healthcosts.net
Brain MRI (without contrast) at UPMC Lititz
1500 Highlands Drive, Lititz, PA · UPMC · · NPI 1285167916
$1,741.80
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.
$2,903.00
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.
$39.26 with Prime Net vs $1,801.18 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 | $39.26 | ↓ -98% |
| Keystone Health Plan | Medicare Advantage | $58.60 | ↓ -97% |
| Capital Blue Cross | Medicare Advantage | $58.60 | ↓ -97% |
| Prime Net | Legacy Commercial | $108.70 | ↓ -94% |
| Aetna | ACO | $109.58 | ↓ -94% |
| Prime Net | ACO | $109.58 | ↓ -94% |
| Prime Net | NonGateKeeper | $129.51 | ↓ -93% |
| Prime Net | GateKeeper | $130.38 | ↓ -93% |
| Aetna | Commercial | $130.38 | ↓ -93% |
| Capital Blue Cross | CHIP | $137.45 | ↓ -92% |
| Keystone Health Plan | Commercial | $137.45 | ↓ -92% |
| Capital Blue Cross | Commercial | $137.45 | ↓ -92% |
| Preferred Healthcare System | Inter County Health Plan/Lancaster General Health/Musselman Lumber/Vallorbs Jewelry | $161.15 | ↓ -91% |
| Geisinger | Commercial | $191.86 | ↓ -89% |
| UPMC Health Plan | Commercial | $205.10 | ↓ -88% |
| Prime Net | FH-Medical Rental | $212.13 | ↓ -88% |
| United Healthcare | Commercial | $215.65 | ↓ -88% |
| Preferred Healthcare System | PPO | $219.75 | ↓ -87% |
| Highmark BCBS of PA | Medicare | $229.84 | ↓ -87% |
| Aetna | Medicare | $242.14 | ↓ -86% |
| Cigna | Medicare | $243.77 | ↓ -86% |
| Geisinger | Medicare | $243.77 | ↓ -86% |
| United Healthcare | Medicare | $248.41 | ↓ -86% |
| Multiplan | PPO (Includes PHCS and Humana as Payers) | $249.05 | ↓ -86% |
| United Healthcare Community Plan for Families | PA Medicaid | $352.39 | ↓ -80% |
| Keystone Autism Services | ACAP | $371.46 | ↓ -79% |
| OneCall | Worker's Comp | $400.00 | ↓ -77% |
| Premier Comp Solutions | Worker's Comp | $425.00 | ↓ -76% |
| Highmark Wholecare (prev Gateway) | Medicaid | $428.76 | ↓ -75% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $428.76 | ↓ -75% |
| UPMC Health Plan | Managed Medicaid | $438.89 | ↓ -75% |
| Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $459.82 | ↓ -74% |
| Geisinger | Medicaid/CHIP | $491.76 | ↓ -72% |
| Highmark BCBS of PA | Commercial - Children's Health Insurance | $686.31 | ↓ -61% |
| Highmark BCBS of PA | Medicaid | $714.63 | ↓ -59% |
| Highmark BCBS of PA | Commercial | $730.24 | ↓ -58% |
| UPMC Work Partners | Workers Comp | $1,177.72 | ↓ -32% |
| Cigna | Commercial | $1,224.77 | ↓ -30% |
| UPMC Health Plan | CHIP | $1,801.18 | ↑ +3% |
| Tricare | East Region | not published by hospital | — |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
Visitor-reported prices
Comments
Brain MRI (without contrast) at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Passavant-McCandless | Pittsburgh | $3,801.60 | $214.16 – $5,385.60 |
| UPMC Altoona | Altoona | $1,699.20 | $269.00 – $2,265.60 |
| UPMC Bedford | Everett | $1,705.20 | $83.15 – $2,557.80 |
| UPMC Carlisle | Carlisle | $1,741.80 | $40.14 – $1,177.72 |
| UPMC Cole | Coudersport | $977.40 | $230.42 – $1,303.20 |
| UPMC East | Monroeville | $3,940.80 | $231.07 – $5,254.40 |
| UPMC Hamot | Erie | $5,178.60 | $182.96 – $6,041.70 |
| UPMC Community Osteopathic | Harrisburg | $1,741.80 | $58.60 – $1,801.18 |