Intra-atrial pacing at UPMC Carlisle
361 Alexander Spring Road, Carlisle, PA · UPMC · · NPI 1689107328
$15,996.60
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.
$26,661.00
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.
$238.12 with Highmark Wholecare (prev Gateway) vs $22,684.88 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 |
|---|---|---|---|
| Highmark Wholecare (prev Gateway) | Medicaid | $238.12 | ↓ -99% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $238.12 | ↓ -99% |
| UPMC Health Plan | Managed Medicaid | $243.75 | ↓ -98% |
| United Healthcare Community Plan for Families | PA Medicaid | $245.62 | ↓ -98% |
| Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $255.38 | ↓ -98% |
| Geisinger | Medicaid/CHIP | $273.11 | ↓ -98% |
| PA Health & Wellness | PA Medicaid HMO | $319.54 | ↓ -98% |
| UPMC Health Plan | CHIP | $665.11 | ↓ -96% |
| UPMC Work Partners | Workers Comp | $759.21 | ↓ -95% |
| Prime Net | Managed Medicare | $3,652.56 | ↓ -77% |
| Keystone Health Plan | Medicare Advantage | $5,332.20 | ↓ -67% |
| Capital Blue Cross | Medicare Advantage | $5,332.20 | ↓ -67% |
| Highmark BCBS of PA | Community Blue Medicare Advantage/Complete Blue Medicare Advantage/Security Blue Medicare Advantage/Together Blue Medicare Advantage | $7,186.34 | ↓ -55% |
| Highmark BCBS of PA | Freedom Blue Medicare Advantage | $7,186.34 | ↓ -55% |
| Humana | Medicare | $7,258.93 | ↓ -55% |
| Aetna | Medicare | $7,571.06 | ↓ -53% |
| Cigna | Medicare | $7,621.88 | ↓ -52% |
| Geisinger | Medicare | $7,621.88 | ↓ -52% |
| United Healthcare | Medicare | $7,767.06 | ↓ -51% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $7,839.64 | ↓ -51% |
| Prime Net | Legacy Commercial | $10,397.79 | ↓ -35% |
| Aetna | ACO | $10,477.77 | ↓ -35% |
| Prime Net | ACO | $10,477.77 | ↓ -35% |
| Keystone Autism Services | ACAP | $11,614.29 | ↓ -27% |
| Prime Net | NonGateKeeper | $12,397.36 | ↓ -23% |
| Aetna | Commercial | $12,477.35 | ↓ -22% |
| Prime Net | GateKeeper | $12,477.35 | ↓ -22% |
| United Healthcare | Commercial | $13,837.06 | ↓ -13% |
| Keystone Health Plan | Commercial | $14,583.57 | ↓ -9% |
| Capital Blue Cross | CHIP | $14,583.57 | ↓ -9% |
| Capital Blue Cross | Commercial | $14,583.57 | ↓ -9% |
| Wellspan Population Health | PPO | $17,329.65 | ↑ +8% |
| Geisinger | Commercial | $17,457.62 | ↑ +9% |
| UPMC Health Plan | Commercial | $18,662.70 | ↑ +17% |
| Prime Net | FH-Medical Rental | $20,155.72 | ↑ +26% |
| Highmark BCBS of PA | Community Blue PPO | $20,416.47 | ↑ +28% |
| Cigna | Commercial | $20,795.58 | ↑ +30% |
| Highmark BCBS of PA | CHIP - Managed Care | $21,280.28 | ↑ +33% |
| Multiplan | PPO (Includes PHCS and Humana as Payers) | $22,661.85 | ↑ +42% |
| Highmark BCBS of PA | Commercial | $22,684.88 | ↑ +42% |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
| Tricare | East Region | not published by hospital | — |
Visitor-reported prices
Comments
Intra-atrial pacing at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Hamot | Erie | $921.00 | $206.25 – $9,017.29 |
| UPMC Lititz | Lititz | $15,996.60 | $238.12 – $11,660.91 |
| UPMC Memorial | York | $15,996.60 | $172.92 – $11,641.97 |
| UPMC Passavant-McCandless | Pittsburgh | $5,913.60 | $206.25 – $7,957.77 |
| UPMC Presbyterian | Pittsburgh | $3,647.40 | $206.25 – $7,957.77 |