Application finger splntstatic 29130 at UPMC Lititz
1500 Highlands Drive, Lititz, PA · UPMC · · NPI 1285167916
$226.20
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.
$377.00
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.
$50.52 with Prime Net vs $389.40 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 |
|---|---|---|---|
| Prime Net | Managed Medicare | $50.52 | ↓ -78% |
| Capital Blue Cross | Medicare Advantage | $75.40 | ↓ -67% |
| Keystone Health Plan | Medicare Advantage | $75.40 | ↓ -67% |
| UPMC Work Partners | Workers Comp | $86.09 | ↓ -62% |
| United Healthcare Community Plan for Families | PA Medicaid | $92.79 | ↓ -59% |
| Highmark BCBS of PA | Medicare | $122.56 | ↓ -46% |
| Aetna | Medicare | $129.12 | ↓ -43% |
| Cigna | Medicare | $129.99 | ↓ -43% |
| Geisinger | Medicare | $129.99 | ↓ -43% |
| United Healthcare | Medicare | $132.47 | ↓ -41% |
| Prime Net | Legacy Commercial | $139.87 | ↓ -38% |
| Aetna | ACO | $141.00 | ↓ -38% |
| Prime Net | ACO | $141.00 | ↓ -38% |
| UPMC Health Plan | CHIP | $165.98 | ↓ -27% |
| Prime Net | NonGateKeeper | $166.63 | ↓ -26% |
| Prime Net | GateKeeper | $167.76 | ↓ -26% |
| Aetna | Commercial | $167.76 | ↓ -26% |
| Capital Blue Cross | Commercial | $176.85 | ↓ -22% |
| Keystone Health Plan | Commercial | $176.85 | ↓ -22% |
| Capital Blue Cross | CHIP | $176.85 | ↓ -22% |
| Keystone Autism Services | ACAP | $198.08 | ↓ -12% |
| Geisinger | Medicaid/CHIP | $207.35 | ↓ -8% |
| Preferred Healthcare System | Inter County Health Plan/Lancaster General Health/Musselman Lumber/Vallorbs Jewelry | $207.35 | ↓ -8% |
| Geisinger | Commercial | $246.86 | ↑ +9% |
| UPMC Health Plan | Commercial | $263.90 | ↑ +17% |
| Prime Net | FH-Medical Rental | $272.95 | ↑ +21% |
| Preferred Healthcare System | PPO | $282.75 | ↑ +25% |
| Cigna | Commercial | $294.06 | ↑ +30% |
| Multiplan | PPO (Includes PHCS and Humana as Payers) | $320.45 | ↑ +42% |
| Highmark BCBS of PA | Commercial - Children's Health Insurance | $365.98 | ↑ +62% |
| Highmark BCBS of PA | Medicaid | $381.08 | ↑ +68% |
| Highmark BCBS of PA | Commercial | $389.40 | ↑ +72% |
| 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
Application finger splntstatic 29130 at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $103.20 | $55.76 – $137.60 |
| UPMC Bedford | Everett | $124.20 | $44.34 – $186.30 |
| UPMC Carlisle | Carlisle | $226.20 | $51.65 – $320.45 |
| UPMC Cole | Coudersport | $126.00 | $9.42 – $98.03 |
| UPMC Community Osteopathic | Harrisburg | $226.20 | $75.40 – $320.45 |
| UPMC East | Monroeville | $235.20 | $56.30 – $313.60 |
| UPMC Hamot | Erie | $231.60 | $55.76 – $178.73 |
| UPMC Northwest | Seneca | $159.60 | $78.41 – $132.72 |