Treatment of foot infection at UPMC Carlisle
361 Alexander Spring Road, Carlisle, PA · UPMC · · NPI 1689107328
$3,199.20
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.
?
What you pay up front if you don't use insurance.
$5,332.00
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.
$441.75 with UPMC Work Partners vs $6,413.00 with Cigna — 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 |
|---|---|---|---|
| UPMC Work Partners | Workers Comp | $441.75 | ↓ -86% |
| Prime Net | Managed Medicare | $730.48 | ↓ -77% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $842.04 | ↓ -74% |
| United Healthcare Community Plan for Families | PA Medicaid | $1,016.56 | ↓ -68% |
| Capital Blue Cross | Medicare Advantage | $1,066.40 | ↓ -67% |
| Keystone Health Plan | Medicare Advantage | $1,066.40 | ↓ -67% |
| Highmark BCBS of PA | Freedom Blue Medicare Advantage | $1,515.67 | ↓ -53% |
| Highmark BCBS of PA | Community Blue Medicare Advantage/Complete Blue Medicare Advantage/Security Blue Medicare Advantage/Together Blue Medicare Advantage | $1,515.67 | ↓ -53% |
| Humana | Medicare | $1,530.98 | ↓ -52% |
| Aetna | Medicare | $1,596.81 | ↓ -50% |
| Geisinger | Medicare | $1,607.53 | ↓ -50% |
| Cigna | Medicare | $1,607.53 | ↓ -50% |
| United Healthcare | Medicare | $1,638.15 | ↓ -49% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $1,653.46 | ↓ -48% |
| Prime Net | Legacy Commercial | $2,079.48 | ↓ -35% |
| Aetna | ACO | $2,095.48 | ↓ -34% |
| Prime Net | ACO | $2,095.48 | ↓ -34% |
| Keystone Autism Services | ACAP | $2,449.57 | ↓ -23% |
| Prime Net | NonGateKeeper | $2,479.38 | ↓ -23% |
| Prime Net | GateKeeper | $2,495.38 | ↓ -22% |
| Aetna | Commercial | $2,495.38 | ↓ -22% |
| UPMC Health Plan | CHIP | $2,655.46 | ↓ -17% |
| Capital Blue Cross | Commercial | $2,916.60 | ↓ -9% |
| Capital Blue Cross | CHIP | $2,916.60 | ↓ -9% |
| Keystone Health Plan | Commercial | $2,916.60 | ↓ -9% |
| PA Health & Wellness | PA Medicaid HMO | $2,932.60 | ↓ -8% |
| Geisinger | Medicaid/CHIP | $2,932.60 | ↓ -8% |
| Wellspan Population Health | PPO | $3,465.80 | ↑ +8% |
| Geisinger | Commercial | $3,491.39 | ↑ +9% |
| UPMC Health Plan | Commercial | $3,732.40 | ↑ +17% |
| United Healthcare | Commercial | $3,924.35 | ↑ +23% |
| Prime Net | FH-Medical Rental | $4,030.99 | ↑ +26% |
| Highmark BCBS of PA | Community Blue PPO | $4,306.03 | ↑ +35% |
| Highmark BCBS of PA | CHIP - Managed Care | $4,488.22 | ↑ +40% |
| Multiplan | PPO (Includes PHCS and Humana as Payers) | $4,532.20 | ↑ +42% |
| Highmark BCBS of PA | Commercial | $4,784.47 | ↑ +50% |
| Cigna | Commercial | $6,413.00 | ↑ +100% |
| Tricare | East Region | not published by hospital | — |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
Visitor-reported prices
Comments
Treatment of foot infection at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Cole | Coudersport | $669.00 | $309.08 – $1,192.92 |
| UPMC Hanover | Hanover | $3,199.20 | $456.14 – $2,655.46 |
| UPMC Lititz | Lititz | $3,199.20 | $441.75 – $2,655.46 |
| UPMC Altoona | Altoona | not published | $422.11 – $1,647.86 |
| UPMC Memorial | York | not published | $456.14 – $2,655.46 |
| WellSpan Chambersburg Hospital | Chambersburg | not published | $970.00 – $13,162.83 |