Borrelia burgdorferi (lyme disease) antibody nonspecific at UPMC Lititz
1500 Highlands Drive, Lititz, PA · UPMC · · NPI 1285167916
$94.80
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.
$158.00
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.
$16.86 with Highmark BCBS of PA vs $134.30 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 |
|---|---|---|---|
| Highmark BCBS of PA | Medicare | $16.86 | ↓ -82% |
| UPMC Work Partners | Workers Comp | $17.61 | ↓ -81% |
| Aetna | Medicare | $17.76 | ↓ -81% |
| Geisinger | Medicare | $17.88 | ↓ -81% |
| Cigna | Medicare | $17.88 | ↓ -81% |
| United Healthcare | Medicare | $18.22 | ↓ -81% |
| Prime Net | Managed Medicare | $21.17 | ↓ -78% |
| United Healthcare | Commercial | $22.96 | ↓ -76% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $23.54 | ↓ -75% |
| Keystone Autism Services | ACAP | $27.25 | ↓ -71% |
| Highmark Wholecare (prev Gateway) | Medicaid | $29.90 | ↓ -68% |
| UPMC Health Plan | Managed Medicaid | $30.60 | ↓ -68% |
| United Healthcare Community Plan for Families | PA Medicaid | $30.84 | ↓ -67% |
| Keystone Health Plan | Medicare Advantage | $31.60 | ↓ -67% |
| Capital Blue Cross | Medicare Advantage | $31.60 | ↓ -67% |
| Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $32.06 | ↓ -66% |
| Geisinger | Medicaid/CHIP | $34.29 | ↓ -64% |
| Cigna | Commercial | $44.28 | ↓ -53% |
| Highmark BCBS of PA | Commercial - Children's Health Insurance | $50.34 | ↓ -47% |
| Highmark BCBS of PA | Medicaid | $52.42 | ↓ -45% |
| Highmark BCBS of PA | Commercial | $53.57 | ↓ -43% |
| Prime Net | Legacy Commercial | $58.62 | ↓ -38% |
| Aetna | ACO | $59.09 | ↓ -38% |
| Prime Net | ACO | $59.09 | ↓ -38% |
| Prime Net | NonGateKeeper | $69.84 | ↓ -26% |
| Aetna | Commercial | $70.31 | ↓ -26% |
| Prime Net | GateKeeper | $70.31 | ↓ -26% |
| Capital Blue Cross | Commercial | $74.12 | ↓ -22% |
| Capital Blue Cross | CHIP | $74.12 | ↓ -22% |
| Keystone Health Plan | Commercial | $74.12 | ↓ -22% |
| UPMC Health Plan | CHIP | $85.79 | ↓ -10% |
| Preferred Healthcare System | Inter County Health Plan/Lancaster General Health/Musselman Lumber/Vallorbs Jewelry | $86.90 | ↓ -8% |
| Geisinger | Commercial | $103.46 | ↑ +9% |
| UPMC Health Plan | Commercial | $110.60 | ↑ +17% |
| Prime Net | FH-Medical Rental | $114.39 | ↑ +21% |
| Preferred Healthcare System | PPO | $118.50 | ↑ +25% |
| Multiplan | PPO (Includes PHCS and Humana as Payers) | $134.30 | ↑ +42% |
Visitor-reported prices
Comments
Borrelia burgdorferi (lyme disease) antibody nonspecific at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $238.20 | $16.83 – $317.60 |
| UPMC Bedford | Everett | $91.20 | $6.14 – $136.80 |
| UPMC Carlisle | Carlisle | $94.80 | $16.86 – $134.30 |
| UPMC Cole | Coudersport | $80.40 | $11.07 – $107.20 |
| UPMC Community Osteopathic | Harrisburg | $94.80 | $16.86 – $134.30 |
| UPMC East | Monroeville | $253.80 | $16.83 – $338.40 |
| UPMC Hamot | Erie | $603.00 | $16.83 – $32.90 |
| UPMC Northwest | Seneca | $99.00 | $15.44 – $27.07 |