Injection(s) anesthetic agent(s) and/or steroid other peripheral nerve/branch (both sides) at UPMC Memorial
1701 Innovation Drive, York, PA · UPMC · · NPI 1063945707
$948.00
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.
$1,580.00
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.
$26.67 with Highmark Wholecare (prev Gateway) vs $2,577.75 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 |
|---|---|---|---|
| Highmark Wholecare (prev Gateway) | Medicaid | $26.67 | ↓ -97% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $26.67 | ↓ -97% |
| UPMC Health Plan | Managed Medicaid | $27.30 | ↓ -97% |
| United Healthcare Community Plan for Families | PA Medicaid | $27.51 | ↓ -97% |
| Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $28.60 | ↓ -97% |
| Geisinger | Medicaid/CHIP | $30.59 | ↓ -97% |
| UPMC Work Partners | Workers Comp | $165.74 | ↓ -83% |
| Highmark BCBS of PA | Medicare | $166.65 | ↓ -82% |
| Prime Net | Managed Medicare | $260.70 | ↓ -73% |
| Capital Blue Cross | Medicare Advantage | $316.00 | ↓ -67% |
| Keystone Health Plan | Medicare Advantage | $316.00 | ↓ -67% |
| Prime Net | ACO/Legacy Commercial | $647.80 | ↓ -32% |
| Aetna | ACO | $652.54 | ↓ -31% |
| UPMC Health Plan | CHIP | $653.07 | ↓ -31% |
| Aetna | Medicare | $692.61 | ↓ -27% |
| Geisinger | Medicare | $697.26 | ↓ -26% |
| Cigna | Medicare | $697.26 | ↓ -26% |
| United Healthcare | Medicare | $710.54 | ↓ -25% |
| Prime Net | GateKeeper/NonGateKeeper | $753.66 | ↓ -21% |
| Aetna | Commercial | $758.40 | ↓ -20% |
| Geisinger | Commercial | $1,034.58 | ↑ +9% |
| Keystone Autism Services | ACAP | $1,062.50 | ↑ +12% |
| UPMC Health Plan | Commercial | $1,106.00 | ↑ +17% |
| Wellspan Population Health | Commercial | $1,106.00 | ↑ +17% |
| Prime Net | FH-Medical Rental | $1,177.10 | ↑ +24% |
| Cigna | Commercial | $1,232.40 | ↑ +30% |
| Multiplan | PPO (Includes PHCS and Humana as Payers) | $1,343.00 | ↑ +42% |
| Highmark BCBS of PA | Medicaid | $2,199.63 | ↑ +132% |
| Highmark BCBS of PA | Commercial | $2,340.28 | ↑ +147% |
| Keystone Health Plan | Commercial | $2,577.75 | ↑ +172% |
| Capital Blue Cross | Commercial | $2,577.75 | ↑ +172% |
| Capital Blue Cross | CHIP | $2,577.75 | ↑ +172% |
| United Healthcare | Commercial | not published by hospital | — |
| Tricare | East Region | not published by hospital | — |
Visitor-reported prices
Comments
Injection(s) anesthetic agent(s) and/or steroid other peripheral nerve/branch (both sides) at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $820.80 | $21.00 – $1,094.40 |
| UPMC Bedford | Everett | $454.20 | $22.05 – $681.30 |
| UPMC Carlisle | Carlisle | $948.00 | $26.67 – $1,343.00 |
| UPMC Cole | Coudersport | $478.20 | $19.40 – $149.53 |
| UPMC Community Osteopathic | Harrisburg | $948.00 | $26.67 – $1,343.00 |
| UPMC East | Monroeville | $856.80 | $23.10 – $1,142.40 |
| UPMC Hamot | Erie | $879.00 | $23.10 – $960.26 |
| UPMC Northwest | Seneca | $611.40 | $23.10 – $693.24 |