Endo cholangiopancreatograph at UPMC Carlisle
361 Alexander Spring Road, Carlisle, PA · UPMC · · NPI 1689107328
$4,546.20
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.
$7,577.00
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.
$188.64 with United Healthcare Community Plan for Families vs $11,373.77 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 |
|---|---|---|---|
| United Healthcare Community Plan for Families | PA Medicaid | $188.64 | ↓ -96% |
| Prime Net | Managed Medicare | $1,038.05 | ↓ -77% |
| UPMC Work Partners | Workers Comp | $1,491.32 | ↓ -67% |
| Capital Blue Cross | Medicare Advantage | $1,515.40 | ↓ -67% |
| Keystone Health Plan | Medicare Advantage | $1,515.40 | ↓ -67% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $2,001.72 | ↓ -56% |
| UPMC Health Plan | CHIP | $2,297.51 | ↓ -49% |
| Prime Net | Legacy Commercial | $2,955.03 | ↓ -35% |
| Aetna | ACO | $2,977.76 | ↓ -35% |
| Prime Net | ACO | $2,977.76 | ↓ -35% |
| Prime Net | NonGateKeeper | $3,523.30 | ↓ -23% |
| Aetna | Commercial | $3,546.04 | ↓ -22% |
| Prime Net | GateKeeper | $3,546.04 | ↓ -22% |
| Highmark BCBS of PA | Freedom Blue Medicare Advantage | $3,603.10 | ↓ -21% |
| Highmark BCBS of PA | Community Blue Medicare Advantage/Complete Blue Medicare Advantage/Security Blue Medicare Advantage/Together Blue Medicare Advantage | $3,603.10 | ↓ -21% |
| Humana | Medicare | $3,639.49 | ↓ -20% |
| Aetna | Medicare | $3,795.99 | ↓ -17% |
| Geisinger | Medicare | $3,821.46 | ↓ -16% |
| Cigna | Medicare | $3,821.46 | ↓ -16% |
| United Healthcare | Medicare | $3,894.25 | ↓ -14% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $3,930.65 | ↓ -14% |
| Keystone Health Plan | Commercial | $4,144.62 | ↓ -9% |
| Capital Blue Cross | Commercial | $4,144.62 | ↓ -9% |
| Capital Blue Cross | CHIP | $4,144.62 | ↓ -9% |
| PA Health & Wellness | PA Medicaid HMO | $4,167.35 | ↓ -8% |
| Geisinger | Medicaid/CHIP | $4,167.35 | ↓ -8% |
| Wellspan Population Health | PPO | $4,925.05 | ↑ +8% |
| Geisinger | Commercial | $4,961.42 | ↑ +9% |
| Cigna | Commercial | $5,035.00 | ↑ +11% |
| UPMC Health Plan | Commercial | $5,303.90 | ↑ +17% |
| Prime Net | FH-Medical Rental | $5,728.21 | ↑ +26% |
| Keystone Autism Services | ACAP | $5,823.18 | ↑ +28% |
| Multiplan | PPO (Includes PHCS and Humana as Payers) | $6,440.45 | ↑ +42% |
| Highmark BCBS of PA | Community Blue PPO | $10,236.43 | ↑ +125% |
| Highmark BCBS of PA | CHIP - Managed Care | $10,669.53 | ↑ +135% |
| Highmark BCBS of PA | Commercial | $11,373.77 | ↑ +150% |
| 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
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Endo cholangiopancreatograph at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $3,517.80 | $729.80 – $4,690.40 |
| UPMC Cole | Coudersport | $1,192.20 | $550.80 – $1,589.60 |
| UPMC Community Osteopathic | Harrisburg | $4,546.20 | $188.64 – $6,440.45 |
| UPMC East | Monroeville | $3,055.20 | $736.75 – $4,073.60 |
| UPMC Hamot | Erie | $4,188.00 | $729.80 – $5,275.45 |
| UPMC Hanover | Hanover | $4,546.20 | $188.64 – $5,815.15 |
| UPMC Jameson | New Castle | $2,311.20 | $165.60 – $4,896.67 |
| UPMC Lititz | Lititz | $4,546.20 | $188.64 – $5,846.56 |