Trnscath tx thromblytc cath rmv sbsq day at UPMC Carlisle
361 Alexander Spring Road, Carlisle, PA · UPMC · · NPI 1689107328
$5,324.40
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.
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What you pay up front if you don't use insurance.
$8,874.00
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.
$153.05 with United Healthcare Community Plan for Families vs $16,693.00 with Cigna — 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 |
|---|---|---|---|
| United Healthcare Community Plan for Families | PA Medicaid | $153.05 | ↓ -97% |
| UPMC Work Partners | Workers Comp | $218.13 | ↓ -96% |
| Prime Net | Managed Medicare | $1,215.74 | ↓ -77% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $1,656.03 | ↓ -69% |
| Capital Blue Cross | Medicare Advantage | $1,774.80 | ↓ -67% |
| Keystone Health Plan | Medicare Advantage | $1,774.80 | ↓ -67% |
| Highmark BCBS of PA | Freedom Blue Medicare Advantage | $2,980.85 | ↓ -44% |
| Highmark BCBS of PA | Community Blue Medicare Advantage/Complete Blue Medicare Advantage/Security Blue Medicare Advantage/Together Blue Medicare Advantage | $2,980.85 | ↓ -44% |
| Humana | Medicare | $3,010.96 | ↓ -43% |
| Aetna | Medicare | $3,140.43 | ↓ -41% |
| Geisinger | Medicare | $3,161.51 | ↓ -41% |
| Cigna | Medicare | $3,161.51 | ↓ -41% |
| United Healthcare | Medicare | $3,221.73 | ↓ -39% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $3,251.84 | ↓ -39% |
| Prime Net | Legacy Commercial | $3,460.86 | ↓ -35% |
| Aetna | ACO | $3,487.48 | ↓ -35% |
| Prime Net | ACO | $3,487.48 | ↓ -35% |
| Prime Net | NonGateKeeper | $4,126.41 | ↓ -23% |
| Aetna | Commercial | $4,153.03 | ↓ -22% |
| Prime Net | GateKeeper | $4,153.03 | ↓ -22% |
| Keystone Autism Services | ACAP | $4,817.54 | ↓ -10% |
| Capital Blue Cross | Commercial | $4,854.08 | ↓ -9% |
| Keystone Health Plan | Commercial | $4,854.08 | ↓ -9% |
| Capital Blue Cross | CHIP | $4,854.08 | ↓ -9% |
| PA Health & Wellness | PA Medicaid HMO | $4,880.70 | ↓ -8% |
| Geisinger | Medicaid/CHIP | $4,880.70 | ↓ -8% |
| Wellspan Population Health | PPO | $5,768.10 | ↑ +8% |
| Geisinger | Commercial | $5,810.70 | ↑ +9% |
| UPMC Health Plan | CHIP | $6,211.80 | ↑ +17% |
| UPMC Health Plan | Commercial | $6,211.80 | ↑ +17% |
| Prime Net | FH-Medical Rental | $6,708.74 | ↑ +26% |
| Multiplan | PPO (Includes PHCS and Humana as Payers) | $7,542.90 | ↑ +42% |
| Highmark BCBS of PA | Community Blue PPO | $8,468.63 | ↑ +59% |
| Highmark BCBS of PA | CHIP - Managed Care | $8,826.93 | ↑ +66% |
| Highmark BCBS of PA | Commercial | $9,409.55 | ↑ +77% |
| Cigna | Commercial | $16,693.00 | ↑ +214% |
| Tricare | East Region | not published by hospital | — |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
| United Healthcare | Commercial | not published by hospital | — |
Visitor-reported prices
Comments
Trnscath tx thromblytc cath rmv sbsq day at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $814.20 | $124.52 – $3,240.82 |
| UPMC Community Osteopathic | Harrisburg | $5,324.40 | $153.05 – $7,542.90 |
| UPMC East | Monroeville | $7,067.40 | $125.71 – $9,423.20 |
| UPMC Hamot | Erie | $7,698.60 | $124.52 – $4,364.40 |
| UPMC Hanover | Hanover | $5,324.40 | $153.05 – $4,810.90 |
| UPMC Lititz | Lititz | $5,324.40 | $153.05 – $4,836.88 |
| UPMC Memorial | York | $5,324.40 | $101.49 – $4,829.02 |
| UPMC Mercy | Pittsburgh | $1,869.60 | $124.52 – $3,300.84 |