Explore/treat finger joint at UPMC Carlisle
361 Alexander Spring Road, Carlisle, PA · UPMC · · NPI 1689107328
$4,131.00
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.
$6,885.00
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.
$199.39 with AmeriHealth Caritas vs $5,852.25 with Multiplan — 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 | $199.39 | ↓ -95% |
| Highmark Wholecare (prev Gateway) | Medicaid | $199.39 | ↓ -95% |
| UPMC Health Plan | Managed Medicaid | $204.10 | ↓ -95% |
| Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $213.83 | ↓ -95% |
| Geisinger | Medicaid/CHIP | $228.69 | ↓ -94% |
| PA Health & Wellness | PA Medicaid HMO | $267.56 | ↓ -94% |
| United Healthcare Community Plan for Families | PA Medicaid | $748.01 | ↓ -82% |
| UPMC Work Partners | Workers Comp | $774.82 | ↓ -81% |
| Prime Net | Managed Medicare | $943.25 | ↓ -77% |
| Keystone Health Plan | Medicare Advantage | $1,377.00 | ↓ -67% |
| Capital Blue Cross | Medicare Advantage | $1,377.00 | ↓ -67% |
| Highmark BCBS of PA | Community Blue Medicare Advantage/Complete Blue Medicare Advantage/Security Blue Medicare Advantage/Together Blue Medicare Advantage | $1,515.67 | ↓ -63% |
| Highmark BCBS of PA | Freedom Blue Medicare Advantage | $1,515.67 | ↓ -63% |
| Humana | Medicare | $1,530.98 | ↓ -63% |
| Aetna | Medicare | $1,596.81 | ↓ -61% |
| Cigna | Medicare | $1,607.53 | ↓ -61% |
| Geisinger | Medicare | $1,607.53 | ↓ -61% |
| United Healthcare | Medicare | $1,638.15 | ↓ -60% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $1,653.46 | ↓ -60% |
| Keystone Autism Services | ACAP | $2,449.57 | ↓ -41% |
| Prime Net | Legacy Commercial | $2,685.15 | ↓ -35% |
| Prime Net | ACO | $2,705.80 | ↓ -35% |
| Aetna | ACO | $2,705.80 | ↓ -35% |
| Prime Net | NonGateKeeper | $3,201.53 | ↓ -22% |
| Prime Net | GateKeeper | $3,222.18 | ↓ -22% |
| Aetna | Commercial | $3,222.18 | ↓ -22% |
| UPMC Health Plan | CHIP | $3,269.62 | ↓ -21% |
| Capital Blue Cross | Commercial | $3,766.09 | ↓ -9% |
| Capital Blue Cross | CHIP | $3,766.09 | ↓ -9% |
| Keystone Health Plan | Commercial | $3,766.09 | ↓ -9% |
| Highmark BCBS of PA | Community Blue PPO | $4,306.03 | ↑ +4% |
| Wellspan Population Health | PPO | $4,475.25 | ↑ +8% |
| Highmark BCBS of PA | CHIP - Managed Care | $4,488.22 | ↑ +9% |
| Geisinger | Commercial | $4,508.30 | ↑ +9% |
| Highmark BCBS of PA | Commercial | $4,784.47 | ↑ +16% |
| UPMC Health Plan | Commercial | $4,819.50 | ↑ +17% |
| Prime Net | FH-Medical Rental | $5,205.06 | ↑ +26% |
| Cigna | Commercial | $5,370.30 | ↑ +30% |
| Multiplan | PPO (Includes PHCS and Humana as Payers) | $5,852.25 | ↑ +42% |
| 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
Explore/treat finger joint at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Cole | Coudersport | $717.60 | $164.85 – $1,470.59 |
| UPMC Community Osteopathic | Harrisburg | $4,131.00 | $199.39 – $5,852.25 |
| UPMC Hanover | Hanover | $4,131.00 | $199.39 – $2,446.19 |
| UPMC Jameson | New Castle | $4,533.00 | $172.70 – $2,059.83 |
| UPMC Lititz | Lititz | $4,131.00 | $199.39 – $2,459.41 |
| UPMC Memorial | York | $4,131.00 | $199.39 – $2,455.41 |
| UPMC Somerset | Somerset | $4,131.00 | $172.70 – $1,525.80 |
| UPMC Williamsport | Williamsport | $6,347.40 | $172.70 – $1,632.61 |