Injection(s) diagnostic/therapeutic agent facet lumbar/sacral single level at UPMC Memorial
1701 Innovation Drive, York, PA · UPMC · · NPI 1063945707
$1,318.80
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.
$2,198.00
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.
$234.64 with Highmark BCBS of PA vs $3,397.00 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 →
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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 | $234.64 | ↓ -82% |
| UPMC Work Partners | Workers Comp | $251.05 | ↓ -81% |
| Prime Net | Managed Medicare | $362.67 | ↓ -73% |
| Capital Blue Cross | Medicare Advantage | $439.60 | ↓ -67% |
| Keystone Health Plan | Medicare Advantage | $439.60 | ↓ -67% |
| Aetna | Medicare | $890.41 | ↓ -32% |
| Geisinger | Medicare | $896.38 | ↓ -32% |
| Cigna | Medicare | $896.38 | ↓ -32% |
| Prime Net | ACO/Legacy Commercial | $901.18 | ↓ -32% |
| Aetna | ACO | $907.77 | ↓ -31% |
| United Healthcare | Medicare | $913.46 | ↓ -31% |
| United Healthcare Community Plan for Families | PA Medicaid | $1,016.56 | ↓ -23% |
| Prime Net | GateKeeper/NonGateKeeper | $1,048.45 | ↓ -20% |
| Aetna | Commercial | $1,055.04 | ↓ -20% |
| Geisinger | Medicaid/CHIP | $1,208.90 | ↓ -8% |
| Keystone Autism Services | ACAP | $1,365.92 | ↑ +4% |
| Geisinger | Commercial | $1,439.25 | ↑ +9% |
| UPMC Health Plan | CHIP | $1,462.22 | ↑ +11% |
| Wellspan Population Health | Commercial | $1,538.60 | ↑ +17% |
| UPMC Health Plan | Commercial | $1,538.60 | ↑ +17% |
| Prime Net | FH-Medical Rental | $1,637.51 | ↑ +24% |
| Multiplan | PPO (Includes PHCS and Humana as Payers) | $1,868.30 | ↑ +42% |
| Highmark BCBS of PA | Medicaid | $2,827.80 | ↑ +114% |
| Capital Blue Cross | CHIP | $2,966.25 | ↑ +125% |
| Keystone Health Plan | Commercial | $2,966.25 | ↑ +125% |
| Capital Blue Cross | Commercial | $2,966.25 | ↑ +125% |
| Highmark BCBS of PA | Commercial | $3,008.61 | ↑ +128% |
| Cigna | Commercial | $3,397.00 | ↑ +158% |
| Tricare | East Region | not published by hospital | — |
| United Healthcare | Commercial | not published by hospital | — |
Visitor-reported prices
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Injection(s) diagnostic/therapeutic agent facet lumbar/sacral single level at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Carlisle | Carlisle | $1,318.80 | $251.05 – $1,868.30 |
| UPMC Cole | Coudersport | $522.60 | $98.03 – $696.80 |
| UPMC Community Osteopathic | Harrisburg | $1,318.80 | $251.05 – $1,868.30 |
| UPMC East | Monroeville | $1,462.80 | $239.89 – $1,950.40 |
| UPMC Northwest | Seneca | $1,885.20 | $239.89 – $916.68 |
| UPMC Hanover | Hanover | $1,318.80 | $251.05 – $1,462.22 |
| UPMC Horizon-Greenville | Greenville | $1,897.80 | $239.89 – $916.68 |
| UPMC Jameson | New Castle | $1,897.80 | $239.89 – $1,145.85 |