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Blood Clotting (PT/INR) Test at UPMC Lititz
1500 Highlands Drive, Lititz, PA · UPMC · · NPI 1285167916
$22.20
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.
$37.00
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.
$4.00 with AmeriHealth Caritas vs $31.45 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 | $4.00 | ↓ -82% |
| Highmark BCBS of PA | Medicare | $4.25 | ↓ -81% |
| UPMC Work Partners | Workers Comp | $4.44 | ↓ -80% |
| Aetna | Medicare | $4.47 | ↓ -80% |
| Cigna | Medicare | $4.50 | ↓ -80% |
| Geisinger | Medicare | $4.50 | ↓ -80% |
| United Healthcare | Medicare | $4.59 | ↓ -79% |
| Prime Net | Managed Medicare | $4.96 | ↓ -78% |
| Highmark Wholecare (prev Gateway) | Medicaid | $5.08 | ↓ -77% |
| UPMC Health Plan | Managed Medicaid | $5.20 | ↓ -77% |
| United Healthcare Community Plan for Families | PA Medicaid | $5.24 | ↓ -76% |
| Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $5.45 | ↓ -75% |
| Geisinger | Medicaid/CHIP | $5.83 | ↓ -74% |
| Keystone Autism Services | ACAP | $6.86 | ↓ -69% |
| Keystone Health Plan | Medicare Advantage | $7.40 | ↓ -67% |
| Capital Blue Cross | Medicare Advantage | $7.40 | ↓ -67% |
| Cigna | Commercial | $11.16 | ↓ -50% |
| Highmark BCBS of PA | Commercial - Children's Health Insurance | $12.68 | ↓ -43% |
| UPMC Health Plan | CHIP | $12.99 | ↓ -41% |
| Highmark BCBS of PA | Medicaid | $13.21 | ↓ -40% |
| Highmark BCBS of PA | Commercial | $13.49 | ↓ -39% |
| Prime Net | Legacy Commercial | $13.73 | ↓ -38% |
| Aetna | ACO | $13.84 | ↓ -38% |
| Prime Net | ACO | $13.84 | ↓ -38% |
| Prime Net | NonGateKeeper | $16.35 | ↓ -26% |
| Prime Net | GateKeeper | $16.46 | ↓ -26% |
| Aetna | Commercial | $16.46 | ↓ -26% |
| Capital Blue Cross | CHIP | $17.36 | ↓ -22% |
| Keystone Health Plan | Commercial | $17.36 | ↓ -22% |
| Capital Blue Cross | Commercial | $17.36 | ↓ -22% |
| Preferred Healthcare System | Inter County Health Plan/Lancaster General Health/Musselman Lumber/Vallorbs Jewelry | $20.35 | ↓ -8% |
| Geisinger | Commercial | $24.23 | ↑ +9% |
| UPMC Health Plan | Commercial | $25.90 | ↑ +17% |
| United Healthcare | Commercial | $26.63 | ↑ +20% |
| Prime Net | FH-Medical Rental | $26.79 | ↑ +21% |
| Preferred Healthcare System | PPO | $27.75 | ↑ +25% |
| Multiplan | PPO (Includes PHCS and Humana as Payers) | $31.45 | ↑ +42% |
Visitor-reported prices
Comments
Blood Clotting (PT/INR) Test at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC East | Monroeville | $58.80 | $3.57 – $78.40 |
| UPMC Passavant-McCandless | Pittsburgh | $96.00 | $3.61 – $90.10 |
| UPMC Hamot | Erie | $130.20 | $4.00 – $151.90 |
| UPMC Carlisle | Carlisle | $22.20 | $4.00 – $31.45 |
| UPMC Altoona | Altoona | $54.60 | $4.00 – $72.80 |
| UPMC Bedford | Everett | $30.00 | $1.55 – $45.00 |
| UPMC Cole | Coudersport | $30.60 | $2.79 – $40.80 |
| UPMC Community Osteopathic | Harrisburg | $22.20 | $4.00 – $29.75 |