Baclofen eval charges at UPMC Lititz
1500 Highlands Drive, Lititz, PA · UPMC · · NPI 1285167916
$82.20
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.
$137.00
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.
$18.36 with Prime Net vs $387.00 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 |
|---|---|---|---|
| Prime Net | Managed Medicare | $18.36 | ↓ -78% |
| Highmark Wholecare (prev Gateway) | Medicaid | $21.27 | ↓ -74% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $21.27 | ↓ -74% |
| UPMC Health Plan | Managed Medicaid | $21.77 | ↓ -74% |
| United Healthcare Community Plan for Families | PA Medicaid | $21.94 | ↓ -73% |
| Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $22.81 | ↓ -72% |
| Aetna | Medicare | $23.16 | ↓ -72% |
| Geisinger | Medicaid/CHIP | $24.40 | ↓ -70% |
| Keystone Health Plan | Medicare Advantage | $27.40 | ↓ -67% |
| Capital Blue Cross | Medicare Advantage | $27.40 | ↓ -67% |
| Prime Net | Legacy Commercial | $50.83 | ↓ -38% |
| Aetna | ACO | $51.24 | ↓ -38% |
| Prime Net | ACO | $51.24 | ↓ -38% |
| Prime Net | NonGateKeeper | $60.55 | ↓ -26% |
| Aetna | Commercial | $60.97 | ↓ -26% |
| Prime Net | GateKeeper | $60.97 | ↓ -26% |
| Capital Blue Cross | CHIP | $64.27 | ↓ -22% |
| Keystone Health Plan | Commercial | $64.27 | ↓ -22% |
| Capital Blue Cross | Commercial | $64.27 | ↓ -22% |
| UPMC Health Plan | CHIP | $67.76 | ↓ -18% |
| UPMC Work Partners | Workers Comp | $69.55 | ↓ -15% |
| Preferred Healthcare System | Inter County Health Plan/Lancaster General Health/Musselman Lumber/Vallorbs Jewelry | $75.35 | ↓ -8% |
| Geisinger | Commercial | $89.71 | ↑ +9% |
| UPMC Health Plan | Commercial | $95.90 | ↑ +17% |
| Prime Net | FH-Medical Rental | $99.19 | ↑ +21% |
| Preferred Healthcare System | PPO | $102.75 | ↑ +25% |
| Multiplan | PPO (Includes PHCS and Humana as Payers) | $116.45 | ↑ +42% |
| United Healthcare | Commercial | $148.00 | ↑ +80% |
| Cigna | Commercial | $387.00 | ↑ +371% |
Visitor-reported prices
Comments
Baclofen eval charges at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $137.40 | $16.75 – $183.20 |
| UPMC Cole | Coudersport | $77.40 | $17.59 – $103.20 |
| UPMC East | Monroeville | $103.20 | $18.43 – $137.60 |
| UPMC Hamot | Erie | $87.00 | $18.43 – $100.11 |
| UPMC Northwest | Seneca | $118.20 | $18.43 – $66.14 |
| UPMC Hanover | Hanover | $82.20 | $21.27 – $148.00 |
| UPMC Jameson | New Castle | $102.60 | $18.43 – $85.00 |
| UPMC Kane | Kane | $69.60 | $18.43 – $142.21 |