Prq trluml c angiop 1art&/br at UPMC Carlisle
361 Alexander Spring Road, Carlisle, PA · UPMC · · NPI 1689107328
$10,148.40
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.
$16,914.00
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.
$809.90 with UPMC Work Partners 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 |
|---|---|---|---|
| UPMC Work Partners | Workers Comp | $809.90 | ↓ -92% |
| United Healthcare Community Plan for Families | PA Medicaid | $1,016.56 | ↓ -90% |
| Prime Net | Managed Medicare | $2,317.22 | ↓ -77% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $2,999.80 | ↓ -70% |
| Capital Blue Cross | Medicare Advantage | $3,382.80 | ↓ -67% |
| Keystone Health Plan | Medicare Advantage | $3,382.80 | ↓ -67% |
| UPMC Health Plan | CHIP | $5,053.78 | ↓ -50% |
| Highmark BCBS of PA | Freedom Blue Medicare Advantage | $5,399.65 | ↓ -47% |
| Highmark BCBS of PA | Community Blue Medicare Advantage/Complete Blue Medicare Advantage/Security Blue Medicare Advantage/Together Blue Medicare Advantage | $5,399.65 | ↓ -47% |
| Humana | Medicare | $5,454.19 | ↓ -46% |
| Aetna | Medicare | $5,688.72 | ↓ -44% |
| Geisinger | Medicare | $5,726.90 | ↓ -44% |
| Cigna | Medicare | $5,726.90 | ↓ -44% |
| United Healthcare | Medicare | $5,835.98 | ↓ -42% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $5,890.53 | ↓ -42% |
| Prime Net | Legacy Commercial | $6,596.46 | ↓ -35% |
| Aetna | ACO | $6,647.20 | ↓ -35% |
| Prime Net | ACO | $6,647.20 | ↓ -35% |
| Prime Net | NonGateKeeper | $7,865.01 | ↓ -23% |
| Prime Net | GateKeeper | $7,915.75 | ↓ -22% |
| Aetna | Commercial | $7,915.75 | ↓ -22% |
| Keystone Autism Services | ACAP | $8,726.70 | ↓ -14% |
| Capital Blue Cross | CHIP | $9,251.96 | ↓ -9% |
| Keystone Health Plan | Commercial | $9,251.96 | ↓ -9% |
| Capital Blue Cross | Commercial | $9,251.96 | ↓ -9% |
| PA Health & Wellness | PA Medicaid HMO | $9,302.70 | ↓ -8% |
| Geisinger | Medicaid/CHIP | $9,302.70 | ↓ -8% |
| Wellspan Population Health | PPO | $10,994.10 | ↑ +8% |
| Geisinger | Commercial | $11,075.29 | ↑ +9% |
| UPMC Health Plan | Commercial | $11,839.80 | ↑ +17% |
| Prime Net | FH-Medical Rental | $12,786.98 | ↑ +26% |
| Multiplan | PPO (Includes PHCS and Humana as Payers) | $14,376.90 | ↑ +42% |
| Highmark BCBS of PA | Community Blue PPO | $15,340.45 | ↑ +51% |
| Highmark BCBS of PA | CHIP - Managed Care | $15,989.50 | ↑ +58% |
| Highmark BCBS of PA | Commercial | $17,044.89 | ↑ +68% |
| Cigna | Commercial | $17,298.00 | ↑ +70% |
| 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
Prq trluml c angiop 1art&/br at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $5,583.00 | $773.91 – $7,444.00 |
| UPMC Community Osteopathic | Harrisburg | $10,148.40 | $809.90 – $14,376.90 |
| UPMC East | Monroeville | $15,811.80 | $773.91 – $21,082.40 |
| UPMC Hamot | Erie | $17,658.00 | $773.91 – $2,523.64 |
| UPMC Hanover | Hanover | $10,148.40 | $809.90 – $8,714.66 |
| UPMC Jameson | New Castle | $8,013.00 | $505.83 – $3,115.02 |
| UPMC Lititz | Lititz | $10,148.40 | $809.90 – $8,761.73 |
| UPMC McKeesport | Mckeesport | $15,562.20 | $556.41 – $5,053.78 |