Trnscath plc vas stent w/s&i ini vein at UPMC Carlisle
361 Alexander Spring Road, Carlisle, PA · UPMC · · NPI 1689107328
$17,189.40
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.
?
What you pay up front if you don't use insurance.
$28,649.00
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.
$339.70 with AmeriHealth Caritas vs $33,903.02 with Highmark BCBS of PA — 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 |
|---|---|---|---|
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $339.70 | ↓ -98% |
| Highmark Wholecare (prev Gateway) | Medicaid | $339.70 | ↓ -98% |
| UPMC Health Plan | Managed Medicaid | $347.72 | ↓ -98% |
| Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $364.31 | ↓ -98% |
| Geisinger | Medicaid/CHIP | $389.61 | ↓ -98% |
| PA Health & Wellness | PA Medicaid HMO | $455.84 | ↓ -97% |
| United Healthcare Community Plan for Families | PA Medicaid | $1,016.56 | ↓ -94% |
| Prime Net | Managed Medicare | $3,924.91 | ↓ -77% |
| UPMC Work Partners | Workers Comp | $5,701.69 | ↓ -67% |
| Keystone Health Plan | Medicare Advantage | $5,729.80 | ↓ -67% |
| Capital Blue Cross | Medicare Advantage | $5,729.80 | ↓ -67% |
| UPMC Health Plan | CHIP | $8,368.64 | ↓ -51% |
| Highmark BCBS of PA | Community Blue Medicare Advantage/Complete Blue Medicare Advantage/Security Blue Medicare Advantage/Together Blue Medicare Advantage | $10,740.13 | ↓ -38% |
| Highmark BCBS of PA | Freedom Blue Medicare Advantage | $10,740.13 | ↓ -38% |
| Humana | Medicare | $10,848.62 | ↓ -37% |
| Prime Net | Legacy Commercial | $11,173.11 | ↓ -35% |
| Aetna | ACO | $11,259.06 | ↓ -34% |
| Prime Net | ACO | $11,259.06 | ↓ -34% |
| Aetna | Medicare | $11,315.11 | ↓ -34% |
| Geisinger | Medicare | $11,391.05 | ↓ -34% |
| Cigna | Medicare | $11,391.05 | ↓ -34% |
| United Healthcare | Medicare | $11,608.02 | ↓ -32% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $11,716.51 | ↓ -32% |
| Prime Net | NonGateKeeper | $13,321.78 | ↓ -23% |
| Prime Net | GateKeeper | $13,407.73 | ↓ -22% |
| Aetna | Commercial | $13,407.73 | ↓ -22% |
| Keystone Health Plan | Commercial | $15,671.00 | ↓ -9% |
| Capital Blue Cross | Commercial | $15,671.00 | ↓ -9% |
| Capital Blue Cross | CHIP | $15,671.00 | ↓ -9% |
| Cigna | Commercial | $17,298.00 | ↑ +1% |
| Keystone Autism Services | ACAP | $17,357.79 | ↑ +1% |
| Wellspan Population Health | PPO | $18,621.85 | ↑ +8% |
| Geisinger | Commercial | $18,759.37 | ↑ +9% |
| UPMC Health Plan | Commercial | $20,054.30 | ↑ +17% |
| Prime Net | FH-Medical Rental | $21,658.64 | ↑ +26% |
| Multiplan | PPO (Includes PHCS and Humana as Payers) | $24,351.65 | ↑ +42% |
| Highmark BCBS of PA | Community Blue PPO | $30,512.83 | ↑ +78% |
| Highmark BCBS of PA | CHIP - Managed Care | $31,803.81 | ↑ +85% |
| Highmark BCBS of PA | Commercial | $33,903.02 | ↑ +97% |
| 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
Trnscath plc vas stent w/s&i ini vein at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $10,473.00 | $267.48 – $13,964.00 |
| UPMC Community Osteopathic | Harrisburg | $17,352.60 | $339.70 – $24,351.65 |
| UPMC East | Monroeville | $13,400.40 | $294.23 – $17,867.20 |
| UPMC Hamot | Erie | $15,319.20 | $294.23 – $15,725.10 |
| UPMC Northwest | Seneca | $12,780.00 | $294.23 – $11,352.46 |
| UPMC Hanover | Hanover | $17,189.40 | $339.70 – $17,333.84 |
| UPMC Lititz | Lititz | $17,189.40 | $339.70 – $17,427.46 |
| UPMC Magee | Pittsburgh | $12,642.00 | $294.23 – $11,676.82 |