Brachy source yttrium-90 at UPMC Lititz
1500 Highlands Drive, Lititz, PA · UPMC · · NPI 1285167916
$39,612.00
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.
$66,020.00
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.
$8,846.68 with Prime Net vs $154,064.79 with UPMC Health Plan — 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 | $8,846.68 | ↓ -78% |
| Capital Blue Cross | Medicare Advantage | $13,204.00 | ↓ -67% |
| Keystone Health Plan | Medicare Advantage | $13,204.00 | ↓ -67% |
| United Healthcare Community Plan for Families | PA Medicaid | $14,071.95 | ↓ -64% |
| Highmark BCBS of PA | Medicare | $16,625.80 | ↓ -58% |
| Aetna | Medicare | $17,515.87 | ↓ -56% |
| Cigna | Medicare | $17,633.43 | ↓ -55% |
| Geisinger | Medicare | $17,633.43 | ↓ -55% |
| United Healthcare | Medicare | $17,969.30 | ↓ -55% |
| Geisinger | Medicaid/CHIP | $21,786.60 | ↓ -45% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $22,004.47 | ↓ -44% |
| Prime Net | Legacy Commercial | $24,493.42 | ↓ -38% |
| Aetna | ACO | $24,691.48 | ↓ -38% |
| Prime Net | ACO | $24,691.48 | ↓ -38% |
| Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $25,087.60 | ↓ -37% |
| Keystone Autism Services | ACAP | $26,869.98 | ↓ -32% |
| Prime Net | NonGateKeeper | $29,180.84 | ↓ -26% |
| Prime Net | GateKeeper | $29,378.90 | ↓ -26% |
| Aetna | Commercial | $29,378.90 | ↓ -26% |
| Capital Blue Cross | Commercial | $30,969.98 | ↓ -22% |
| Capital Blue Cross | CHIP | $30,969.98 | ↓ -22% |
| Keystone Health Plan | Commercial | $30,969.98 | ↓ -22% |
| Preferred Healthcare System | Inter County Health Plan/Lancaster General Health/Musselman Lumber/Vallorbs Jewelry | $36,311.00 | ↓ -8% |
| United Healthcare | Commercial | $40,668.32 | ↑ +3% |
| Geisinger | Commercial | $43,229.90 | ↑ +9% |
| UPMC Health Plan | Commercial | $46,214.00 | ↑ +17% |
| Prime Net | FH-Medical Rental | $47,798.48 | ↑ +21% |
| Preferred Healthcare System | PPO | $49,515.00 | ↑ +25% |
| Highmark BCBS of PA | Commercial - Children's Health Insurance | $49,645.65 | ↑ +25% |
| Cigna | Commercial | $51,495.60 | ↑ +30% |
| Highmark BCBS of PA | Medicaid | $51,694.49 | ↑ +31% |
| Highmark BCBS of PA | Commercial | $52,823.03 | ↑ +33% |
| Multiplan | PPO (Includes PHCS and Humana as Payers) | $56,117.00 | ↑ +42% |
| UPMC Health Plan | CHIP | $154,064.79 | ↑ +289% |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
| Tricare | East Region | not published by hospital | — |
| Highmark Wholecare (prev Gateway) | Medicaid | not published by hospital | — |
| UPMC Work Partners | Workers Comp | not published by hospital | — |
Visitor-reported prices
Comments
Brachy source yttrium-90 at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Carlisle | Carlisle | $39,612.00 | $9,044.74 – $56,117.00 |
| UPMC Community Osteopathic | Harrisburg | $39,612.00 | $13,204.00 – $154,064.79 |
| UPMC Hamot | Erie | $54,249.60 | $8,667.29 – $20,778.35 |
| UPMC Memorial | York | $39,612.00 | $7,064.20 – $154,064.79 |
| UPMC Passavant-McCandless | Pittsburgh | $34,334.40 | $8,749.82 – $18,336.93 |
| UPMC Presbyterian | Pittsburgh | $133,443.60 | $8,749.82 – $18,336.93 |
| UPMC Somerset | Somerset | $39,612.00 | $8,579.63 – $18,001.87 |
| UPMC Williamsport | Williamsport | $37,851.00 | $13,749.70 – $18,003.54 |