Benign lesion paring 4+ at UPMC Lititz
1500 Highlands Drive, Lititz, PA · UPMC · · NPI 1285167916
$435.60
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.
?
What you pay up front if you don't use insurance.
$726.00
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.
$49.45 with AmeriHealth Caritas vs $1,016.56 with United Healthcare Community Plan for Families — 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 |
|---|---|---|---|
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $49.45 | ↓ -89% |
| Highmark Wholecare (prev Gateway) | Medicaid | $49.45 | ↓ -89% |
| UPMC Health Plan | Managed Medicaid | $50.62 | ↓ -88% |
| Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $53.04 | ↓ -88% |
| Geisinger | Medicaid/CHIP | $56.72 | ↓ -87% |
| UPMC Work Partners | Workers Comp | $65.19 | ↓ -85% |
| Prime Net | Managed Medicare | $97.28 | ↓ -78% |
| Keystone Health Plan | Medicare Advantage | $145.20 | ↓ -67% |
| Capital Blue Cross | Medicare Advantage | $145.20 | ↓ -67% |
| Highmark BCBS of PA | Medicare | $188.93 | ↓ -57% |
| Aetna | Medicare | $199.05 | ↓ -54% |
| Geisinger | Medicare | $200.38 | ↓ -54% |
| Cigna | Medicare | $200.38 | ↓ -54% |
| United Healthcare | Medicare | $204.20 | ↓ -53% |
| Prime Net | Legacy Commercial | $269.35 | ↓ -38% |
| Aetna | ACO | $271.52 | ↓ -38% |
| Prime Net | ACO | $271.52 | ↓ -38% |
| Keystone Autism Services | ACAP | $305.34 | ↓ -30% |
| Prime Net | NonGateKeeper | $320.89 | ↓ -26% |
| Aetna | Commercial | $323.07 | ↓ -26% |
| Prime Net | GateKeeper | $323.07 | ↓ -26% |
| Capital Blue Cross | CHIP | $340.57 | ↓ -22% |
| Capital Blue Cross | Commercial | $340.57 | ↓ -22% |
| Keystone Health Plan | Commercial | $340.57 | ↓ -22% |
| Preferred Healthcare System | Inter County Health Plan/Lancaster General Health/Musselman Lumber/Vallorbs Jewelry | $399.30 | ↓ -8% |
| UPMC Health Plan | CHIP | $420.50 | ↓ -3% |
| Geisinger | Commercial | $475.38 | ↑ +9% |
| UPMC Health Plan | Commercial | $508.20 | ↑ +17% |
| Prime Net | FH-Medical Rental | $525.62 | ↑ +21% |
| Preferred Healthcare System | PPO | $544.50 | ↑ +25% |
| Highmark BCBS of PA | Commercial - Children's Health Insurance | $564.16 | ↑ +30% |
| Cigna | Commercial | $566.28 | ↑ +30% |
| Highmark BCBS of PA | Medicaid | $587.44 | ↑ +35% |
| Highmark BCBS of PA | Commercial | $600.27 | ↑ +38% |
| Multiplan | PPO (Includes PHCS and Humana as Payers) | $617.10 | ↑ +42% |
| United Healthcare Community Plan for Families | PA Medicaid | $1,016.56 | ↑ +133% |
| Tricare | East Region | not published by hospital | — |
| United Healthcare | Commercial | not published by hospital | — |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
Visitor-reported prices
Comments
Benign lesion paring 4+ at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $671.40 | $38.94 – $895.20 |
| UPMC Carlisle | Carlisle | $435.60 | $49.45 – $1,016.56 |
| UPMC Cole | Coudersport | $210.60 | $13.58 – $2,094.25 |
| UPMC Community Osteopathic | Harrisburg | $435.60 | $49.45 – $1,016.56 |
| UPMC Hanover | Hanover | $435.60 | $49.45 – $1,016.56 |
| UPMC Jameson | New Castle | $479.40 | $42.83 – $892.40 |
| UPMC Kane | Kane | $141.00 | $42.83 – $373.29 |
| UPMC McKeesport | Mckeesport | $436.20 | $42.83 – $208.38 |