Artery xray of abdomen 75726-26 at UPMC Lititz
1500 Highlands Drive, Lititz, PA · UPMC · · NPI 1285167916
$9,796.20
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.
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What you pay up front if you don't use insurance.
$16,327.00
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.
$29.48 with United Healthcare Community Plan for Families vs $24,155.22 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 |
|---|---|---|---|
| United Healthcare Community Plan for Families | PA Medicaid | $29.48 | ↓ -100% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $47.62 | ↓ -100% |
| Highmark Wholecare (prev Gateway) | Medicaid | $47.62 | ↓ -100% |
| UPMC Health Plan | Managed Medicaid | $48.75 | ↓ -100% |
| Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $51.08 | ↓ -99% |
| Geisinger | Medicaid/CHIP | $54.62 | ↓ -99% |
| UPMC Work Partners | Workers Comp | $1,252.10 | ↓ -87% |
| Premier Comp Solutions | Worker's Comp | $1,252.10 | ↓ -87% |
| UPMC Health Plan | CHIP | $1,919.51 | ↓ -80% |
| Prime Net | Managed Medicare | $2,187.82 | ↓ -78% |
| Keystone Health Plan | Medicare Advantage | $3,265.40 | ↓ -67% |
| Capital Blue Cross | Medicare Advantage | $3,265.40 | ↓ -67% |
| Highmark BCBS of PA | Medicare | $5,140.04 | ↓ -48% |
| Aetna | Medicare | $5,415.21 | ↓ -45% |
| Geisinger | Medicare | $5,451.56 | ↓ -44% |
| Cigna | Medicare | $5,451.56 | ↓ -44% |
| United Healthcare | Medicare | $5,555.40 | ↓ -43% |
| Prime Net | Legacy Commercial | $6,057.32 | ↓ -38% |
| Aetna | ACO | $6,106.30 | ↓ -38% |
| Prime Net | ACO | $6,106.30 | ↓ -38% |
| Prime Net | NonGateKeeper | $7,216.53 | ↓ -26% |
| Prime Net | GateKeeper | $7,265.52 | ↓ -26% |
| Aetna | Commercial | $7,265.52 | ↓ -26% |
| Capital Blue Cross | CHIP | $7,659.00 | ↓ -22% |
| Capital Blue Cross | Commercial | $7,659.00 | ↓ -22% |
| Keystone Health Plan | Commercial | $7,659.00 | ↓ -22% |
| Keystone Autism Services | ACAP | $8,307.14 | ↓ -15% |
| Preferred Healthcare System | Inter County Health Plan/Lancaster General Health/Musselman Lumber/Vallorbs Jewelry | $8,979.85 | ↓ -8% |
| Geisinger | Commercial | $10,690.92 | ↑ +9% |
| UPMC Health Plan | Commercial | $11,428.90 | ↑ +17% |
| Prime Net | FH-Medical Rental | $11,820.75 | ↑ +21% |
| United Healthcare | Commercial | $12,016.67 | ↑ +23% |
| Preferred Healthcare System | PPO | $12,245.25 | ↑ +25% |
| Multiplan | PPO (Includes PHCS and Humana as Payers) | $13,877.95 | ↑ +42% |
| Highmark BCBS of PA | Commercial - Children's Health Insurance | $15,348.47 | ↑ +57% |
| Highmark BCBS of PA | Medicaid | $15,981.89 | ↑ +63% |
| Highmark BCBS of PA | Commercial | $16,330.79 | ↑ +67% |
| Cigna | Commercial | $24,155.22 | ↑ +147% |
| Tricare | East Region | not published by hospital | — |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
Visitor-reported prices
Comments
Artery xray of abdomen 75726-26 at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $2,422.80 | $22.50 – $3,230.40 |
| UPMC Carlisle | Carlisle | $9,796.20 | $29.48 – $13,877.95 |
| UPMC Community Osteopathic | Harrisburg | $9,796.20 | $29.48 – $13,877.95 |
| UPMC East | Monroeville | $5,562.00 | $41.25 – $7,416.00 |
| UPMC Hamot | Erie | $2,766.60 | $41.25 – $6,823.64 |
| UPMC Northwest | Seneca | $3,805.80 | $41.25 – $5,411.37 |
| UPMC Hanover | Hanover | $9,796.20 | $29.48 – $8,262.51 |
| UPMC Magee | Pittsburgh | $3,667.80 | $41.25 – $5,565.99 |