Ablate bone tumor(s) perq at UPMC Lititz
1500 Highlands Drive, Lititz, PA · UPMC · · NPI 1285167916
$12,743.40
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.
?
What you pay up front if you don't use insurance.
$21,239.00
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.
?
The hospital's undiscounted list price — almost no one pays this.
$1,016.56 with United Healthcare Community Plan for Families vs $38,871.07 with Highmark BCBS of PA — same scan, same building. Share
Negotiated rates by payer
?
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 →
?
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 |
|---|---|---|---|
| United Healthcare Community Plan for Families | PA Medicaid | $1,016.56 | ↓ -92% |
| Prime Net | Managed Medicare | $2,846.03 | ↓ -78% |
| Keystone Health Plan | Medicare Advantage | $4,247.80 | ↓ -67% |
| Capital Blue Cross | Medicare Advantage | $4,247.80 | ↓ -67% |
| UPMC Work Partners | Workers Comp | $7,840.56 | ↓ -38% |
| Prime Net | Legacy Commercial | $7,879.67 | ↓ -38% |
| Prime Net | ACO | $7,943.39 | ↓ -38% |
| Aetna | ACO | $7,943.39 | ↓ -38% |
| Prime Net | NonGateKeeper | $9,387.64 | ↓ -26% |
| Aetna | Commercial | $9,451.35 | ↓ -26% |
| Prime Net | GateKeeper | $9,451.35 | ↓ -26% |
| Cigna | Commercial | $9,539.00 | ↓ -25% |
| Keystone Health Plan | Commercial | $9,963.21 | ↓ -22% |
| Capital Blue Cross | Commercial | $9,963.21 | ↓ -22% |
| Capital Blue Cross | CHIP | $9,963.21 | ↓ -22% |
| Preferred Healthcare System | Inter County Health Plan/Lancaster General Health/Musselman Lumber/Vallorbs Jewelry | $11,681.45 | ↓ -8% |
| Geisinger | Medicaid/CHIP | $11,681.45 | ↓ -8% |
| Highmark BCBS of PA | Medicare | $12,234.49 | ↓ -4% |
| Aetna | Medicare | $12,889.47 | ↑ +1% |
| Geisinger | Medicare | $12,975.97 | ↑ +2% |
| Cigna | Medicare | $12,975.97 | ↑ +2% |
| United Healthcare | Medicare | $13,223.13 | ↑ +4% |
| Geisinger | Commercial | $13,907.30 | ↑ +9% |
| UPMC Health Plan | Commercial | $14,867.30 | ↑ +17% |
| Prime Net | FH-Medical Rental | $15,377.04 | ↑ +21% |
| Preferred Healthcare System | PPO | $15,929.25 | ↑ +25% |
| Multiplan | PPO (Includes PHCS and Humana as Payers) | $18,053.15 | ↑ +42% |
| Keystone Autism Services | ACAP | $19,772.91 | ↑ +55% |
| UPMC Health Plan | CHIP | $22,480.14 | ↑ +76% |
| Highmark BCBS of PA | Commercial - Children's Health Insurance | $36,532.93 | ↑ +187% |
| Highmark BCBS of PA | Medicaid | $38,040.61 | ↑ +199% |
| Highmark BCBS of PA | Commercial | $38,871.07 | ↑ +205% |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
| United Healthcare | Commercial | not published by hospital | — |
| Tricare | East Region | not published by hospital | — |
Visitor-reported prices
Comments
Ablate bone tumor(s) perq at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Carlisle | Carlisle | $12,743.40 | $1,016.56 – $19,693.86 |
| UPMC Community Osteopathic | Harrisburg | $12,743.40 | $1,016.56 – $22,480.14 |
| UPMC East | Monroeville | $39,336.00 | $7,492.09 – $52,448.00 |
| UPMC Hamot | Erie | $42,856.80 | $7,492.09 – $15,290.23 |
| UPMC Hanover | Hanover | $12,743.40 | $1,016.56 – $22,480.14 |
| UPMC Memorial | York | $12,743.40 | $1,016.56 – $22,480.14 |
| UPMC Presbyterian | Pittsburgh | $41,445.60 | $931.20 – $13,493.67 |
| UPMC Somerset | Somerset | $12,743.40 | $892.40 – $13,247.10 |