Breath recording infant at UPMC Lititz
1500 Highlands Drive, Lititz, PA · UPMC · · NPI 1285167916
$1,793.40
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.
$2,989.00
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.
$172.92 with United Healthcare Community Plan for Families vs $2,540.65 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 |
|---|---|---|---|
| United Healthcare Community Plan for Families | PA Medicaid | $172.92 | ↓ -90% |
| Highmark Wholecare (prev Gateway) | Medicaid | $279.40 | ↓ -84% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $279.40 | ↓ -84% |
| UPMC Health Plan | Managed Medicaid | $286.00 | ↓ -84% |
| Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $299.64 | ↓ -83% |
| Geisinger | Medicaid/CHIP | $320.45 | ↓ -82% |
| Prime Net | Managed Medicare | $400.53 | ↓ -78% |
| Highmark BCBS of PA | Medicare | $504.52 | ↓ -72% |
| Aetna | Medicare | $531.53 | ↓ -70% |
| Geisinger | Medicare | $535.10 | ↓ -70% |
| Cigna | Medicare | $535.10 | ↓ -70% |
| United Healthcare | Medicare | $545.29 | ↓ -70% |
| Capital Blue Cross | Medicare Advantage | $597.80 | ↓ -67% |
| Keystone Health Plan | Medicare Advantage | $597.80 | ↓ -67% |
| United Healthcare | Commercial | $613.00 | ↓ -66% |
| UPMC Health Plan | CHIP | $618.80 | ↓ -65% |
| UPMC Work Partners | Workers Comp | $672.70 | ↓ -62% |
| Keystone Autism Services | ACAP | $815.39 | ↓ -55% |
| Prime Net | Legacy Commercial | $1,108.92 | ↓ -38% |
| Prime Net | ACO | $1,117.89 | ↓ -38% |
| Aetna | ACO | $1,117.89 | ↓ -38% |
| Prime Net | NonGateKeeper | $1,321.14 | ↓ -26% |
| Prime Net | GateKeeper | $1,330.11 | ↓ -26% |
| Aetna | Commercial | $1,330.11 | ↓ -26% |
| Keystone Health Plan | Commercial | $1,402.14 | ↓ -22% |
| Capital Blue Cross | CHIP | $1,402.14 | ↓ -22% |
| Capital Blue Cross | Commercial | $1,402.14 | ↓ -22% |
| Highmark BCBS of PA | Commercial - Children's Health Insurance | $1,506.54 | ↓ -16% |
| Highmark BCBS of PA | Medicaid | $1,568.71 | ↓ -13% |
| Highmark BCBS of PA | Commercial | $1,602.96 | ↓ -11% |
| Preferred Healthcare System | Inter County Health Plan/Lancaster General Health/Musselman Lumber/Vallorbs Jewelry | $1,643.95 | ↓ -8% |
| Geisinger | Commercial | $1,957.20 | ↑ +9% |
| UPMC Health Plan | Commercial | $2,092.30 | ↑ +17% |
| Prime Net | FH-Medical Rental | $2,164.04 | ↑ +21% |
| Preferred Healthcare System | PPO | $2,241.75 | ↑ +25% |
| Cigna | Commercial | $2,331.42 | ↑ +30% |
| Multiplan | PPO (Includes PHCS and Humana as Payers) | $2,540.65 | ↑ +42% |
| Tricare | East Region | not published by hospital | — |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
Visitor-reported prices
Comments
Breath recording infant at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Carlisle | Carlisle | $1,793.40 | $172.92 – $2,540.65 |
| UPMC Community Osteopathic | Harrisburg | $1,793.40 | $172.92 – $2,540.65 |
| UPMC Hanover | Hanover | $1,793.40 | $172.92 – $811.01 |
| UPMC Magee | Pittsburgh | $1,164.00 | $198.59 – $642.80 |
| UPMC Memorial | York | $1,793.40 | $160.33 – $814.06 |
| UPMC Somerset | Somerset | $1,793.40 | $151.80 – $642.80 |