Does UPMC Carlisle publish its standard charges and chargemaster?

Yes. UPMC Carlisle publishes a machine-readable file with 4,321 standard-charge rows — gross charges, cash prices, and payer-negotiated rates, earning a CMS price transparency compliance grade of B. Browse the negotiated rates by procedure and payer on this page.

How much does UPMC Carlisle charge for procedures?

UPMC Carlisle (Carlisle, PA) publishes a separately negotiated rate for each insurance payer, plus a discounted cash price and a gross (list) charge, for every procedure in its price transparency file. This page compares each procedure's negotiated median against the national median so you can see whether a price is above or below market.

▸ Hospital · PA · CCN 390058

UPMC Carlisle

Carlisle, PA, 17015

66 bedsAcute Care Hospitals2

Compliance grade

82/100

Rates published

4,321

last crawl 2026-05-24

Procedures tracked

of 209 target codes

Payers

with negotiated rates

Procedures tracked

...

Payers

...

▸ Compare with other hospitals All PA hospitalsJSON

The report bundles all published codes × every payer rate + compliance grade as a downloadable PDF + CSV with a data-version manifest.

Source MRF: https://dam.upmc.com/-/media/upmc/locations/hospitals/documents/cdm-json-files/machine-readable-csv-not-json/820880337_upmc-carlisle_standardcharges.csv? · CSV

Procedures & rates

vs nat'l shows this hospital's negotiated median against the national median for that code (green = at/below market, amber = 1–1.5×, red = >1.5× the national median).

