Warde viscosity at UPMC Carlisle
361 Alexander Spring Road, Carlisle, PA · UPMC · · NPI 1689107328
$59.40
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.
$99.00
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.
$4.00 with AmeriHealth Caritas vs $100.63 with UPMC Health Plan — 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 |
|---|---|---|---|
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $4.00 | ↓ -93% |
| Highmark Wholecare (prev Gateway) | Medicaid | $5.08 | ↓ -91% |
| UPMC Health Plan | Managed Medicaid | $5.20 | ↓ -91% |
| United Healthcare Community Plan for Families | PA Medicaid | $5.24 | ↓ -91% |
| Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $5.45 | ↓ -91% |
| Geisinger | Medicaid/CHIP | $5.83 | ↓ -90% |
| PA Health & Wellness | PA Medicaid HMO | $6.82 | ↓ -89% |
| United Healthcare | Commercial | $9.58 | ↓ -84% |
| Highmark BCBS of PA | Freedom Blue Medicare Advantage | $11.55 | ↓ -81% |
| Highmark BCBS of PA | Community Blue Medicare Advantage/Complete Blue Medicare Advantage/Security Blue Medicare Advantage/Together Blue Medicare Advantage | $11.55 | ↓ -81% |
| Humana | Medicare | $11.67 | ↓ -80% |
| UPMC Work Partners | Workers Comp | $12.07 | ↓ -80% |
| Aetna | Medicare | $12.17 | ↓ -80% |
| Geisinger | Medicare | $12.25 | ↓ -79% |
| Cigna | Medicare | $12.25 | ↓ -79% |
| United Healthcare | Medicare | $12.49 | ↓ -79% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $12.60 | ↓ -79% |
| Prime Net | Managed Medicare | $13.56 | ↓ -77% |
| Keystone Autism Services | ACAP | $18.67 | ↓ -69% |
| Capital Blue Cross | Medicare Advantage | $19.80 | ↓ -67% |
| Keystone Health Plan | Medicare Advantage | $19.80 | ↓ -67% |
| Cigna | Commercial | $30.36 | ↓ -49% |
| Highmark BCBS of PA | Community Blue PPO | $32.82 | ↓ -45% |
| Highmark BCBS of PA | CHIP - Managed Care | $34.21 | ↓ -42% |
| Highmark BCBS of PA | Commercial | $36.47 | ↓ -39% |
| Prime Net | Legacy Commercial | $38.61 | ↓ -35% |
| Prime Net | ACO | $38.91 | ↓ -34% |
| Aetna | ACO | $38.91 | ↓ -34% |
| Prime Net | NonGateKeeper | $46.03 | ↓ -23% |
| Aetna | Commercial | $46.33 | ↓ -22% |
| Prime Net | GateKeeper | $46.33 | ↓ -22% |
| Capital Blue Cross | Commercial | $54.15 | ↓ -9% |
| Capital Blue Cross | CHIP | $54.15 | ↓ -9% |
| Keystone Health Plan | Commercial | $54.15 | ↓ -9% |
| Wellspan Population Health | PPO | $64.35 | ↑ +8% |
| Geisinger | Commercial | $64.83 | ↑ +9% |
| UPMC Health Plan | Commercial | $69.30 | ↑ +17% |
| Prime Net | FH-Medical Rental | $74.84 | ↑ +26% |
| Multiplan | PPO (Includes PHCS and Humana as Payers) | $84.15 | ↑ +42% |
| UPMC Health Plan | CHIP | $100.63 | ↑ +69% |
Visitor-reported prices
Comments
Warde viscosity at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $156.60 | $4.00 – $208.80 |
| UPMC Bedford | Everett | $227.40 | $4.00 – $341.10 |
| UPMC Cole | Coudersport | $112.20 | $4.20 – $149.60 |
| UPMC Community Osteopathic | Harrisburg | $59.40 | $4.00 – $100.63 |
| UPMC East | Monroeville | $244.80 | $4.00 – $326.40 |
| UPMC Hamot | Erie | $201.60 | $4.00 – $31.75 |
| UPMC Northwest | Seneca | $80.40 | $4.40 – $12.25 |
| UPMC Hanover | Hanover | $59.40 | $4.00 – $18.67 |