Inj epidural sgl cerv-thor without img at UPMC Memorial
1701 Innovation Drive, York, PA · UPMC · · NPI 1063945707
$1,920.60
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.
$3,201.00
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.
$86.67 with Highmark BCBS of PA vs $2,966.25 with Keystone Health Plan — 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 | $86.67 | ↓ -95% |
| Highmark Wholecare (prev Gateway) | Medicaid | $105.03 | ↓ -95% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $105.03 | ↓ -95% |
| UPMC Health Plan | Managed Medicaid | $107.51 | ↓ -94% |
| Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $112.64 | ↓ -94% |
| Geisinger | Medicaid/CHIP | $120.46 | ↓ -94% |
| UPMC Work Partners | Workers Comp | $225.85 | ↓ -88% |
| Prime Net | Managed Medicare | $528.16 | ↓ -73% |
| Keystone Health Plan | Medicare Advantage | $640.20 | ↓ -67% |
| Capital Blue Cross | Medicare Advantage | $640.20 | ↓ -67% |
| Aetna | Medicare | $692.61 | ↓ -64% |
| Geisinger | Medicare | $697.26 | ↓ -64% |
| Cigna | Medicare | $697.26 | ↓ -64% |
| United Healthcare | Medicare | $710.54 | ↓ -63% |
| United Healthcare Community Plan for Families | PA Medicaid | $1,016.56 | ↓ -47% |
| Keystone Autism Services | ACAP | $1,062.50 | ↓ -45% |
| Prime Net | ACO/Legacy Commercial | $1,312.41 | ↓ -32% |
| Aetna | ACO | $1,322.01 | ↓ -31% |
| Prime Net | GateKeeper/NonGateKeeper | $1,526.88 | ↓ -20% |
| Aetna | Commercial | $1,536.48 | ↓ -20% |
| UPMC Health Plan | CHIP | $1,847.10 | ↓ -4% |
| Geisinger | Commercial | $2,096.01 | ↑ +9% |
| Highmark BCBS of PA | Medicaid | $2,199.63 | ↑ +15% |
| Wellspan Population Health | Commercial | $2,240.70 | ↑ +17% |
| UPMC Health Plan | Commercial | $2,240.70 | ↑ +17% |
| Highmark BCBS of PA | Commercial | $2,340.28 | ↑ +22% |
| Prime Net | FH-Medical Rental | $2,384.74 | ↑ +24% |
| Cigna | Commercial | $2,496.78 | ↑ +30% |
| Multiplan | PPO (Includes PHCS and Humana as Payers) | $2,720.85 | ↑ +42% |
| Capital Blue Cross | Commercial | $2,966.25 | ↑ +54% |
| Capital Blue Cross | CHIP | $2,966.25 | ↑ +54% |
| Keystone Health Plan | Commercial | $2,966.25 | ↑ +54% |
| United Healthcare | Commercial | not published by hospital | — |
| Tricare | East Region | not published by hospital | — |
Visitor-reported prices
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Inj epidural sgl cerv-thor without img at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Carlisle | Carlisle | $1,920.60 | $105.03 – $2,720.85 |
| UPMC Community Osteopathic | Harrisburg | $1,920.60 | $105.03 – $2,720.85 |
| UPMC Northwest | Seneca | $3,711.60 | $90.97 – $693.24 |
| UPMC Horizon-Greenville | Greenville | $1,897.80 | $90.97 – $713.05 |
| UPMC Jameson | New Castle | $1,429.80 | $90.97 – $892.40 |
| UPMC Kane | Kane | $1,025.40 | $90.97 – $692.07 |
| UPMC Lititz | Lititz | $1,920.60 | $105.03 – $1,064.22 |
| UPMC Magee | Pittsburgh | $3,469.80 | $90.97 – $713.05 |