Aquaporin-4 antibody cba each at UPMC Lititz
1500 Highlands Drive, Lititz, PA · UPMC · · NPI 1285167916
$66.60
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.
$111.00
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.
$9.64 with AmeriHealth Caritas vs $94.35 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 |
|---|---|---|---|
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $9.64 | ↓ -86% |
| Highmark BCBS of PA | Medicare | $11.93 | ↓ -82% |
| Highmark Wholecare (prev Gateway) | Medicaid | $12.24 | ↓ -82% |
| UPMC Work Partners | Workers Comp | $12.46 | ↓ -81% |
| UPMC Health Plan | Managed Medicaid | $12.53 | ↓ -81% |
| Aetna | Medicare | $12.57 | ↓ -81% |
| United Healthcare Community Plan for Families | PA Medicaid | $12.63 | ↓ -81% |
| Geisinger | Medicare | $12.65 | ↓ -81% |
| Cigna | Medicare | $12.65 | ↓ -81% |
| United Healthcare | Medicare | $12.89 | ↓ -81% |
| Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $13.13 | ↓ -80% |
| United Healthcare | Commercial | $13.84 | ↓ -79% |
| Geisinger | Medicaid/CHIP | $14.04 | ↓ -79% |
| Prime Net | Managed Medicare | $14.87 | ↓ -78% |
| Keystone Autism Services | ACAP | $19.28 | ↓ -71% |
| Keystone Health Plan | Medicare Advantage | $22.20 | ↓ -67% |
| Capital Blue Cross | Medicare Advantage | $22.20 | ↓ -67% |
| Highmark BCBS of PA | Commercial - Children's Health Insurance | $35.62 | ↓ -47% |
| Highmark BCBS of PA | Medicaid | $37.09 | ↓ -44% |
| Highmark BCBS of PA | Commercial | $37.90 | ↓ -43% |
| Prime Net | Legacy Commercial | $41.18 | ↓ -38% |
| Aetna | ACO | $41.51 | ↓ -38% |
| Prime Net | ACO | $41.51 | ↓ -38% |
| Prime Net | NonGateKeeper | $49.06 | ↓ -26% |
| Aetna | Commercial | $49.40 | ↓ -26% |
| Prime Net | GateKeeper | $49.40 | ↓ -26% |
| UPMC Health Plan | CHIP | $50.96 | ↓ -23% |
| Capital Blue Cross | CHIP | $52.07 | ↓ -22% |
| Keystone Health Plan | Commercial | $52.07 | ↓ -22% |
| Capital Blue Cross | Commercial | $52.07 | ↓ -22% |
| Preferred Healthcare System | Inter County Health Plan/Lancaster General Health/Musselman Lumber/Vallorbs Jewelry | $61.05 | ↓ -8% |
| Geisinger | Commercial | $72.68 | ↑ +9% |
| UPMC Health Plan | Commercial | $77.70 | ↑ +17% |
| Prime Net | FH-Medical Rental | $80.36 | ↑ +21% |
| Preferred Healthcare System | PPO | $83.25 | ↑ +25% |
| Cigna | Commercial | $86.58 | ↑ +30% |
| Multiplan | PPO (Includes PHCS and Humana as Payers) | $94.35 | ↑ +42% |
Visitor-reported prices
Comments
Aquaporin-4 antibody cba each at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $115.80 | $5.11 – $154.40 |
| UPMC Bedford | Everett | $75.00 | $4.35 – $112.50 |
| UPMC Carlisle | Carlisle | $66.60 | $9.64 – $94.35 |
| UPMC Community Osteopathic | Harrisburg | $66.60 | $9.64 – $94.35 |
| UPMC East | Monroeville | $179.40 | $5.16 – $239.20 |
| UPMC Hamot | Erie | $234.60 | $5.11 – $13.40 |
| UPMC Northwest | Seneca | $102.00 | $10.60 – $13.01 |
| UPMC Horizon-Greenville | Greenville | $108.60 | $8.27 – $13.40 |