Brach/thor cath addl at UPMC Lititz
1500 Highlands Drive, Lititz, PA · UPMC · · NPI 1285167916
$4,249.20
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.
$7,082.00
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.
$54.60 with Aetna vs $9,539.00 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 |
|---|---|---|---|
| Aetna | Medicare | $54.60 | ↓ -99% |
| Highmark Wholecare (prev Gateway) | Medicaid | $61.26 | ↓ -99% |
| UPMC Health Plan | Managed Medicaid | $62.71 | ↓ -99% |
| United Healthcare Community Plan for Families | PA Medicaid | $63.19 | ↓ -99% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $65.12 | ↓ -98% |
| Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $65.70 | ↓ -98% |
| Geisinger | Medicaid/CHIP | $70.27 | ↓ -98% |
| UPMC Work Partners | Workers Comp | $148.88 | ↓ -96% |
| UPMC Health Plan | CHIP | $655.09 | ↓ -85% |
| Prime Net | Managed Medicare | $948.99 | ↓ -78% |
| Keystone Health Plan | Medicare Advantage | $1,416.40 | ↓ -67% |
| Capital Blue Cross | Medicare Advantage | $1,416.40 | ↓ -67% |
| Prime Net | Legacy Commercial | $2,627.42 | ↓ -38% |
| Aetna | ACO | $2,648.67 | ↓ -38% |
| Prime Net | ACO | $2,648.67 | ↓ -38% |
| Prime Net | NonGateKeeper | $3,130.24 | ↓ -26% |
| Aetna | Commercial | $3,151.49 | ↓ -26% |
| Prime Net | GateKeeper | $3,151.49 | ↓ -26% |
| Capital Blue Cross | CHIP | $3,322.17 | ↓ -22% |
| Keystone Health Plan | Commercial | $3,322.17 | ↓ -22% |
| Capital Blue Cross | Commercial | $3,322.17 | ↓ -22% |
| Preferred Healthcare System | Inter County Health Plan/Lancaster General Health/Musselman Lumber/Vallorbs Jewelry | $3,895.10 | ↓ -8% |
| Geisinger | Commercial | $4,637.29 | ↑ +9% |
| UPMC Health Plan | Commercial | $4,957.40 | ↑ +17% |
| Prime Net | FH-Medical Rental | $5,127.37 | ↑ +21% |
| Preferred Healthcare System | PPO | $5,311.50 | ↑ +25% |
| Multiplan | PPO (Includes PHCS and Humana as Payers) | $6,019.70 | ↑ +42% |
| Cigna | Commercial | $9,539.00 | ↑ +124% |
| United Healthcare | Commercial | not published by hospital | — |
Visitor-reported prices
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Brach/thor cath addl at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $1,335.00 | $48.24 – $1,780.00 |
| UPMC Carlisle | Carlisle | $4,249.20 | $61.26 – $9,539.00 |
| UPMC Community Osteopathic | Harrisburg | $4,249.20 | $63.19 – $6,019.70 |
| UPMC Hamot | Erie | $881.40 | $53.06 – $204.47 |
| UPMC Hanover | Hanover | $4,249.20 | $61.26 – $150.62 |
| UPMC Magee | Pittsburgh | $853.80 | $53.06 – $206.41 |
| UPMC Memorial | York | $4,249.20 | $54.60 – $166.65 |
| UPMC Mercy | Pittsburgh | $3,357.60 | $53.06 – $204.47 |