Rmvl perm pm pulse gen at UPMC Carlisle
361 Alexander Spring Road, Carlisle, PA · UPMC · · NPI 1689107328
$11,583.60
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.
$19,306.00
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.
$302.62 with UPMC Health Plan vs $24,741.32 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 |
|---|---|---|---|
| UPMC Health Plan | CHIP | $302.62 | ↓ -97% |
| UPMC Work Partners | Workers Comp | $881.42 | ↓ -92% |
| United Healthcare Community Plan for Families | PA Medicaid | $1,016.56 | ↓ -91% |
| Prime Net | Managed Medicare | $2,644.92 | ↓ -77% |
| Capital Blue Cross | Medicare Advantage | $3,861.20 | ↓ -67% |
| Keystone Health Plan | Medicare Advantage | $3,861.20 | ↓ -67% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $4,354.33 | ↓ -62% |
| Prime Net | Legacy Commercial | $7,529.34 | ↓ -35% |
| Aetna | ACO | $7,587.26 | ↓ -34% |
| Prime Net | ACO | $7,587.26 | ↓ -34% |
| Highmark BCBS of PA | Community Blue Medicare Advantage/Complete Blue Medicare Advantage/Security Blue Medicare Advantage/Together Blue Medicare Advantage | $7,837.80 | ↓ -32% |
| Highmark BCBS of PA | Freedom Blue Medicare Advantage | $7,837.80 | ↓ -32% |
| Humana | Medicare | $7,916.97 | ↓ -32% |
| Aetna | Medicare | $8,257.40 | ↓ -29% |
| Cigna | Medicare | $8,312.82 | ↓ -28% |
| Geisinger | Medicare | $8,312.82 | ↓ -28% |
| United Healthcare | Medicare | $8,471.16 | ↓ -27% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $8,550.33 | ↓ -26% |
| Prime Net | NonGateKeeper | $8,977.29 | ↓ -23% |
| Aetna | Commercial | $9,035.21 | ↓ -22% |
| Prime Net | GateKeeper | $9,035.21 | ↓ -22% |
| Capital Blue Cross | CHIP | $10,560.38 | ↓ -9% |
| Keystone Health Plan | Commercial | $10,560.38 | ↓ -9% |
| Capital Blue Cross | Commercial | $10,560.38 | ↓ -9% |
| PA Health & Wellness | PA Medicaid HMO | $10,618.30 | ↓ -8% |
| Geisinger | Medicaid/CHIP | $10,618.30 | ↓ -8% |
| Wellspan Population Health | PPO | $12,548.90 | ↑ +8% |
| Geisinger | Commercial | $12,641.57 | ↑ +9% |
| Keystone Autism Services | ACAP | $12,667.15 | ↑ +9% |
| UPMC Health Plan | Commercial | $13,514.20 | ↑ +17% |
| Prime Net | FH-Medical Rental | $14,595.34 | ↑ +26% |
| Multiplan | PPO (Includes PHCS and Humana as Payers) | $16,410.10 | ↑ +42% |
| Cigna | Commercial | $17,298.00 | ↑ +49% |
| Highmark BCBS of PA | Community Blue PPO | $22,267.27 | ↑ +92% |
| Highmark BCBS of PA | CHIP - Managed Care | $23,209.39 | ↑ +100% |
| Highmark BCBS of PA | Commercial | $24,741.32 | ↑ +114% |
| 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
Rmvl perm pm pulse gen at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $1,894.80 | $302.62 – $8,521.36 |
| UPMC Cole | Coudersport | $481.20 | $222.31 – $1,041.88 |
| UPMC Community Osteopathic | Harrisburg | $11,583.60 | $302.62 – $16,410.10 |
| UPMC East | Monroeville | $1,909.80 | $302.62 – $8,521.36 |
| UPMC Hamot | Erie | $2,115.00 | $375.72 – $11,475.67 |
| UPMC Hanover | Hanover | $11,583.60 | $302.62 – $12,649.66 |
| UPMC Lititz | Lititz | $11,583.60 | $302.62 – $12,718.00 |
| UPMC Memorial | York | $11,583.60 | $302.62 – $12,697.34 |