Anl sp inf pmp w/mdreprg&fil at UPMC Lititz
1500 Highlands Drive, Lititz, PA · UPMC · · NPI 1285167916
not published by hospital
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.
not published by hospital
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.
$46.71 with Highmark Wholecare (prev Gateway) vs $9,539.00 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 Wholecare (prev Gateway) | Medicaid | $46.71 | — |
| UPMC Health Plan | Managed Medicaid | $47.81 | — |
| United Healthcare Community Plan for Families | PA Medicaid | $48.18 | — |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $49.65 | — |
| Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $50.09 | — |
| Geisinger | Medicaid/CHIP | $53.57 | — |
| UPMC Work Partners | Workers Comp | $188.41 | — |
| Highmark BCBS of PA | Medicare | $285.17 | — |
| Aetna | Medicare | $300.44 | — |
| Geisinger | Medicare | $302.45 | — |
| Cigna | Medicare | $302.45 | — |
| United Healthcare | Medicare | $308.21 | — |
| Keystone Autism Services | ACAP | $460.88 | — |
| Highmark BCBS of PA | Commercial - Children's Health Insurance | $851.53 | — |
| Highmark BCBS of PA | Medicaid | $886.68 | — |
| Highmark BCBS of PA | Commercial | $906.03 | — |
| UPMC Health Plan | CHIP | $1,053.98 | — |
| Cigna | Commercial | $9,539.00 | — |
| Tricare | East Region | not published by hospital | — |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
| United Healthcare | Commercial | not published by hospital | — |
Visitor-reported prices
Comments
Anl sp inf pmp w/mdreprg&fil at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Cole | Coudersport | $97.20 | $19.68 – $1,041.88 |
| UPMC Jameson | New Castle | $912.00 | $40.46 – $386.01 |
| UPMC Magee | Pittsburgh | $909.60 | $40.46 – $308.80 |
| UPMC Mercy | Pittsburgh | $639.00 | $40.46 – $314.52 |
| UPMC Presbyterian | Pittsburgh | $1,131.00 | $40.46 – $314.52 |
| UPMC St. Margaret | Pittsburgh | $793.20 | $40.46 – $314.52 |
| UPMC Williamsport | Williamsport | $1,135.80 | $40.46 – $305.95 |
| Uniontown Hospital | Uniontown | $353.00 | $34.74 – $618.30 |