Ghs vaginal delivery only at UPMC Carlisle
361 Alexander Spring Road, Carlisle, PA · UPMC · · NPI 1689107328
$4,464.60
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.
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What you pay up front if you don't use insurance.
$7,441.00
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.
$471.00 with United Healthcare vs $9,505.30 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 | Commercial | $471.00 | ↓ -89% |
| Prime Net | Managed Medicare | $1,019.42 | ↓ -77% |
| UPMC Health Plan | CHIP | $1,111.99 | ↓ -75% |
| Capital Blue Cross | Medicare Advantage | $1,488.20 | ↓ -67% |
| Keystone Health Plan | Medicare Advantage | $1,488.20 | ↓ -67% |
| United Healthcare Community Plan for Families | PA Medicaid | $1,572.00 | ↓ -65% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $1,672.88 | ↓ -63% |
| UPMC Work Partners | Workers Comp | $1,769.82 | ↓ -60% |
| Prime Net | Legacy Commercial | $2,901.99 | ↓ -35% |
| Aetna | ACO | $2,924.31 | ↓ -35% |
| Prime Net | ACO | $2,924.31 | ↓ -35% |
| Highmark BCBS of PA | Community Blue Medicare Advantage/Complete Blue Medicare Advantage/Security Blue Medicare Advantage/Together Blue Medicare Advantage | $3,011.18 | ↓ -33% |
| Highmark BCBS of PA | Freedom Blue Medicare Advantage | $3,011.18 | ↓ -33% |
| Humana | Medicare | $3,041.60 | ↓ -32% |
| Aetna | Medicare | $3,172.39 | ↓ -29% |
| Cigna | Medicare | $3,193.68 | ↓ -28% |
| Geisinger | Medicare | $3,193.68 | ↓ -28% |
| United Healthcare | Medicare | $3,254.51 | ↓ -27% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $3,284.93 | ↓ -26% |
| Prime Net | NonGateKeeper | $3,460.07 | ↓ -22% |
| Aetna | Commercial | $3,482.39 | ↓ -22% |
| Prime Net | GateKeeper | $3,482.39 | ↓ -22% |
| Capital Blue Cross | CHIP | $4,070.23 | ↓ -9% |
| Keystone Health Plan | Commercial | $4,070.23 | ↓ -9% |
| Capital Blue Cross | Commercial | $4,070.23 | ↓ -9% |
| PA Health & Wellness | PA Medicaid HMO | $4,092.55 | ↓ -8% |
| Geisinger | Medicaid/CHIP | $4,092.55 | ↓ -8% |
| Wellspan Population Health | PPO | $4,836.65 | ↑ +8% |
| Keystone Autism Services | ACAP | $4,866.56 | ↑ +9% |
| Geisinger | Commercial | $4,872.37 | ↑ +9% |
| UPMC Health Plan | Commercial | $5,208.70 | ↑ +17% |
| Prime Net | FH-Medical Rental | $5,625.40 | ↑ +26% |
| Cigna | Commercial | $5,803.98 | ↑ +30% |
| Multiplan | PPO (Includes PHCS and Humana as Payers) | $6,324.85 | ↑ +42% |
| Highmark BCBS of PA | Community Blue PPO | $8,554.80 | ↑ +92% |
| Highmark BCBS of PA | CHIP - Managed Care | $8,916.75 | ↑ +100% |
| Highmark BCBS of PA | Commercial | $9,505.30 | ↑ +113% |
Visitor-reported prices
Comments
Ghs vaginal delivery only at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $8,247.60 | $1,111.99 – $10,996.80 |
| UPMC Bedford | Everett | $10,399.20 | $822.32 – $15,598.80 |
| UPMC Cole | Coudersport | $3,411.00 | $685.79 – $1,979.20 |
| UPMC Community Osteopathic | Harrisburg | $4,464.60 | $1,111.99 – $6,324.85 |
| UPMC East | Monroeville | $6,165.00 | $635.25 – $8,220.00 |
| UPMC Hamot | Erie | $9,315.60 | $1,380.58 – $4,408.81 |
| UPMC Hanover | Hanover | $4,464.60 | $471.00 – $4,859.86 |
| UPMC Jameson | New Castle | $3,252.00 | $1,111.99 – $4,092.26 |