Treatment inhalation pressurized/nonpressurized acute airway obstruction at UPMC Carlisle
361 Alexander Spring Road, Carlisle, PA · UPMC · · NPI 1689107328
$418.20
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.
$697.00
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.
$47.91 with UPMC Work Partners vs $608.05 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 Work Partners | Workers Comp | $47.91 | ↓ -89% |
| UPMC Health Plan | CHIP | $66.25 | ↓ -84% |
| Prime Net | Managed Medicare | $95.49 | ↓ -77% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $107.01 | ↓ -74% |
| Keystone Health Plan | Medicare Advantage | $139.40 | ↓ -67% |
| Capital Blue Cross | Medicare Advantage | $139.40 | ↓ -67% |
| United Healthcare Community Plan for Families | PA Medicaid | $153.03 | ↓ -63% |
| United Healthcare | Commercial | $163.00 | ↓ -61% |
| Highmark BCBS of PA | Community Blue Medicare Advantage/Complete Blue Medicare Advantage/Security Blue Medicare Advantage/Together Blue Medicare Advantage | $192.62 | ↓ -54% |
| Highmark BCBS of PA | Freedom Blue Medicare Advantage | $192.62 | ↓ -54% |
| Humana | Medicare | $194.57 | ↓ -53% |
| Aetna | Medicare | $202.94 | ↓ -51% |
| Geisinger | Medicare | $204.30 | ↓ -51% |
| Cigna | Medicare | $204.30 | ↓ -51% |
| United Healthcare | Medicare | $208.19 | ↓ -50% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $210.14 | ↓ -50% |
| Prime Net | Legacy Commercial | $271.83 | ↓ -35% |
| Aetna | ACO | $273.92 | ↓ -35% |
| Prime Net | ACO | $273.92 | ↓ -35% |
| Keystone Autism Services | ACAP | $311.31 | ↓ -26% |
| Prime Net | NonGateKeeper | $324.11 | ↓ -22% |
| Aetna | Commercial | $326.20 | ↓ -22% |
| Prime Net | GateKeeper | $326.20 | ↓ -22% |
| Capital Blue Cross | CHIP | $381.26 | ↓ -9% |
| Capital Blue Cross | Commercial | $381.26 | ↓ -9% |
| Keystone Health Plan | Commercial | $381.26 | ↓ -9% |
| PA Health & Wellness | PA Medicaid HMO | $383.35 | ↓ -8% |
| Geisinger | Medicaid/CHIP | $383.35 | ↓ -8% |
| Cigna | Commercial | $387.00 | ↓ -7% |
| Wellspan Population Health | PPO | $453.05 | ↑ +8% |
| Geisinger | Commercial | $456.40 | ↑ +9% |
| UPMC Health Plan | Commercial | $487.90 | ↑ +17% |
| Prime Net | FH-Medical Rental | $526.93 | ↑ +26% |
| Highmark BCBS of PA | Community Blue PPO | $547.25 | ↑ +31% |
| Highmark BCBS of PA | CHIP - Managed Care | $570.40 | ↑ +36% |
| Multiplan | PPO (Includes PHCS and Humana as Payers) | $592.45 | ↑ +42% |
| Highmark BCBS of PA | Commercial | $608.05 | ↑ +45% |
| Tricare | East Region | not published by hospital | — |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
Visitor-reported prices
Comments
Treatment inhalation pressurized/nonpressurized acute airway obstruction at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $126.00 | $24.67 – $209.42 |
| UPMC Bedford | Everett | $59.40 | $24.75 – $209.42 |
| UPMC Cole | Coudersport | $63.00 | $15.63 – $84.00 |
| UPMC Community Osteopathic | Harrisburg | $418.20 | $36.40 – $592.45 |
| UPMC East | Monroeville | $128.40 | $24.90 – $209.42 |
| UPMC Hamot | Erie | $617.40 | $24.67 – $241.69 |
| UPMC Northwest | Seneca | $74.40 | $34.78 – $209.42 |
| UPMC Hanover | Hanover | $418.20 | $36.40 – $310.88 |