Ghs sphenopalatine ganglion block at UPMC Memorial
1701 Innovation Drive, York, PA · UPMC · · NPI 1063945707
$2,380.80
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.
$3,968.00
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.
$69.22 with Highmark Wholecare (prev Gateway) vs $3,372.80 with Multiplan — 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 Wholecare (prev Gateway) | Medicaid | $69.22 | ↓ -97% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $69.22 | ↓ -97% |
| UPMC Health Plan | Managed Medicaid | $70.85 | ↓ -97% |
| Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $74.23 | ↓ -97% |
| Geisinger | Medicaid/CHIP | $79.38 | ↓ -97% |
| Highmark BCBS of PA | Medicare | $147.92 | ↓ -94% |
| UPMC Work Partners | Workers Comp | $173.80 | ↓ -93% |
| United Healthcare Community Plan for Families | PA Medicaid | $284.27 | ↓ -88% |
| Aetna | Medicare | $295.23 | ↓ -88% |
| Geisinger | Medicare | $297.21 | ↓ -88% |
| Cigna | Medicare | $297.21 | ↓ -88% |
| United Healthcare | Medicare | $302.87 | ↓ -87% |
| Keystone Autism Services | ACAP | $452.90 | ↓ -81% |
| Prime Net | Managed Medicare | $654.72 | ↓ -73% |
| UPMC Health Plan | CHIP | $774.03 | ↓ -67% |
| Keystone Health Plan | Medicare Advantage | $793.60 | ↓ -67% |
| Capital Blue Cross | Medicare Advantage | $793.60 | ↓ -67% |
| Highmark BCBS of PA | Medicaid | $937.61 | ↓ -61% |
| Highmark BCBS of PA | Commercial | $997.56 | ↓ -58% |
| Capital Blue Cross | Commercial | $1,310.40 | ↓ -45% |
| Capital Blue Cross | CHIP | $1,310.40 | ↓ -45% |
| Keystone Health Plan | Commercial | $1,310.40 | ↓ -45% |
| Prime Net | ACO/Legacy Commercial | $1,626.88 | ↓ -32% |
| Aetna | ACO | $1,638.78 | ↓ -31% |
| Prime Net | GateKeeper/NonGateKeeper | $1,892.74 | ↓ -20% |
| Aetna | Commercial | $1,904.64 | ↓ -20% |
| Geisinger | Commercial | $2,598.25 | ↑ +9% |
| Wellspan Population Health | Commercial | $2,777.60 | ↑ +17% |
| UPMC Health Plan | Commercial | $2,777.60 | ↑ +17% |
| Prime Net | FH-Medical Rental | $2,956.16 | ↑ +24% |
| Cigna | Commercial | $3,095.04 | ↑ +30% |
| Multiplan | PPO (Includes PHCS and Humana as Payers) | $3,372.80 | ↑ +42% |
| Tricare | East Region | not published by hospital | — |
| United Healthcare | Commercial | not published by hospital | — |
Visitor-reported prices
Comments
Ghs sphenopalatine ganglion block at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Carlisle | Carlisle | $2,380.80 | $69.22 – $3,372.80 |
| UPMC Cole | Coudersport | $106.80 | $22.18 – $174.94 |
| UPMC Community Osteopathic | Harrisburg | $2,380.80 | $69.22 – $3,372.80 |
| UPMC Hanover | Hanover | $2,380.80 | $69.22 – $451.20 |
| UPMC Lititz | Lititz | $2,380.80 | $69.22 – $453.63 |
| UPMC Mercy | Pittsburgh | $901.80 | $59.95 – $309.57 |
| UPMC Muncy | Muncy | $568.20 | $59.95 – $277.76 |
| UPMC Passavant-McCandless | Pittsburgh | $928.20 | $59.95 – $309.57 |