Ins cerv dilator (sep proc) at UPMC Carlisle
361 Alexander Spring Road, Carlisle, PA · UPMC · · NPI 1689107328
$678.00
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.
$1,130.00
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.
$154.81 with Prime Net vs $3,000.00 with UPMC Health Plan — 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 |
|---|---|---|---|
| Prime Net | Managed Medicare | $154.81 | ↓ -77% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $160.04 | ↓ -76% |
| Keystone Health Plan | Medicare Advantage | $226.00 | ↓ -67% |
| Capital Blue Cross | Medicare Advantage | $226.00 | ↓ -67% |
| United Healthcare Community Plan for Families | PA Medicaid | $233.31 | ↓ -66% |
| Highmark BCBS of PA | Community Blue Medicare Advantage/Complete Blue Medicare Advantage/Security Blue Medicare Advantage/Together Blue Medicare Advantage | $288.08 | ↓ -58% |
| Highmark BCBS of PA | Freedom Blue Medicare Advantage | $288.08 | ↓ -58% |
| Humana | Medicare | $290.99 | ↓ -57% |
| Aetna | Medicare | $303.50 | ↓ -55% |
| Geisinger | Medicare | $305.54 | ↓ -55% |
| Cigna | Medicare | $305.54 | ↓ -55% |
| United Healthcare | Medicare | $311.36 | ↓ -54% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $314.27 | ↓ -54% |
| Prime Net | Legacy Commercial | $440.70 | ↓ -35% |
| Aetna | ACO | $444.09 | ↓ -35% |
| Prime Net | ACO | $444.09 | ↓ -35% |
| Keystone Autism Services | ACAP | $465.58 | ↓ -31% |
| United Healthcare | Commercial | $471.00 | ↓ -31% |
| Prime Net | NonGateKeeper | $525.45 | ↓ -23% |
| Prime Net | GateKeeper | $528.84 | ↓ -22% |
| Aetna | Commercial | $528.84 | ↓ -22% |
| Capital Blue Cross | Commercial | $618.11 | ↓ -9% |
| Keystone Health Plan | Commercial | $618.11 | ↓ -9% |
| Capital Blue Cross | CHIP | $618.11 | ↓ -9% |
| PA Health & Wellness | PA Medicaid HMO | $621.50 | ↓ -8% |
| Geisinger | Medicaid/CHIP | $621.50 | ↓ -8% |
| Wellspan Population Health | PPO | $734.50 | ↑ +8% |
| Geisinger | Commercial | $739.92 | ↑ +9% |
| UPMC Health Plan | Commercial | $791.00 | ↑ +17% |
| Highmark BCBS of PA | Community Blue PPO | $818.44 | ↑ +21% |
| Highmark BCBS of PA | CHIP - Managed Care | $853.07 | ↑ +26% |
| Prime Net | FH-Medical Rental | $854.28 | ↑ +26% |
| Cigna | Commercial | $881.40 | ↑ +30% |
| Highmark BCBS of PA | Commercial | $909.37 | ↑ +34% |
| Multiplan | PPO (Includes PHCS and Humana as Payers) | $960.50 | ↑ +42% |
| UPMC Health Plan | CHIP | $3,000.00 | ↑ +342% |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
| UPMC Work Partners | Workers Comp | not published by hospital | — |
| Tricare | East Region | not published by hospital | — |
Visitor-reported prices
Comments
Ins cerv dilator (sep proc) at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $2,562.00 | $204.47 – $3,416.00 |
| UPMC Bedford | Everett | $1,416.00 | $104.64 – $2,124.00 |
| UPMC Cole | Coudersport | $385.80 | $25.50 – $514.40 |
| UPMC Community Osteopathic | Harrisburg | $678.00 | $226.00 – $3,000.00 |
| UPMC Hanover | Hanover | $678.00 | $233.31 – $464.94 |
| UPMC Horizon-Greenville | Greenville | $890.40 | $259.65 – $397.78 |
| UPMC Lititz | Lititz | $678.00 | $233.31 – $467.46 |
| UPMC Magee | Pittsburgh | $733.80 | $206.41 – $319.01 |