healthcosts.net
Lower Back (Lumbar Spine) CT scan (with and without contrast) at UPMC Memorial
1701 Innovation Drive, York, PA · UPMC · · NPI 1063945707
$1,424.40
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.
$2,374.00
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.
$178.04 with Aetna vs $2,079.84 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 |
|---|---|---|---|
| Aetna | Medicare | $178.04 | ↓ -88% |
| United Healthcare Community Plan for Families | PA Medicaid | $178.16 | ↓ -87% |
| Cigna | Medicare | $179.24 | ↓ -87% |
| Geisinger | Medicare | $179.24 | ↓ -87% |
| United Healthcare | Medicare | $182.65 | ↓ -87% |
| Highmark Wholecare (prev Gateway) | Medicaid | $247.71 | ↓ -83% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $247.71 | ↓ -83% |
| UPMC Health Plan | Managed Medicaid | $253.56 | ↓ -82% |
| Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $265.66 | ↓ -81% |
| Keystone Autism Services | ACAP | $273.12 | ↓ -81% |
| Premier Comp Solutions | Worker's Comp | $280.00 | ↓ -80% |
| Geisinger | Medicaid/CHIP | $284.11 | ↓ -80% |
| OneCall | Worker's Comp | $325.00 | ↓ -77% |
| Highmark BCBS of PA | Medicare | $369.72 | ↓ -74% |
| Prime Net | Managed Medicare | $391.71 | ↓ -73% |
| Keystone Health Plan | Medicare Advantage | $474.80 | ↓ -67% |
| Capital Blue Cross | Medicare Advantage | $474.80 | ↓ -67% |
| Highmark BCBS of PA | Medicaid | $565.43 | ↓ -60% |
| Highmark BCBS of PA | Commercial | $601.58 | ↓ -58% |
| UPMC Work Partners | Workers Comp | $956.02 | ↓ -33% |
| Cigna | Commercial | $957.68 | ↓ -33% |
| Prime Net | ACO/Legacy Commercial | $973.34 | ↓ -32% |
| Aetna | ACO | $980.46 | ↓ -31% |
| Prime Net | GateKeeper/NonGateKeeper | $1,132.40 | ↓ -20% |
| Aetna | Commercial | $1,139.52 | ↓ -20% |
| UPMC Health Plan | CHIP | $1,441.89 | ↑ +1% |
| Geisinger | Commercial | $1,554.50 | ↑ +9% |
| Wellspan Population Health | Commercial | $1,661.80 | ↑ +17% |
| UPMC Health Plan | Commercial | $1,661.80 | ↑ +17% |
| United Healthcare | Commercial | $1,747.26 | ↑ +23% |
| Prime Net | FH-Medical Rental | $1,768.63 | ↑ +24% |
| Multiplan | PPO (Includes PHCS and Humana as Payers) | $2,017.90 | ↑ +42% |
| Capital Blue Cross | CHIP | $2,079.84 | ↑ +46% |
| Keystone Health Plan | Commercial | $2,079.84 | ↑ +46% |
| Capital Blue Cross | Commercial | $2,079.84 | ↑ +46% |
| Tricare | East Region | not published by hospital | — |
Visitor-reported prices
Comments
Lower Back (Lumbar Spine) CT scan (with and without contrast) at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC East | Monroeville | $3,242.40 | $170.18 – $4,323.20 |
| UPMC Passavant-McCandless | Pittsburgh | $2,785.80 | $157.72 – $3,946.55 |
| UPMC Hamot | Erie | $2,637.60 | $145.67 – $3,077.20 |
| UPMC Carlisle | Carlisle | $1,424.40 | $168.60 – $2,017.90 |
| UPMC Altoona | Altoona | $1,699.20 | $136.00 – $2,265.60 |
| UPMC Cole | Coudersport | $1,130.40 | $204.80 – $1,507.20 |
| UPMC Community Osteopathic | Harrisburg | $1,424.40 | $173.36 – $2,017.90 |
| UPMC Hanover | Hanover | $1,424.40 | $168.36 – $2,065.38 |