Asp & inj w/heparin pleurx cath at UPMC Lititz
1500 Highlands Drive, Lititz, PA · UPMC · · NPI 1285167916
$1,434.00
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.
$2,390.00
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.
$65.58 with UPMC Health Plan vs $2,031.50 with Multiplan — 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 |
|---|---|---|---|
| UPMC Health Plan | CHIP | $65.58 | ↓ -95% |
| Prime Net | Managed Medicare | $320.26 | ↓ -78% |
| United Healthcare Community Plan for Families | PA Medicaid | $462.29 | ↓ -68% |
| Capital Blue Cross | Medicare Advantage | $478.00 | ↓ -67% |
| Keystone Health Plan | Medicare Advantage | $478.00 | ↓ -67% |
| Highmark BCBS of PA | Medicare | $587.87 | ↓ -59% |
| Aetna | Medicare | $619.34 | ↓ -57% |
| Geisinger | Medicare | $623.50 | ↓ -57% |
| Cigna | Medicare | $623.50 | ↓ -57% |
| United Healthcare | Medicare | $635.38 | ↓ -56% |
| Prime Net | Legacy Commercial | $886.69 | ↓ -38% |
| Aetna | ACO | $893.86 | ↓ -38% |
| Prime Net | ACO | $893.86 | ↓ -38% |
| Keystone Autism Services | ACAP | $950.10 | ↓ -34% |
| Prime Net | NonGateKeeper | $1,056.38 | ↓ -26% |
| Aetna | Commercial | $1,063.55 | ↓ -26% |
| Prime Net | GateKeeper | $1,063.55 | ↓ -26% |
| Capital Blue Cross | Commercial | $1,121.15 | ↓ -22% |
| Capital Blue Cross | CHIP | $1,121.15 | ↓ -22% |
| Keystone Health Plan | Commercial | $1,121.15 | ↓ -22% |
| United Healthcare | Commercial | $1,240.41 | ↓ -14% |
| Geisinger | Medicaid/CHIP | $1,314.50 | ↓ -8% |
| Preferred Healthcare System | Inter County Health Plan/Lancaster General Health/Musselman Lumber/Vallorbs Jewelry | $1,314.50 | ↓ -8% |
| Geisinger | Commercial | $1,564.97 | ↑ +9% |
| UPMC Health Plan | Commercial | $1,673.00 | ↑ +17% |
| Prime Net | FH-Medical Rental | $1,730.36 | ↑ +21% |
| Highmark BCBS of PA | Commercial - Children's Health Insurance | $1,755.42 | ↑ +22% |
| Preferred Healthcare System | PPO | $1,792.50 | ↑ +25% |
| Highmark BCBS of PA | Medicaid | $1,827.87 | ↑ +27% |
| Cigna | Commercial | $1,864.20 | ↑ +30% |
| Highmark BCBS of PA | Commercial | $1,867.77 | ↑ +30% |
| Multiplan | PPO (Includes PHCS and Humana as Payers) | $2,031.50 | ↑ +42% |
| Tricare | East Region | not published by hospital | — |
| UPMC Work Partners | Workers Comp | not published by hospital | — |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
Visitor-reported prices
Comments
Asp & inj w/heparin pleurx cath at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Bedford | Everett | $116.40 | $48.49 – $636.60 |
| UPMC Carlisle | Carlisle | $1,434.00 | $65.58 – $2,031.50 |
| UPMC Community Osteopathic | Harrisburg | $1,434.00 | $65.58 – $2,031.50 |
| UPMC East | Monroeville | $96.60 | $18.77 – $636.60 |
| UPMC Hanover | Hanover | $1,434.00 | $65.58 – $944.99 |
| UPMC McKeesport | Mckeesport | $97.80 | $18.77 – $648.38 |
| UPMC Memorial | York | $1,434.00 | $15.15 – $948.56 |
| UPMC Passavant-McCandless | Pittsburgh | $98.40 | $18.77 – $648.38 |