Procedure	Type	Code	Payers	Gross	Cash	Neg min	Neg median	vs nat'l	Neg max
behavioral
Psychoses	MS-DRG	885	10	—	—	$1,717.86	$10,980	0.86×	$32,825
inpatient
Intracranial hemorrhage/CVA w MCC	MS-DRG	064	11	—	—	$2,614.91	$15,561	0.77×	$47,665
Intracranial hemorrhage/CVA w CC	MS-DRG	065	11	—	—	$1,347.77	$8,014.04	0.75×	$24,567
Intracranial hemorrhage/CVA w/o CC/MCC	MS-DRG	066	11	—	—	$926.22	$5,556.36	0.73×	$16,883
Respiratory infections & inflammations w MCC	MS-DRG	177	11	—	—	$2,360.18	$12,180	0.79×	$43,022
COPD w MCC	MS-DRG	190	11	—	—	$1,439.39	$8,748.54	0.78×	$26,238
COPD w CC	MS-DRG	191	11	—	—	$1,145.95	$8,416.94	0.95×	$44,605
COPD w/o CC/MCC	MS-DRG	192	11	—	—	$864.7	$6,458.66	0.92×	$17,780
Simple pneumonia & pleurisy w CC	MS-DRG	194	11	—	—	$1,114.12	$8,056.85	0.95×	$20,308
Simple pneumonia & pleurisy w/o CC/MCC	MS-DRG	195	11	—	—	$851.04	$6,327.01	0.95×	$24,815
AMI discharged alive w MCC	MS-DRG	280	11	—	—	$2,130.12	$12,492	0.80×	$38,828
AMI discharged alive w CC	MS-DRG	281	11	—	—	$1,218.08	$7,326.28	0.76×	$22,203
AMI discharged alive w/o CC/MCC	MS-DRG	282	11	—	—	$950.36	$5,848.21	0.75×	$17,323
Heart failure & shock w MCC	MS-DRG	291	11	—	—	$1,697.04	$10,077	0.79×	$30,934
Heart failure & shock w CC	MS-DRG	292	11	—	—	$1,144.09	$8,473.33	0.95×	$27,461
Heart failure & shock w/o CC/MCC	MS-DRG	293	11	—	—	$742.97	$5,717.58	0.92×	$13,543
Cardiac arrhythmia w MCC	MS-DRG	308	11	—	—	$1,554.89	$11,810	0.98×	$28,343
Cardiac arrhythmia w CC	MS-DRG	309	11	—	—	$978.07	$7,009.65	0.90×	$17,828
Cardiac arrhythmia w/o CC/MCC	MS-DRG	310	11	—	—	$730.9	$5,718.56	0.92×	$13,323
GI hemorrhage w CC	MS-DRG	378	11	—	—	$1,306.13	$7,790.82	0.78×	$23,808
GI hemorrhage w/o CC/MCC	MS-DRG	379	11	—	—	$840.43	$5,149.13	0.75×	$15,320
Esophagitis/gastroenteritis w/o MCC	MS-DRG	392	11	—	—	$1,044.37	$7,800.4	0.97×	$32,332
Fractures of femur w/o MCC	MS-DRG	533	10	—	—	$1,891.3	$12,274	0.81×	$36,841
Kidney/UTI w MCC	MS-DRG	689	10	—	—	$1,521.08	$9,187.74	0.79×	$27,726
Kidney/UTI w/o MCC	MS-DRG	690	10	—	—	$1,054.98	$6,529.99	0.79×	$19,230
Septicemia or severe sepsis w MV 96+ hrs	MS-DRG	871	10	—	—	$2,595.29	$15,114	0.81×	$47,307
Septicemia or severe sepsis w/o MV 96+ hrs	MS-DRG	872	10	—	—	$1,363.15	$8,149.8	0.79×	$24,848
preventive
Upper GI endoscopy diagnostic	CPT	43235	12	—	—	$159.03	$916.18	1.0×	$3,397
Upper GI endoscopy with biopsy	CPT	43239	12	—	—	$188.7	$916.18	0.95×	$5,035
Sigmoidoscopy diagnostic	CPT	45330	12	—	—	$67.5	$890.91	1.1×	$3,397
Sigmoidoscopy with biopsy	CPT	45331	12	—	—	$80.86	$890.91	1.00×	$3,397
Colonoscopy diagnostic	CPT	45378	12	—	—	$229.24	$890.91	1.0×	$5,035
Colonoscopy with biopsy	CPT	45380	12	—	—	$286.28	$1,152.18	0.95×	$5,035
Colonoscopy with polyp removal	CPT	45385	12	—	—	$340.46	$1,180.38	0.98×	$5,035
surgery
Total shoulder arthroplasty	CPT	23472	11	—	—	$1,016.56	$18,349	4.4×	$54,978
PCI w drug-eluting stent w MCC	MS-DRG	246	2	—	—	$3,971.96	$35,372	1.3×	$72,402
PCI w drug-eluting stent w/o MCC	MS-DRG	247	2	—	—	$2,532.04	$23,562	1.3×	$46,154
Total hip replacement	CPT	27130	11	—	—	$1,016.56	$12,924	3.0×	$38,466
Total knee replacement	CPT	27447	11	—	—	$1,016.56	$13,047	3.1×	$38,466
Knee revision arthroplasty all components	CPT	27487	3	—	—	$1,140.36	$6,361.34	3.2×	$9,539
Shoulder arthroscopy with decompression	CPT	29826	4	—	—	$711.99	$2,447.12	7.5×	$6,413
