57/100
#1,062 nationally
Upmc Carlisle
361 Alexander Spring Road, Carlisle, PA 17015 · (717) 249-1212
Charges well above the national norm
For every $1 of care Medicare actually paid for here, Upmc Carlisle billed $4.56 in list charges. That gap does not change a Medicare patient's bill — but it is where an uninsured or out-of-network bill starts.
- Charge-to-payment
- 4.6x
- volume-weighted across all its priced work
- Procedures priced
- 56
- inpatient and outpatient combined
- Rank in PA
- #47
- lower markup ranks higher
- CMS quality stars
- 4/5
- shown for context, not in the grade
How this grade was reached
Each component is scored against every other U.S. hospital in the same federal files, so the grade is a position in the country, not a pass mark we invented.
Better than 39% of U.S. hospitals.
Better than 74% of U.S. hospitals.
Better than 62% of U.S. hospitals.
Better than 65% of U.S. hospitals.
What this hospital treats most
The ten procedures it billed Medicare for most often, with its charge beside the national middle.
| Procedure | Patients | Charged | Actually paid | vs national |
|---|---|---|---|---|
|
Comprehensive Observation Services
APC 8011 · Hospital outpatient visit |
352 | $15,341 | $2,434 | -21% |
|
Sepsis (severe)
MS-DRG 871 · Inpatient stay |
168 | $56,269 | $12,760 | -14% |
|
Level 5 Musculoskeletal Procedures
APC 5115 · Hospital outpatient visit |
148 | $33,225 | $11,693 | -47% |
|
Level 1 Intraocular Procedures
APC 5491 · Hospital outpatient visit |
128 | $8,333 | $2,110 | -29% |
|
Heart Failure (severe)
MS-DRG 291 · Inpatient stay |
114 | $42,886 | $8,638 | about average |
|
Level 2 Excision/ Biopsy/ Incision and Drainage
APC 5072 · Hospital outpatient visit |
98 | $10,381 | $1,468 | about average |
|
Level 1 Laparoscopy and Related Services
APC 5361 · Hospital outpatient visit |
91 | $30,710 | $5,178 | -13% |
|
Level 5 Urology and Related Services
APC 5375 · Hospital outpatient visit |
71 | $16,991 | $4,685 | -38% |
|
Level 3 Urology and Related Services
APC 5373 · Hospital outpatient visit |
64 | $9,740 | $1,821 | -25% |
|
Level 4 Urology and Related Services
APC 5374 · Hospital outpatient visit |
62 | $24,286 | $3,116 | +18% |
Where its charges run furthest above the national middle
Only procedures it performed at least eleven times, so a single unusual case cannot produce the headline.
| Procedure | Charged | Actually paid | vs national |
|---|---|---|---|
|
Level 1 Abdominal/peritoneal/biliary and Related Procedures
APC 5341 · Hospital outpatient visit |
$29,868 | $3,019 | +28% |
|
Level 3 Excision/ Biopsy/ Incision and Drainage
APC 5073 · Hospital outpatient visit |
$21,614 | $2,573 | +22% |
|
Pneumonia (with complications)
MS-DRG 194 · Inpatient stay |
$38,407 | $5,817 | +21% |
|
Level 4 Urology and Related Services
APC 5374 · Hospital outpatient visit |
$24,286 | $3,116 | +18% |
|
Respiratory Failure
MS-DRG 189 · Inpatient stay |
$55,231 | $8,548 | +14% |
|
Fluid and Electrolyte Disorder (severe)
MS-DRG 640 · Inpatient stay |
$53,800 | $8,866 | +11% |
|
Pneumonia (severe)
MS-DRG 193 · Inpatient stay |
$48,588 | $10,724 | +4% |
|
Level 2 Excision/ Biopsy/ Incision and Drainage
APC 5072 · Hospital outpatient visit |
$10,381 | $1,468 | about average |
Where it charges least relative to everyone else
| Procedure | Charged | Actually paid | vs national |
|---|---|---|---|
|
Level 2 Neurostimulator and Related Procedures
APC 5462 · Hospital outpatient visit |
$11,568 | $6,192 | -56% |
|
Heart Attack (with complications)
MS-DRG 281 · Inpatient stay |
$21,105 | $5,974 | -52% |
|
Infection Needing Surgery (severe)
MS-DRG 853 · Inpatient stay |
$87,234 | $28,000 | -51% |
|
Stroke (severe)
MS-DRG 064 · Inpatient stay |
$38,180 | $12,723 | -50% |
|
Hip or Knee Replacement (without major complications)
MS-DRG 470 · Inpatient stay |
$40,417 | $12,867 | -49% |
|
Level 5 Musculoskeletal Procedures
APC 5115 · Hospital outpatient visit |
$33,225 | $11,693 | -47% |
|
Level 6 Musculoskeletal Procedures
APC 5116 · Hospital outpatient visit |
$50,817 | $16,837 | -39% |
|
Level 5 Urology and Related Services
APC 5375 · Hospital outpatient visit |
$16,991 | $4,685 | -38% |
What this page cannot tell you
- It is not your bill. These are averages across Medicare patients. What you pay depends on your insurance, your plan's negotiated rate and your own case.
- It is not a quality rating. A hospital with a high markup may be excellent, and one with a low markup may not be. We checked: across every U.S. hospital, markup and the CMS quality star rating barely move together.
- A charge is not a cost. Hospitals do not collect their list charges from insured patients. The number matters because it is the opening figure on an uninsured or out-of-network bill.
- Ask for the real number. Every U.S. hospital must publish a machine-readable price file and give you a written good-faith estimate on request.