Injection carpal tunnel therapeutic (both sides) at UPMC Memorial
1701 Innovation Drive, York, PA · UPMC · · NPI 1063945707
$596.40
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.
$994.00
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.
$63.22 with AmeriHealth Caritas vs $1,310.40 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 |
|---|---|---|---|
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $63.22 | ↓ -89% |
| Highmark Wholecare (prev Gateway) | Medicaid | $63.22 | ↓ -89% |
| UPMC Health Plan | Managed Medicaid | $64.71 | ↓ -89% |
| United Healthcare Community Plan for Families | PA Medicaid | $65.21 | ↓ -89% |
| Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $67.80 | ↓ -89% |
| Geisinger | Medicaid/CHIP | $72.51 | ↓ -88% |
| Highmark BCBS of PA | Medicare | $110.53 | ↓ -81% |
| UPMC Work Partners | Workers Comp | $121.59 | ↓ -80% |
| Prime Net | Managed Medicare | $164.01 | ↓ -73% |
| Capital Blue Cross | Medicare Advantage | $198.80 | ↓ -67% |
| Keystone Health Plan | Medicare Advantage | $198.80 | ↓ -67% |
| Aetna | Medicare | $295.23 | ↓ -50% |
| Cigna | Medicare | $297.21 | ↓ -50% |
| Geisinger | Medicare | $297.21 | ↓ -50% |
| United Healthcare | Medicare | $302.87 | ↓ -49% |
| Prime Net | ACO/Legacy Commercial | $407.54 | ↓ -32% |
| Aetna | ACO | $410.52 | ↓ -31% |
| Keystone Autism Services | ACAP | $452.90 | ↓ -24% |
| Prime Net | GateKeeper/NonGateKeeper | $474.14 | ↓ -20% |
| Aetna | Commercial | $477.12 | ↓ -20% |
| UPMC Health Plan | CHIP | $544.10 | ↓ -9% |
| Geisinger | Commercial | $650.87 | ↑ +9% |
| Wellspan Population Health | Commercial | $695.80 | ↑ +17% |
| UPMC Health Plan | Commercial | $695.80 | ↑ +17% |
| Prime Net | FH-Medical Rental | $740.53 | ↑ +24% |
| Cigna | Commercial | $775.32 | ↑ +30% |
| Multiplan | PPO (Includes PHCS and Humana as Payers) | $844.90 | ↑ +42% |
| Highmark BCBS of PA | Medicaid | $937.61 | ↑ +57% |
| Highmark BCBS of PA | Commercial | $997.56 | ↑ +67% |
| Keystone Health Plan | Commercial | $1,310.40 | ↑ +120% |
| Capital Blue Cross | Commercial | $1,310.40 | ↑ +120% |
| Capital Blue Cross | CHIP | $1,310.40 | ↑ +120% |
| United Healthcare | Commercial | not published by hospital | — |
| Tricare | East Region | not published by hospital | — |
Visitor-reported prices
Comments
Injection carpal tunnel therapeutic (both sides) at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $293.40 | $49.78 – $391.20 |
| UPMC Bedford | Everett | $621.00 | $52.27 – $931.50 |
| UPMC Carlisle | Carlisle | $596.40 | $63.22 – $844.90 |
| UPMC Cole | Coudersport | $86.40 | $18.57 – $116.19 |
| UPMC Community Osteopathic | Harrisburg | $596.40 | $63.22 – $844.90 |
| UPMC Hanover | Hanover | $596.40 | $63.22 – $451.20 |
| UPMC Kane | Kane | $471.60 | $54.76 – $344.20 |
| UPMC Lititz | Lititz | $596.40 | $63.22 – $453.63 |