ -92% |
| Geisinger | Medicaid/CHIP | $194.98 | ↓ -91% |
| PA Health & Wellness | PA Medicaid HMO | $228.12 | ↓ -89% |
| Prime Net | Managed Medicare | $495.12 | ↓ -77% |
| UPMC Work Partners | Workers Comp | $589.23 | ↓ -73% |
| Capital Blue Cross | Medicare Advantage | $722.80 | ↓ -67% |
| Keystone Health Plan | Medicare Advantage | $722.80 | ↓ -67% |
| United Healthcare Community Plan for Families | PA Medicaid | $858.05 | ↓ -60% |
| Prime Net | Legacy Commercial | $1,409.46 | ↓ -35% |
| Prime Net | ACO | $1,420.30 | ↓ -35% |
| Aetna | ACO | $1,420.30 | ↓ -35% |
| Highmark BCBS of PA | Community Blue Medicare Advantage/Complete Blue Medicare Advantage/Security Blue Medicare Advantage/Together Blue Medicare Advantage | $1,633.16 | ↓ -25% |
| Highmark BCBS of PA | Freedom Blue Medicare Advantage | $1,633.16 | ↓ -25% |
| Humana | Medicare | $1,649.66 | ↓ -24% |
| Prime Net | NonGateKeeper | $1,680.51 | ↓ -23% |
| Prime Net | GateKeeper | $1,691.35 | ↓ -22% |
| Aetna | Commercial | $1,691.35 | ↓ -22% |
| Aetna | Medicare | $1,720.60 | ↓ -21% |
| UPMC Health Plan | CHIP | $1,730.79 | ↓ -20% |
| Geisinger | Medicare | $1,732.14 | ↓ -20% |
| Cigna | Medicare | $1,732.14 | ↓ -20% |
| United Healthcare | Medicare | $1,765.14 | ↓ -19% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $1,781.63 | ↓ -18% |
| Capital Blue Cross | CHIP | $1,976.86 | ↓ -9% |
| Capital Blue Cross | Commercial | $1,976.86 | ↓ -9% |
| Keystone Health Plan | Commercial | $1,976.86 | ↓ -9% |
| Wellspan Population Health | PPO | $2,349.10 | ↑ +8% |
| Geisinger | Commercial | $2,366.45 | ↑ +9% |
| UPMC Health Plan | Commercial | $2,529.80 | ↑ +17% |
| Keystone Autism Services | ACAP | $2,639.46 | ↑ +22% |
| Prime Net | FH-Medical Rental | $2,732.18 | ↑ +26% |
| Multiplan | PPO (Includes PHCS and Humana as Payers) | $3,071.90 | ↑ +42% |
| Cigna | Commercial | $3,397.00 | ↑ +57% |
| Highmark BCBS of PA | Community Blue PPO | $4,639.83 | ↑ +114% |
| Highmark BCBS of PA | CHIP - Managed Care | $4,836.14 | ↑ +123% |
| Highmark BCBS of PA | Commercial | $5,155.35 | ↑ +138% |
| 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
Dx bronchoscope/wash 31622 at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $2,520.60 | $133.86 – $3,360.80 |
| UPMC Bedford | Everett | $3,576.60 | $140.55 – $5,364.90 |
| UPMC Community Osteopathic | Harrisburg | $2,168.40 | $180.71 – $3,071.90 |
| UPMC East | Monroeville | $2,281.20 | $147.25 – $3,041.60 |
| UPMC Hamot | Erie | $3,196.20 | $147.25 – $2,391.19 |
| UPMC Northwest | Seneca | $1,558.20 | $147.25 – $1,726.28 |
| UPMC Hanover | Hanover | $2,168.40 | $170.00 – $2,635.82 |
| UPMC Jameson | New Castle | $1,991.40 | $147.25 – $2,219.51 |