Excision benign lesion scalp/neck/hands/feet/genitalia 1.1 - 2.0 cm at UPMC Carlisle
361 Alexander Spring Road, Carlisle, PA · UPMC · · NPI 1689107328
$2,910.60
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.
?
What you pay up front if you don't use insurance.
$4,851.00
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.
?
The hospital's undiscounted list price — almost no one pays this.
$47.62 with AmeriHealth Caritas vs $4,843.75 with Highmark BCBS of PA — same scan, same building. Share
Negotiated rates by payer
?
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 →
?
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 | $47.62 | ↓ -98% |
| Highmark Wholecare (prev Gateway) | Medicaid | $47.62 | ↓ -98% |
| UPMC Health Plan | Managed Medicaid | $48.75 | ↓ -98% |
| Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $51.08 | ↓ -98% |
| Geisinger | Medicaid/CHIP | $54.62 | ↓ -98% |
| PA Health & Wellness | PA Medicaid HMO | $63.91 | ↓ -98% |
| UPMC Work Partners | Workers Comp | $260.48 | ↓ -91% |
| Prime Net | Managed Medicare | $664.59 | ↓ -77% |
| Keystone Health Plan | Medicare Advantage | $970.20 | ↓ -67% |
| Capital Blue Cross | Medicare Advantage | $970.20 | ↓ -67% |
| United Healthcare Community Plan for Families | PA Medicaid | $970.71 | ↓ -67% |
| Highmark BCBS of PA | Community Blue Medicare Advantage/Complete Blue Medicare Advantage/Security Blue Medicare Advantage/Together Blue Medicare Advantage | $1,534.45 | ↓ -47% |
| Highmark BCBS of PA | Freedom Blue Medicare Advantage | $1,534.45 | ↓ -47% |
| Humana | Medicare | $1,549.95 | ↓ -47% |
| Aetna | Medicare | $1,616.60 | ↓ -44% |
| Cigna | Medicare | $1,627.45 | ↓ -44% |
| Geisinger | Medicare | $1,627.45 | ↓ -44% |
| United Healthcare | Medicare | $1,658.45 | ↓ -43% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $1,673.95 | ↓ -42% |
| UPMC Health Plan | CHIP | $1,732.25 | ↓ -40% |
| Prime Net | Legacy Commercial | $1,891.89 | ↓ -35% |
| Aetna | ACO | $1,906.44 | ↓ -35% |
| Prime Net | ACO | $1,906.44 | ↓ -35% |
| Prime Net | NonGateKeeper | $2,255.72 | ↓ -22% |
| Aetna | Commercial | $2,270.27 | ↓ -22% |
| Prime Net | GateKeeper | $2,270.27 | ↓ -22% |
| Keystone Autism Services | ACAP | $2,479.92 | ↓ -15% |
| Capital Blue Cross | CHIP | $2,653.50 | ↓ -9% |
| Capital Blue Cross | Commercial | $2,653.50 | ↓ -9% |
| Keystone Health Plan | Commercial | $2,653.50 | ↓ -9% |
| Wellspan Population Health | PPO | $3,153.15 | ↑ +8% |
| Geisinger | Commercial | $3,176.43 | ↑ +9% |
| UPMC Health Plan | Commercial | $3,395.70 | ↑ +17% |
| Cigna | Commercial | $3,397.00 | ↑ +17% |
| Prime Net | FH-Medical Rental | $3,667.36 | ↑ +26% |
| Multiplan | PPO (Includes PHCS and Humana as Payers) | $4,123.35 | ↑ +42% |
| Highmark BCBS of PA | Community Blue PPO | $4,359.39 | ↑ +50% |
| Highmark BCBS of PA | CHIP - Managed Care | $4,543.83 | ↑ +56% |
| Highmark BCBS of PA | Commercial | $4,843.75 | ↑ +66% |
| 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
Excision benign lesion scalp/neck/hands/feet/genitalia 1.1 - 2.0 cm at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $3,515.40 | $37.50 – $4,687.20 |
| UPMC Cole | Coudersport | $233.40 | $39.38 – $2,325.85 |
| UPMC Community Osteopathic | Harrisburg | $348.00 | $50.62 – $3,135.30 |
| UPMC Hanover | Hanover | $2,910.60 | $47.62 – $2,476.51 |
| UPMC Magee | Pittsburgh | $2,427.00 | $41.25 – $1,668.28 |
| UPMC McKeesport | Mckeesport | $2,829.60 | $41.25 – $1,699.17 |
| UPMC Mercy | Pittsburgh | $2,427.00 | $41.25 – $1,699.17 |
| UPMC Presbyterian | Pittsburgh | $2,961.60 | $41.25 – $1,699.17 |