Injection(s) diagnostic/therapeutic agent facet lumbar/sacral single level at UPMC Community Osteopathic
111 South Front Street, Harrisburg, PA · UPMC · · NPI 157809786
$1,318.80
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.
$2,198.00
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.
$251.05 with UPMC Work Partners vs $3,135.30 with Capital Blue Cross — 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 |
|---|---|---|---|
| UPMC Work Partners | Workers Comp | $251.05 | ↓ -81% |
| Keystone Health Plan | Medicare Advantage | $439.60 | ↓ -67% |
| Capital Blue Cross | Medicare Advantage | $439.60 | ↓ -67% |
| Prime Net | Managed Medicare | $531.92 | ↓ -60% |
| Highmark BCBS of PA | Community Blue Medicare Advantage/Complete Blue Medicare Advantage/Security Blue Medicare Advantage/Together Blue Medicare Advantage | $867.00 | ↓ -34% |
| Highmark BCBS of PA | Freedom Blue Medicare Advantage | $880.05 | ↓ -33% |
| Humana | Medicare | $902.03 | ↓ -32% |
| Aetna | Medicare | $913.42 | ↓ -31% |
| Cigna | Medicare | $919.55 | ↓ -30% |
| United Healthcare | Medicare | $937.06 | ↓ -29% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $945.82 | ↓ -28% |
| United Healthcare Community Plan for Families | PA Medicaid | $1,016.56 | ↓ -23% |
| Highmark BCBS of PA | CHIP | $1,188.36 | ↓ -10% |
| Highmark BCBS of PA | Commercial | $1,188.36 | ↓ -10% |
| Geisinger | Medicaid/CHIP | $1,208.90 | ↓ -8% |
| InterGroup | PPO | $1,428.70 | ↑ +8% |
| UPMC Health Plan | CHIP | $1,462.22 | ↑ +11% |
| Aetna | ACO | $1,633.00 | ↑ +24% |
| Prime Net | FH-Medical Rental | $1,652.90 | ↑ +25% |
| Aetna | PEBTF ACO | $1,802.00 | ↑ +37% |
| Wellspan Population Health | Commercial | $1,868.30 | ↑ +42% |
| Aetna | Commercial | $2,120.00 | ↑ +61% |
| Keystone Health Plan | Commercial | $3,135.30 | ↑ +138% |
| Capital Blue Cross | Commercial | $3,135.30 | ↑ +138% |
| Capital Blue Cross | CHIP | $3,135.30 | ↑ +138% |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
| Tricare | Tricare | not published by hospital | — |
Visitor-reported prices
Comments
Injection(s) diagnostic/therapeutic agent facet lumbar/sacral single level at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Carlisle | Carlisle | $1,318.80 | $251.05 – $1,868.30 |
| UPMC Cole | Coudersport | $522.60 | $98.03 – $696.80 |
| UPMC East | Monroeville | $1,462.80 | $239.89 – $1,950.40 |
| UPMC Northwest | Seneca | $1,885.20 | $239.89 – $916.68 |
| UPMC Hanover | Hanover | $1,318.80 | $251.05 – $1,462.22 |
| UPMC Horizon-Greenville | Greenville | $1,897.80 | $239.89 – $916.68 |
| UPMC Jameson | New Castle | $1,897.80 | $239.89 – $1,145.85 |
| UPMC Kane | Kane | $843.60 | $239.89 – $1,076.74 |