App high cost ss f/n/g/h/f >100sq cm addl 100sq cm at UPMC Lititz

1500 Highlands Drive, Lititz, PA · UPMC · · NPI 1285167916

Source: hospital's published price file ↗ · Published Mar 6, 2026 · Ingested Aug 13, 2026

$2,895.60

Cash price

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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.

Full explanation →

What you pay up front if you don't use insurance.

$4,826.00

Gross charge

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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.

Full explanation →

The hospital's undiscounted list price — almost no one pays this.

$49.30 with Aetna vs $4,102.10 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 →

Payer
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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
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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 $49.30 ↓ -98%
United Healthcare Community Plan for Families PA Medicaid $56.51 ↓ -98%
UPMC Work Partners Workers Comp $121.55 ↓ -96%
Prime Net Managed Medicare $646.68 ↓ -78%
Keystone Health Plan Medicare Advantage $965.20 ↓ -67%
Capital Blue Cross Medicare Advantage $965.20 ↓ -67%
Prime Net Legacy Commercial $1,790.45 ↓ -38%
Aetna ACO $1,804.92 ↓ -38%
Prime Net ACO $1,804.92 ↓ -38%
Prime Net NonGateKeeper $2,133.09 ↓ -26%
Prime Net GateKeeper $2,147.57 ↓ -26%
Aetna Commercial $2,147.57 ↓ -26%
Capital Blue Cross CHIP $2,263.88 ↓ -22%
Capital Blue Cross Commercial $2,263.88 ↓ -22%
Keystone Health Plan Commercial $2,263.88 ↓ -22%
Geisinger Medicaid/CHIP $2,654.30 ↓ -8%
Preferred Healthcare System Inter County Health Plan/Lancaster General Health/Musselman Lumber/Vallorbs Jewelry $2,654.30 ↓ -8%
Geisinger Commercial $3,160.06 ↑ +9%
UPMC Health Plan Commercial $3,378.20 ↑ +17%
UPMC Health Plan CHIP $3,378.20 ↑ +17%
Prime Net FH-Medical Rental $3,494.02 ↑ +21%
Preferred Healthcare System PPO $3,619.50 ↑ +25%
Multiplan PPO (Includes PHCS and Humana as Payers) $4,102.10 ↑ +42%

Visitor-reported prices

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App high cost ss f/n/g/h/f >100sq cm addl 100sq cm at other Pennsylvania hospitals

Hospital City Cash price Negotiated range
UPMC Carlisle Carlisle $2,895.60 $56.51 – $4,102.10
UPMC Cole Coudersport $84.60 $39.09 – $1,041.88
UPMC Hamot Erie $3,239.40 $116.15 – $584.39
UPMC Hanover Hanover $2,895.60 $56.51 – $121.55
UPMC McKeesport Mckeesport $2,836.80 $54.23 – $589.95
UPMC St. Margaret Pittsburgh $3,272.40 $116.15 – $589.95
UPMC Wellsboro Wellsboro $1,830.40 $55.22 – $116.15
Uniontown Hospital Uniontown $313.50 $43.24 – $98.93

All Pennsylvania hospitals for this procedure →