Ghs nerve block suprascapular at UPMC Carlisle
361 Alexander Spring Road, Carlisle, PA · UPMC · · NPI 1689107328
not published by hospital
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.
not published by hospital
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.
$44.45 with Highmark Wholecare (prev Gateway) vs $3,397.00 with Cigna — 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 | $44.45 | — |
| UPMC Health Plan | Managed Medicaid | $45.50 | — |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $47.25 | — |
| Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $47.67 | — |
| Geisinger | Medicaid/CHIP | $50.98 | — |
| PA Health & Wellness | PA Medicaid HMO | $59.65 | — |
| UPMC Work Partners | Workers Comp | $175.58 | — |
| UPMC Health Plan | CHIP | $637.34 | — |
| Highmark BCBS of PA | Community Blue Medicare Advantage/Complete Blue Medicare Advantage/Security Blue Medicare Advantage/Together Blue Medicare Advantage | $655.86 | — |
| Highmark BCBS of PA | Freedom Blue Medicare Advantage | $655.86 | — |
| Humana | Medicare | $662.48 | — |
| Aetna | Medicare | $690.97 | — |
| Cigna | Medicare | $695.60 | — |
| Geisinger | Medicare | $695.60 | — |
| United Healthcare | Medicare | $708.85 | — |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $715.48 | — |
| United Healthcare Community Plan for Families | PA Medicaid | $1,016.56 | — |
| Keystone Autism Services | ACAP | $1,059.97 | — |
| Highmark BCBS of PA | Community Blue PPO | $1,863.29 | — |
| Highmark BCBS of PA | CHIP - Managed Care | $1,942.13 | — |
| Highmark BCBS of PA | Commercial | $2,070.32 | — |
| Cigna | Commercial | $3,397.00 | — |
| 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
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Ghs nerve block suprascapular at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $1,085.40 | $35.00 – $1,447.20 |
| UPMC Cole | Coudersport | $166.80 | $36.75 – $222.40 |
| UPMC Community Osteopathic | Harrisburg | $1,976.40 | $44.45 – $2,799.90 |
| UPMC East | Monroeville | $987.60 | $38.50 – $1,316.80 |
| UPMC Hamot | Erie | $1,108.80 | $38.50 – $960.26 |
| UPMC Hanover | Hanover | $1,976.40 | $44.45 – $1,058.50 |
| UPMC Horizon-Greenville | Greenville | $908.40 | $38.50 – $713.05 |
| UPMC Jameson | New Castle | $908.40 | $38.50 – $892.40 |