N block inj hypogas plxs at UPMC Carlisle
361 Alexander Spring Road, Carlisle, PA · UPMC · · NPI 1689107328
$2,755.80
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.
$4,593.00
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.
$133.31 with Highmark Wholecare (prev Gateway) vs $5,035.00 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 |
|---|---|---|---|
| Highmark Wholecare (prev Gateway) | Medicaid | $133.31 | ↓ -95% |
| UPMC Health Plan | Managed Medicaid | $136.46 | ↓ -95% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $141.71 | ↓ -95% |
| Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $142.97 | ↓ -95% |
| Geisinger | Medicaid/CHIP | $152.90 | ↓ -94% |
| PA Health & Wellness | PA Medicaid HMO | $178.89 | ↓ -94% |
| UPMC Work Partners | Workers Comp | $356.89 | ↓ -87% |
| Prime Net | Managed Medicare | $629.24 | ↓ -77% |
| Highmark BCBS of PA | Freedom Blue Medicare Advantage | $843.15 | ↓ -69% |
| Highmark BCBS of PA | Community Blue Medicare Advantage/Complete Blue Medicare Advantage/Security Blue Medicare Advantage/Together Blue Medicare Advantage | $843.15 | ↓ -69% |
| Humana | Medicare | $851.67 | ↓ -69% |
| Aetna | Medicare | $888.29 | ↓ -68% |
| Geisinger | Medicare | $894.25 | ↓ -68% |
| Cigna | Medicare | $894.25 | ↓ -68% |
| United Healthcare | Medicare | $911.29 | ↓ -67% |
| Keystone Health Plan | Medicare Advantage | $918.60 | ↓ -67% |
| Capital Blue Cross | Medicare Advantage | $918.60 | ↓ -67% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $919.80 | ↓ -67% |
| United Healthcare Community Plan for Families | PA Medicaid | $1,016.56 | ↓ -63% |
| Keystone Autism Services | ACAP | $1,362.67 | ↓ -51% |
| UPMC Health Plan | CHIP | $1,696.13 | ↓ -38% |
| Prime Net | Legacy Commercial | $1,791.27 | ↓ -35% |
| Aetna | ACO | $1,805.05 | ↓ -34% |
| Prime Net | ACO | $1,805.05 | ↓ -34% |
| Prime Net | NonGateKeeper | $2,135.74 | ↓ -23% |
| Aetna | Commercial | $2,149.52 | ↓ -22% |
| Prime Net | GateKeeper | $2,149.52 | ↓ -22% |
| Highmark BCBS of PA | Community Blue PPO | $2,395.41 | ↓ -13% |
| Highmark BCBS of PA | CHIP - Managed Care | $2,496.76 | ↓ -9% |
| Capital Blue Cross | Commercial | $2,512.37 | ↓ -9% |
| Capital Blue Cross | CHIP | $2,512.37 | ↓ -9% |
| Keystone Health Plan | Commercial | $2,512.37 | ↓ -9% |
| Highmark BCBS of PA | Commercial | $2,661.55 | ↓ -3% |
| Wellspan Population Health | PPO | $2,985.45 | ↑ +8% |
| Geisinger | Commercial | $3,007.50 | ↑ +9% |
| UPMC Health Plan | Commercial | $3,215.10 | ↑ +17% |
| Prime Net | FH-Medical Rental | $3,472.31 | ↑ +26% |
| Multiplan | PPO (Includes PHCS and Humana as Payers) | $3,904.05 | ↑ +42% |
| Cigna | Commercial | $5,035.00 | ↑ +83% |
| United Healthcare | Commercial | not published by hospital | — |
| Tricare | East Region | not published by hospital | — |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
Visitor-reported prices
Comments
N block inj hypogas plxs at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Cole | Coudersport | $219.60 | $101.46 – $1,041.88 |
| UPMC Community Osteopathic | Harrisburg | $2,755.80 | $141.71 – $3,904.05 |
| UPMC East | Monroeville | $1,739.40 | $115.47 – $2,319.20 |
| UPMC Hanover | Hanover | $2,755.80 | $133.31 – $1,360.78 |
| UPMC Horizon-Greenville | Greenville | $1,663.80 | $115.47 – $916.68 |
| UPMC Jameson | New Castle | $1,663.80 | $115.47 – $1,145.85 |
| UPMC Lititz | Lititz | $2,755.80 | $133.31 – $1,368.14 |
| UPMC McKeesport | Mckeesport | $1,633.20 | $115.47 – $933.66 |