Destruction by neurolytic agent w/imaging guidance lumbar/sacral (both sides) at UPMC Memorial

1701 Innovation Drive, York, PA · UPMC · · NPI 1063945707

Source: hospital's published price file ↗ · Published Mar 6, 2026 · Ingested Aug 13, 2026

$2,908.20

Cash price

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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

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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.

Full explanation →

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 →

Payer
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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
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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

All Pennsylvania hospitals for this procedure →