Embo or occlude vascular hemorrhage s&i at UPMC Carlisle
361 Alexander Spring Road, Carlisle, PA · UPMC · · NPI 1689107328
$22,274.40
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.
$37,124.00
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.
$722.35 with AmeriHealth Caritas vs $33,903.02 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 |
|---|---|---|---|
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $722.35 | ↓ -97% |
| Highmark Wholecare (prev Gateway) | Medicaid | $722.35 | ↓ -97% |
| UPMC Health Plan | Managed Medicaid | $739.41 | ↓ -97% |
| Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $774.68 | ↓ -97% |
| Geisinger | Medicaid/CHIP | $828.48 | ↓ -96% |
| PA Health & Wellness | PA Medicaid HMO | $969.31 | ↓ -96% |
| United Healthcare Community Plan for Families | PA Medicaid | $1,016.56 | ↓ -95% |
| Prime Net | Managed Medicare | $5,085.99 | ↓ -77% |
| Keystone Health Plan | Medicare Advantage | $7,424.80 | ↓ -67% |
| Capital Blue Cross | Medicare Advantage | $7,424.80 | ↓ -67% |
| UPMC Work Partners | Workers Comp | $9,410.99 | ↓ -58% |
| Highmark BCBS of PA | Community Blue Medicare Advantage/Complete Blue Medicare Advantage/Security Blue Medicare Advantage/Together Blue Medicare Advantage | $10,740.13 | ↓ -52% |
| Highmark BCBS of PA | Freedom Blue Medicare Advantage | $10,740.13 | ↓ -52% |
| Humana | Medicare | $10,848.62 | ↓ -51% |
| Aetna | Medicare | $11,315.11 | ↓ -49% |
| Cigna | Medicare | $11,391.05 | ↓ -49% |
| Geisinger | Medicare | $11,391.05 | ↓ -49% |
| United Healthcare | Medicare | $11,608.02 | ↓ -48% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $11,716.51 | ↓ -47% |
| Prime Net | Legacy Commercial | $14,478.36 | ↓ -35% |
| Aetna | ACO | $14,589.73 | ↓ -35% |
| Prime Net | ACO | $14,589.73 | ↓ -35% |
| Prime Net | NonGateKeeper | $17,262.66 | ↓ -23% |
| Cigna | Commercial | $17,298.00 | ↓ -22% |
| Keystone Autism Services | ACAP | $17,357.79 | ↓ -22% |
| Prime Net | GateKeeper | $17,374.03 | ↓ -22% |
| Aetna | Commercial | $17,374.03 | ↓ -22% |
| Capital Blue Cross | Commercial | $20,306.83 | ↓ -9% |
| Capital Blue Cross | CHIP | $20,306.83 | ↓ -9% |
| Keystone Health Plan | Commercial | $20,306.83 | ↓ -9% |
| Wellspan Population Health | PPO | $24,130.60 | ↑ +8% |
| Geisinger | Commercial | $24,308.80 | ↑ +9% |
| UPMC Health Plan | CHIP | $25,986.80 | ↑ +17% |
| UPMC Health Plan | Commercial | $25,986.80 | ↑ +17% |
| Prime Net | FH-Medical Rental | $28,065.74 | ↑ +26% |
| Highmark BCBS of PA | Community Blue PPO | $30,512.83 | ↑ +37% |
| Multiplan | PPO (Includes PHCS and Humana as Payers) | $31,555.40 | ↑ +42% |
| Highmark BCBS of PA | CHIP - Managed Care | $31,803.81 | ↑ +43% |
| Highmark BCBS of PA | Commercial | $33,903.02 | ↑ +52% |
| 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
Embo or occlude vascular hemorrhage s&i at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $11,728.80 | $568.78 – $15,638.40 |
| UPMC Community Osteopathic | Harrisburg | $22,274.40 | $722.35 – $31,555.40 |
| UPMC East | Monroeville | $12,721.80 | $625.66 – $16,962.40 |
| UPMC Hamot | Erie | $12,810.60 | $625.66 – $15,725.10 |
| UPMC Hanover | Hanover | $22,274.40 | $722.35 – $17,333.84 |
| UPMC Jameson | New Castle | $21,680.40 | $625.66 – $14,596.02 |
| UPMC Lititz | Lititz | $22,274.40 | $722.35 – $17,427.46 |
| UPMC Magee | Pittsburgh | $12,721.80 | $625.66 – $11,676.82 |