Shoulder arthroscopy with rotator cuff repair	CPT	29827	11	—	—	$1,016.56	$7,175.52	2.2×	$21,356
Knee arthroscopy with meniscectomy	CPT	29881	12	—	—	$690.25	$3,170.6	1.5×	$9,699.87
ACL reconstruction	CPT	29888	11	—	—	$1,016.56	$7,127.68	2.1×	$21,356
Major small/large bowel procedures w MCC	MS-DRG	329	11	—	—	$4,332.68	$35,058	0.81×	$111,749
Major small/large bowel procedures w CC	MS-DRG	330	11	—	—	$2,931.2	$18,473	0.80×	$59,349
Major small/large bowel procedures w/o CC/MCC	MS-DRG	331	11	—	—	$2,265.9	$13,086	0.80×	$41,303
Laparoscopic cholecystectomy w/o CDE w MCC	MS-DRG	418	11	—	—	$2,202.52	$13,152	0.80×	$40,148
Laparoscopic cholecystectomy w/o CDE w CC	MS-DRG	419	11	—	—	$1,730.46	$10,695	0.79×	$32,096
Laparoscopic cholecystectomy w/o CDE w/o CC/MCC	MS-DRG	420	11	—	—	$4,324.42	$26,089	0.81×	$80,067
Open appendectomy	CPT	44950	11	—	—	$1,016.56	$6,267.52	5.5×	$18,654
Laparoscopic appendectomy	CPT	44970	11	—	—	$1,016.56	$5,860.33	3.8×	$17,442
Spinal fusion (non-cervical) w MCC	MS-DRG	459	2	—	—	$8,795.49	$81,003	1.6×	$160,326
Spinal fusion (non-cervical) w/o MCC	MS-DRG	460	2	—	—	$4,993.79	$46,023	1.4×	$91,028
Major joint replacement w MCC	MS-DRG	469	10	—	—	$4,284.9	$23,377	0.79×	$78,106
Major joint replacement w/o MCC	MS-DRG	470	10	—	—	$2,535.22	$15,011	0.79×	$46,212
Laparoscopic cholecystectomy	CPT	47562	11	—	—	$1,016.56	$5,860.33	3.3×	$17,442
Lap cholecystectomy with cholangiography	CPT	47563	11	—	—	$1,016.56	$5,860.33	3.1×	$17,442
Hip & femur procedures except major joint w MCC	MS-DRG	480	11	—	—	$3,932.98	$27,869	1.00×	$184,354
Hip & femur procedures except major joint w CC	MS-DRG	481	11	—	—	$2,801.08	$20,181	0.99×	$154,563
Hip & femur procedures except major joint w/o CC/MCC	MS-DRG	482	11	—	—	$2,182.76	$15,824	0.99×	$39,788
Lap inguinal hernia repair	CPT	49650	11	—	—	$856.39	$5,860.33	5.2×	$17,442
Vaginal hysterectomy	CPT	58260	11	—	—	$1,016.56	$4,958.43	2.7×	$16,693
Lap-assisted vaginal hysterectomy >250g	CPT	58552	11	—	—	$1,016.56	$10,388	4.7×	$31,125
Lap salpingo-oophorectomy	CPT	58661	11	—	—	$1,016.56	$5,860.33	2.9×	$17,442
OR procedure for obesity w MCC	MS-DRG	619	10	—	—	$3,834.45	$22,273	0.82×	$69,895
OR procedure for obesity w CC	MS-DRG	620	10	—	—	$2,235.14	$12,521	0.77×	$40,742
OR procedure for obesity w/o CC/MCC	MS-DRG	621	10	—	—	$2,061.96	$11,825	0.78×	$37,586
Complex cataract surgery	CPT	66982	11	—	—	$1,199.98	$2,290.88	1.0×	$9,812
Cataract surgery with lens implant	CPT	66984	12	—	—	$765.21	$2,283.25	1.0×	$9,812
Uterine & adnexa procedures w CC/MCC	MS-DRG	743	10	—	—	$1,552.24	$9,796.87	0.80×	$29,156
Uterine & adnexa procedures w/o CC/MCC	MS-DRG	744	10	—	—	$2,517.18	$15,922	0.83×	$48,154

Rate history available after the next quarterly refresh. We re-crawl all hospital MRFs each quarter to track rate changes over time.

Payer mix (top 13)

Payer	Codes covered	Median rate
Blue Cross Blue Shield	70	$13,854
UnitedHealthcare	68	$10,651
Cigna	68	$12,053
upmc health plan	67	$12,142
Aetna	66	$7,343.29
geisinger	66	$6,595.36
Humana	66	$7,040.55
keystone autism services	66	$11,265
pa health & wellness	66	$6,783.8
upmc work partners	59	$5,125.3
keystone health plan	43	$14,609
amerihealth caritas	23	$3,069.7
health partners plans (jefferson health plan)	9	$245.84

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