Ropivacaine 0.2 % epidural pca - 1 hour dose limit at UPMC Carlisle
361 Alexander Spring Road, Carlisle, PA · UPMC · · NPI 1689107328
$9.00
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.
?
What you pay up front if you don't use insurance.
$15.00
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.
?
The hospital's undiscounted list price — almost no one pays this.
$0.05 with PA Health & Wellness vs $12.75 with Multiplan — same scan, same building. Share
Negotiated rates by payer
?
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 →
?
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 |
|---|---|---|---|
| PA Health & Wellness | PA Medicaid HMO | $0.05 | ↓ -99% |
| Geisinger | Medicaid/CHIP | $0.05 | ↓ -99% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $0.05 | ↓ -99% |
| UPMC Health Plan | Managed Medicaid | $0.05 | ↓ -99% |
| Highmark Wholecare (prev Gateway) | Medicaid | $0.05 | ↓ -99% |
| UPMC Health Plan | CHIP | $0.06 | ↓ -99% |
| Cigna | Commercial | $0.11 | ↓ -99% |
| Prime Net | Managed Medicare | $2.06 | ↓ -77% |
| Aetna | Medicare | $2.48 | ↓ -72% |
| Keystone Health Plan | Medicare Advantage | $3.00 | ↓ -67% |
| Capital Blue Cross | Medicare Advantage | $3.00 | ↓ -67% |
| Capital Blue Cross | Commercial | $4.82 | ↓ -46% |
| Capital Blue Cross | CHIP | $4.82 | ↓ -46% |
| Keystone Health Plan | Commercial | $4.82 | ↓ -46% |
| Prime Net | Legacy Commercial | $5.85 | ↓ -35% |
| Prime Net | ACO | $5.89 | ↓ -35% |
| Aetna | ACO | $5.89 | ↓ -35% |
| UPMC Work Partners | Workers Comp | $6.11 | ↓ -32% |
| Prime Net | NonGateKeeper | $6.97 | ↓ -23% |
| Aetna | Commercial | $7.02 | ↓ -22% |
| Prime Net | GateKeeper | $7.02 | ↓ -22% |
| United Healthcare | Commercial | $9.24 | ↑ +3% |
| Wellspan Population Health | PPO | $9.75 | ↑ +8% |
| Geisinger | Commercial | $9.82 | ↑ +9% |
| UPMC Health Plan | Commercial | $10.50 | ↑ +17% |
| Prime Net | FH-Medical Rental | $11.34 | ↑ +26% |
| Multiplan | PPO (Includes PHCS and Humana as Payers) | $12.75 | ↑ +42% |
Visitor-reported prices
Comments
Ropivacaine 0.2 % epidural pca - 1 hour dose limit at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $72.00 | $0.03 – $0.80 |
| UPMC Bedford | Everett | $171.00 | $0.03 – $0.90 |
| UPMC Cole | Coudersport | $40.20 | $0.05 – $23.20 |
| UPMC Community Osteopathic | Harrisburg | $9.00 | $0.05 – $12.75 |
| UPMC East | Monroeville | $85.20 | $0.03 – $0.80 |
| UPMC Hamot | Erie | $260.40 | $0.03 – $0.21 |
| UPMC Northwest | Seneca | $114.60 | $0.03 – $0.43 |
| UPMC Hanover | Hanover | $9.00 | $0.05 – $0.11 |