Njx interlaminar lmbr/sac at UPMC Memorial
1701 Innovation Drive, York, PA · UPMC · · NPI 1063945707
$2,149.80
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.
$3,583.00
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.
$100.55 with AmeriHealth Caritas vs $3,045.55 with Multiplan — 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 | $100.55 | ↓ -95% |
| Highmark Wholecare (prev Gateway) | Medicaid | $100.55 | ↓ -95% |
| UPMC Health Plan | Managed Medicaid | $102.92 | ↓ -95% |
| Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $107.83 | ↓ -95% |
| Geisinger | Medicaid/CHIP | $115.32 | ↓ -95% |
| Highmark BCBS of PA | Medicare | $115.67 | ↓ -95% |
| UPMC Work Partners | Workers Comp | $301.39 | ↓ -86% |
| Premier Comp Solutions | Worker's Comp | $301.39 | ↓ -86% |
| Prime Net | Managed Medicare | $591.20 | ↓ -72% |
| Keystone Health Plan | Medicare Advantage | $716.60 | ↓ -67% |
| Capital Blue Cross | Medicare Advantage | $716.60 | ↓ -67% |
| Aetna | Medicare | $890.41 | ↓ -59% |
| Geisinger | Medicare | $896.38 | ↓ -58% |
| Cigna | Medicare | $896.38 | ↓ -58% |
| United Healthcare | Medicare | $913.46 | ↓ -58% |
| United Healthcare Community Plan for Families | PA Medicaid | $1,016.56 | ↓ -53% |
| Keystone Autism Services | ACAP | $1,365.92 | ↓ -36% |
| Prime Net | ACO/Legacy Commercial | $1,469.03 | ↓ -32% |
| Aetna | ACO | $1,479.78 | ↓ -31% |
| Prime Net | GateKeeper/NonGateKeeper | $1,709.09 | ↓ -21% |
| Aetna | Commercial | $1,719.84 | ↓ -20% |
| Geisinger | Commercial | $2,346.15 | ↑ +9% |
| UPMC Health Plan | CHIP | $2,482.82 | ↑ +15% |
| Wellspan Population Health | Commercial | $2,508.10 | ↑ +17% |
| UPMC Health Plan | Commercial | $2,508.10 | ↑ +17% |
| United Healthcare | Commercial | $2,637.09 | ↑ +23% |
| Prime Net | FH-Medical Rental | $2,669.34 | ↑ +24% |
| Cigna | Commercial | $2,794.74 | ↑ +30% |
| Highmark BCBS of PA | Medicaid | $2,827.80 | ↑ +32% |
| Capital Blue Cross | Commercial | $2,966.25 | ↑ +38% |
| Keystone Health Plan | Commercial | $2,966.25 | ↑ +38% |
| Capital Blue Cross | CHIP | $2,966.25 | ↑ +38% |
| Highmark BCBS of PA | Commercial | $3,008.61 | ↑ +40% |
| Multiplan | PPO (Includes PHCS and Humana as Payers) | $3,045.55 | ↑ +42% |
| Tricare | East Region | not published by hospital | — |
Visitor-reported prices
Comments
Njx interlaminar lmbr/sac at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Carlisle | Carlisle | $2,149.80 | $100.55 – $3,045.55 |
| UPMC Community Osteopathic | Harrisburg | $2,149.80 | $100.55 – $3,045.55 |
| UPMC Hanover | Hanover | $2,149.80 | $100.55 – $1,360.78 |
| UPMC Kane | Kane | $1,053.00 | $87.09 – $1,116.33 |
| UPMC Lititz | Lititz | $2,149.80 | $100.55 – $1,368.14 |
| UPMC Magee | Pittsburgh | $2,712.60 | $87.09 – $916.68 |
| UPMC Mercy | Pittsburgh | $2,883.00 | $87.09 – $933.66 |
| UPMC Passavant-McCandless | Pittsburgh | $3,455.40 | $87.09 – $933.66 |