Anoscopy control bleeding 46614 at UPMC Lititz
1500 Highlands Drive, Lititz, PA · UPMC · · NPI 1285167916
$3,812.40
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.
$6,354.00
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.
$81.55 with Highmark Wholecare (prev Gateway) vs $5,400.90 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 |
|---|---|---|---|
| Highmark Wholecare (prev Gateway) | Medicaid | $81.55 | ↓ -98% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $81.55 | ↓ -98% |
| UPMC Health Plan | Managed Medicaid | $83.47 | ↓ -98% |
| Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $87.45 | ↓ -98% |
| Geisinger | Medicaid/CHIP | $93.53 | ↓ -98% |
| UPMC Work Partners | Workers Comp | $424.60 | ↓ -89% |
| Prime Net | Managed Medicare | $851.44 | ↓ -78% |
| United Healthcare Community Plan for Families | PA Medicaid | $1,016.56 | ↓ -73% |
| Highmark BCBS of PA | Medicare | $1,121.14 | ↓ -71% |
| Aetna | Medicare | $1,181.16 | ↓ -69% |
| Geisinger | Medicare | $1,189.08 | ↓ -69% |
| Cigna | Medicare | $1,189.08 | ↓ -69% |
| United Healthcare | Medicare | $1,211.73 | ↓ -68% |
| Capital Blue Cross | Medicare Advantage | $1,270.80 | ↓ -67% |
| Keystone Health Plan | Medicare Advantage | $1,270.80 | ↓ -67% |
| UPMC Health Plan | CHIP | $1,732.64 | ↓ -55% |
| Keystone Autism Services | ACAP | $1,811.94 | ↓ -52% |
| Prime Net | Legacy Commercial | $2,357.33 | ↓ -38% |
| Prime Net | ACO | $2,376.40 | ↓ -38% |
| Aetna | ACO | $2,376.40 | ↓ -38% |
| Prime Net | NonGateKeeper | $2,808.47 | ↓ -26% |
| Prime Net | GateKeeper | $2,827.53 | ↓ -26% |
| Aetna | Commercial | $2,827.53 | ↓ -26% |
| Keystone Health Plan | Commercial | $2,980.66 | ↓ -22% |
| Capital Blue Cross | CHIP | $2,980.66 | ↓ -22% |
| Capital Blue Cross | Commercial | $2,980.66 | ↓ -22% |
| Highmark BCBS of PA | Commercial - Children's Health Insurance | $3,347.78 | ↓ -12% |
| Highmark BCBS of PA | Medicaid | $3,485.94 | ↓ -9% |
| Preferred Healthcare System | Inter County Health Plan/Lancaster General Health/Musselman Lumber/Vallorbs Jewelry | $3,494.70 | ↓ -8% |
| Highmark BCBS of PA | Commercial | $3,562.04 | ↓ -7% |
| Geisinger | Commercial | $4,160.60 | ↑ +9% |
| UPMC Health Plan | Commercial | $4,447.80 | ↑ +17% |
| Prime Net | FH-Medical Rental | $4,600.30 | ↑ +21% |
| Preferred Healthcare System | PPO | $4,765.50 | ↑ +25% |
| Cigna | Commercial | $4,956.12 | ↑ +30% |
| Multiplan | PPO (Includes PHCS and Humana as Payers) | $5,400.90 | ↑ +42% |
| United Healthcare | Commercial | not published by hospital | — |
| Tricare | East Region | not published by hospital | — |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
Visitor-reported prices
Comments
Anoscopy control bleeding 46614 at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Carlisle | Carlisle | $3,812.40 | $81.55 – $5,400.90 |
| UPMC Community Osteopathic | Harrisburg | $3,812.40 | $81.55 – $5,400.90 |
| UPMC Hanover | Hanover | $3,812.40 | $81.55 – $1,802.21 |
| UPMC Magee | Pittsburgh | $2,734.20 | $70.63 – $1,214.04 |
| UPMC Memorial | York | $3,812.40 | $81.55 – $1,808.99 |
| UPMC Passavant-McCandless | Pittsburgh | $2,655.60 | $70.63 – $1,236.52 |
| UPMC Somerset | Somerset | $3,812.40 | $70.63 – $1,124.11 |
| UPMC Williamsport | Williamsport | $991.20 | $70.63 – $1,202.80 |