Destruction by neurolytic agent w/imaging guidance lumbar/sacral (both sides) at UPMC Memorial
1701 Innovation Drive, York, PA · UPMC · · NPI 1063945707
$2,908.20
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.
$4,847.00
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.
$506.07 with Highmark BCBS of PA vs $7,801.00 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 |
|---|---|---|---|
| Highmark BCBS of PA | Medicare | $506.07 | ↓ -83% |
| UPMC Work Partners | Workers Comp | $647.01 | ↓ -78% |
| Prime Net | Managed Medicare | $799.75 | ↓ -73% |
| Keystone Health Plan | Medicare Advantage | $969.40 | ↓ -67% |
| Capital Blue Cross | Medicare Advantage | $969.40 | ↓ -67% |
| United Healthcare Community Plan for Families | PA Medicaid | $1,016.56 | ↓ -65% |
| Aetna | Medicare | $1,953.03 | ↓ -33% |
| Cigna | Medicare | $1,966.14 | ↓ -32% |
| Geisinger | Medicare | $1,966.14 | ↓ -32% |
| Prime Net | ACO/Legacy Commercial | $1,987.27 | ↓ -32% |
| Aetna | ACO | $2,001.81 | ↓ -31% |
| United Healthcare | Medicare | $2,003.59 | ↓ -31% |
| Prime Net | GateKeeper/NonGateKeeper | $2,312.02 | ↓ -20% |
| Aetna | Commercial | $2,326.56 | ↓ -20% |
| Geisinger | Medicaid/CHIP | $2,665.85 | ↓ -8% |
| Keystone Autism Services | ACAP | $2,996.02 | ↑ +3% |
| Geisinger | Commercial | $3,173.82 | ↑ +9% |
| Wellspan Population Health | Commercial | $3,392.90 | ↑ +17% |
| UPMC Health Plan | Commercial | $3,392.90 | ↑ +17% |
| Prime Net | FH-Medical Rental | $3,611.01 | ↑ +24% |
| Multiplan | PPO (Includes PHCS and Humana as Payers) | $4,119.95 | ↑ +42% |
| Keystone Health Plan | Commercial | $4,172.70 | ↑ +43% |
| Capital Blue Cross | Commercial | $4,172.70 | ↑ +43% |
| Capital Blue Cross | CHIP | $4,172.70 | ↑ +43% |
| UPMC Health Plan | CHIP | $4,602.81 | ↑ +58% |
| Highmark BCBS of PA | Medicaid | $6,202.50 | ↑ +113% |
| Highmark BCBS of PA | Commercial | $6,599.10 | ↑ +127% |
| Cigna | Commercial | $7,801.00 | ↑ +168% |
| United Healthcare | Commercial | not published by hospital | — |
| Tricare | East Region | not published by hospital | — |
Visitor-reported prices
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Destruction by neurolytic agent w/imaging guidance lumbar/sacral (both sides) at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Carlisle | Carlisle | $2,908.20 | $647.01 – $4,119.95 |
| UPMC Cole | Coudersport | $411.00 | $189.88 – $771.51 |
| UPMC Community Osteopathic | Harrisburg | $2,908.20 | $647.01 – $4,602.81 |
| UPMC East | Monroeville | $3,205.20 | $618.25 – $4,273.60 |
| UPMC Northwest | Seneca | $4,350.00 | $618.25 – $2,010.67 |
| UPMC Hanover | Hanover | $2,908.20 | $647.01 – $4,602.81 |
| UPMC Horizon-Greenville | Greenville | $2,267.40 | $618.25 – $2,010.67 |
| UPMC Jameson | New Castle | $2,267.40 | $618.25 – $2,513.34 |