Insertion intravascular vena cava (ivc) access supervision & interpretation w/imaging guidance at UPMC Carlisle
361 Alexander Spring Road, Carlisle, PA · UPMC · · NPI 1689107328
$9,498.60
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.
$15,831.00
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.
$1,016.56 with United Healthcare Community Plan for Families vs $17,298.00 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 | $1,016.56 | ↓ -89% |
| Prime Net | Managed Medicare | $2,168.85 | ↓ -77% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $2,844.16 | ↓ -70% |
| Capital Blue Cross | Medicare Advantage | $3,166.20 | ↓ -67% |
| Keystone Health Plan | Medicare Advantage | $3,166.20 | ↓ -67% |
| UPMC Work Partners | Workers Comp | $3,794.48 | ↓ -60% |
| UPMC Health Plan | CHIP | $4,490.25 | ↓ -53% |
| Highmark BCBS of PA | Freedom Blue Medicare Advantage | $5,119.49 | ↓ -46% |
| Highmark BCBS of PA | Community Blue Medicare Advantage/Complete Blue Medicare Advantage/Security Blue Medicare Advantage/Together Blue Medicare Advantage | $5,119.49 | ↓ -46% |
| Humana | Medicare | $5,171.20 | ↓ -46% |
| Aetna | Medicare | $5,393.56 | ↓ -43% |
| Geisinger | Medicare | $5,429.76 | ↓ -43% |
| Cigna | Medicare | $5,429.76 | ↓ -43% |
| United Healthcare | Medicare | $5,533.18 | ↓ -42% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $5,584.90 | ↓ -41% |
| Prime Net | Legacy Commercial | $6,174.09 | ↓ -35% |
| Aetna | ACO | $6,221.58 | ↓ -35% |
| Prime Net | ACO | $6,221.58 | ↓ -35% |
| Prime Net | NonGateKeeper | $7,361.41 | ↓ -23% |
| Prime Net | GateKeeper | $7,408.91 | ↓ -22% |
| Aetna | Commercial | $7,408.91 | ↓ -22% |
| Keystone Autism Services | ACAP | $8,273.92 | ↓ -13% |
| Capital Blue Cross | CHIP | $8,659.56 | ↓ -9% |
| Keystone Health Plan | Commercial | $8,659.56 | ↓ -9% |
| Capital Blue Cross | Commercial | $8,659.56 | ↓ -9% |
| PA Health & Wellness | PA Medicaid HMO | $8,707.05 | ↓ -8% |
| Geisinger | Medicaid/CHIP | $8,707.05 | ↓ -8% |
| Wellspan Population Health | PPO | $10,290.15 | ↑ +8% |
| Geisinger | Commercial | $10,366.14 | ↑ +9% |
| UPMC Health Plan | Commercial | $11,081.70 | ↑ +17% |
| Prime Net | FH-Medical Rental | $11,968.24 | ↑ +26% |
| Multiplan | PPO (Includes PHCS and Humana as Payers) | $13,456.35 | ↑ +42% |
| Highmark BCBS of PA | Community Blue PPO | $14,544.52 | ↑ +53% |
| Highmark BCBS of PA | CHIP - Managed Care | $15,159.89 | ↑ +60% |
| Highmark BCBS of PA | Commercial | $16,160.52 | ↑ +70% |
| Cigna | Commercial | $17,298.00 | ↑ +82% |
| Tricare | East Region | not published by hospital | — |
| United Healthcare | Commercial | not published by hospital | — |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
Visitor-reported prices
Comments
Insertion intravascular vena cava (ivc) access supervision & interpretation w/imaging guidance at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $6,817.80 | $3,132.34 – $9,090.40 |
| UPMC Cole | Coudersport | $1,911.00 | $882.88 – $3,625.84 |
| UPMC Community Osteopathic | Harrisburg | $9,498.60 | $1,016.56 – $13,456.35 |
| UPMC East | Monroeville | $2,328.00 | $1,280.40 – $5,565.99 |
| UPMC Hamot | Erie | $7,189.20 | $3,132.34 – $7,495.67 |
| UPMC Northwest | Seneca | $1,806.60 | $3,235.87 – $5,565.99 |
| UPMC Hanover | Hanover | $9,498.60 | $1,016.56 – $8,262.51 |
| UPMC Horizon-Greenville | Greenville | $3,606.00 | $2,515.42 – $6,093.80 |