Intracranial angioplasty at UPMC Carlisle
361 Alexander Spring Road, Carlisle, PA · UPMC · · NPI 1689107328
$7,600.80
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.
$12,668.00
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.
$1,105.92 with United Healthcare Community Plan for Families vs $10,767.80 with Multiplan — 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 | $1,105.92 | ↓ -85% |
| Prime Net | Managed Medicare | $1,735.52 | ↓ -77% |
| Aetna | Medicare | $2,090.22 | ↓ -73% |
| Keystone Health Plan | Medicare Advantage | $2,533.60 | ↓ -67% |
| Capital Blue Cross | Medicare Advantage | $2,533.60 | ↓ -67% |
| Prime Net | Legacy Commercial | $4,940.52 | ↓ -35% |
| Aetna | ACO | $4,978.52 | ↓ -35% |
| Prime Net | ACO | $4,978.52 | ↓ -35% |
| Prime Net | NonGateKeeper | $5,890.62 | ↓ -23% |
| Prime Net | GateKeeper | $5,928.62 | ↓ -22% |
| Aetna | Commercial | $5,928.62 | ↓ -22% |
| Cigna | Commercial | $6,413.00 | ↓ -16% |
| Keystone Health Plan | Commercial | $6,929.40 | ↓ -9% |
| Capital Blue Cross | Commercial | $6,929.40 | ↓ -9% |
| Capital Blue Cross | CHIP | $6,929.40 | ↓ -9% |
| PA Health & Wellness | PA Medicaid HMO | $6,967.40 | ↓ -8% |
| Geisinger | Medicaid/CHIP | $6,967.40 | ↓ -8% |
| Wellspan Population Health | PPO | $8,234.20 | ↑ +8% |
| Geisinger | Commercial | $8,295.01 | ↑ +9% |
| UPMC Health Plan | CHIP | $8,867.60 | ↑ +17% |
| UPMC Health Plan | Commercial | $8,867.60 | ↑ +17% |
| Prime Net | FH-Medical Rental | $9,577.01 | ↑ +26% |
| Multiplan | PPO (Includes PHCS and Humana as Payers) | $10,767.80 | ↑ +42% |
| UPMC Work Partners | Workers Comp | not published by hospital | — |
| United Healthcare | Commercial | not published by hospital | — |
Visitor-reported prices
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Intracranial angioplasty at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Community Osteopathic | Harrisburg | $7,673.40 | $1,105.92 – $10,767.80 |
| UPMC Hamot | Erie | $12,235.20 | $2,122.49 – $2,122.49 |
| UPMC Hanover | Hanover | $7,600.80 | $1,105.92 – $1,105.92 |
| UPMC Lititz | Lititz | $7,600.80 | $1,105.92 – $1,169.20 |
| UPMC Memorial | York | $7,600.80 | $1,105.92 – $1,729.92 |
| UPMC Mercy | Pittsburgh | $10,237.80 | $2,122.49 – $2,122.49 |
| UPMC Presbyterian | Pittsburgh | $9,783.00 | $1,013.05 – $2,142.70 |
| UPMC Somerset | Somerset | $7,673.40 | $970.84 – $2,101.02 |