Insert vad art access left hrt arterial access at UPMC Carlisle
361 Alexander Spring Road, Carlisle, PA · UPMC · · NPI 1689107328
$2,497.20
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.
$4,162.00
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.
$285.41 with United Healthcare Community Plan for Families vs $9,539.00 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 |
|---|---|---|---|
| United Healthcare Community Plan for Families | PA Medicaid | $285.41 | ↓ -89% |
| Prime Net | Managed Medicare | $570.19 | ↓ -77% |
| UPMC Work Partners | Workers Comp | $655.35 | ↓ -74% |
| Aetna | Medicare | $686.73 | ↓ -73% |
| Capital Blue Cross | Medicare Advantage | $832.40 | ↓ -67% |
| Keystone Health Plan | Medicare Advantage | $832.40 | ↓ -67% |
| Prime Net | Legacy Commercial | $1,623.18 | ↓ -35% |
| Aetna | ACO | $1,635.67 | ↓ -34% |
| Prime Net | ACO | $1,635.67 | ↓ -34% |
| Prime Net | NonGateKeeper | $1,935.33 | ↓ -23% |
| Aetna | Commercial | $1,947.82 | ↓ -22% |
| Prime Net | GateKeeper | $1,947.82 | ↓ -22% |
| Keystone Health Plan | Commercial | $2,276.61 | ↓ -9% |
| Capital Blue Cross | Commercial | $2,276.61 | ↓ -9% |
| Capital Blue Cross | CHIP | $2,276.61 | ↓ -9% |
| Geisinger | Medicaid/CHIP | $2,289.10 | ↓ -8% |
| PA Health & Wellness | PA Medicaid HMO | $2,289.10 | ↓ -8% |
| Wellspan Population Health | PPO | $2,705.30 | ↑ +8% |
| Geisinger | Commercial | $2,725.28 | ↑ +9% |
| UPMC Health Plan | Commercial | $2,913.40 | ↑ +17% |
| UPMC Health Plan | CHIP | $2,913.40 | ↑ +17% |
| Prime Net | FH-Medical Rental | $3,146.47 | ↑ +26% |
| Multiplan | PPO (Includes PHCS and Humana as Payers) | $3,537.70 | ↑ +42% |
| Cigna | Commercial | $9,539.00 | ↑ +282% |
| United Healthcare | Commercial | not published by hospital | — |
Visitor-reported prices
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Insert vad art access left hrt arterial access at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $2,443.80 | $374.12 – $3,258.40 |
| UPMC Community Osteopathic | Harrisburg | $2,497.20 | $285.41 – $3,537.70 |
| UPMC Hamot | Erie | $2,083.20 | $374.12 – $949.25 |
| UPMC Northwest | Seneca | $2,458.80 | $626.23 – $970.99 |
| UPMC Hanover | Hanover | $2,497.20 | $285.41 – $655.35 |
| UPMC Lititz | Lititz | $2,497.20 | $285.41 – $655.35 |
| UPMC Memorial | York | $2,497.20 | $285.41 – $655.35 |
| UPMC Passavant-McCandless | Pittsburgh | $2,074.20 | $377.68 – $728.17 |