Injection sacroiliac joint anesthesia/steroid without or w/arthrography (both sides) at UPMC Memorial
1701 Innovation Drive, York, PA · UPMC · · NPI 1063945707
$2,647.20
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.
$4,412.00
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.
$477.77 with Highmark BCBS of PA vs $4,172.70 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 BCBS of PA | Medicare | $477.77 | ↓ -82% |
| United Healthcare Community Plan for Families | PA Medicaid | $514.90 | ↓ -81% |
| Aetna | Medicare | $692.61 | ↓ -74% |
| Cigna | Medicare | $697.26 | ↓ -74% |
| Geisinger | Medicare | $697.26 | ↓ -74% |
| United Healthcare | Medicare | $710.54 | ↓ -73% |
| Prime Net | Managed Medicare | $727.98 | ↓ -73% |
| Capital Blue Cross | Medicare Advantage | $882.40 | ↓ -67% |
| Keystone Health Plan | Medicare Advantage | $882.40 | ↓ -67% |
| Keystone Autism Services | ACAP | $1,062.50 | ↓ -60% |
| UPMC Health Plan | CHIP | $1,486.07 | ↓ -44% |
| Prime Net | ACO/Legacy Commercial | $1,808.92 | ↓ -32% |
| Aetna | ACO | $1,822.16 | ↓ -31% |
| Prime Net | GateKeeper/NonGateKeeper | $2,104.52 | ↓ -21% |
| Aetna | Commercial | $2,117.76 | ↓ -20% |
| Highmark BCBS of PA | Medicaid | $2,199.63 | ↓ -17% |
| Highmark BCBS of PA | Commercial | $2,340.28 | ↓ -12% |
| Geisinger | Medicaid/CHIP | $2,426.60 | ↓ -8% |
| Geisinger | Commercial | $2,888.98 | ↑ +9% |
| Wellspan Population Health | Commercial | $3,088.40 | ↑ +17% |
| UPMC Health Plan | Commercial | $3,088.40 | ↑ +17% |
| Prime Net | FH-Medical Rental | $3,286.94 | ↑ +24% |
| Cigna | Commercial | $3,397.00 | ↑ +28% |
| Multiplan | PPO (Includes PHCS and Humana as Payers) | $3,750.20 | ↑ +42% |
| Keystone Health Plan | Commercial | $4,172.70 | ↑ +58% |
| Capital Blue Cross | Commercial | $4,172.70 | ↑ +58% |
| Capital Blue Cross | CHIP | $4,172.70 | ↑ +58% |
| Tricare | East Region | not published by hospital | — |
| UPMC Work Partners | Workers Comp | not published by hospital | — |
| United Healthcare | Commercial | not published by hospital | — |
Visitor-reported prices
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Injection sacroiliac joint anesthesia/steroid without or w/arthrography (both sides) at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Carlisle | Carlisle | $2,647.20 | $364.36 – $3,750.20 |
| UPMC Community Osteopathic | Harrisburg | $2,647.20 | $514.90 – $3,750.20 |
| UPMC East | Monroeville | $1,353.60 | $591.77 – $1,804.80 |
| UPMC Northwest | Seneca | $2,521.20 | $598.76 – $713.05 |
| UPMC Hanover | Hanover | $2,647.20 | $514.90 – $1,486.07 |
| UPMC Horizon-Greenville | Greenville | $2,912.40 | $591.10 – $1,140.40 |
| UPMC Jameson | New Castle | $2,912.40 | $452.01 – $825.29 |
| UPMC Lititz | Lititz | $2,647.20 | $514.90 – $1,486.07 |