healthcosts.net
Circumcision (newborn) at UPMC Lititz
1500 Highlands Drive, Lititz, PA · UPMC · · NPI 1285167916
$1,219.20
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.
$2,032.00
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.
$100.33 with Highmark Wholecare (prev Gateway) vs $6,188.61 with Highmark BCBS of PA — 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 Wholecare (prev Gateway) | Medicaid | $100.33 | ↓ -92% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $100.33 | ↓ -92% |
| Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $107.60 | ↓ -91% |
| Geisinger | Medicaid/CHIP | $115.07 | ↓ -91% |
| Prime Net | Managed Medicare | $272.29 | ↓ -78% |
| Keystone Health Plan | Medicare Advantage | $406.40 | ↓ -67% |
| Capital Blue Cross | Medicare Advantage | $406.40 | ↓ -67% |
| United Healthcare Community Plan for Families | PA Medicaid | $467.67 | ↓ -62% |
| Prime Net | Legacy Commercial | $753.87 | ↓ -38% |
| Aetna | ACO | $759.97 | ↓ -38% |
| Prime Net | ACO | $759.97 | ↓ -38% |
| Prime Net | NonGateKeeper | $898.14 | ↓ -26% |
| Prime Net | GateKeeper | $904.24 | ↓ -26% |
| Aetna | Commercial | $904.24 | ↓ -26% |
| Capital Blue Cross | CHIP | $953.21 | ↓ -22% |
| Keystone Health Plan | Commercial | $953.21 | ↓ -22% |
| Capital Blue Cross | Commercial | $953.21 | ↓ -22% |
| Preferred Healthcare System | Inter County Health Plan/Lancaster General Health/Musselman Lumber/Vallorbs Jewelry | $1,117.60 | ↓ -8% |
| Geisinger | Commercial | $1,330.55 | ↑ +9% |
| Prime Net | FH-Medical Rental | $1,471.17 | ↑ +21% |
| United Healthcare | Commercial | $1,495.55 | ↑ +23% |
| UPMC Health Plan | Managed Medicaid | $1,500.00 | ↑ +23% |
| Preferred Healthcare System | PPO | $1,524.00 | ↑ +25% |
| Cigna | Commercial | $1,584.96 | ↑ +30% |
| Multiplan | PPO (Includes PHCS and Humana as Payers) | $1,727.20 | ↑ +42% |
| Highmark BCBS of PA | Medicare | $1,947.83 | ↑ +60% |
| Aetna | Medicare | $2,052.11 | ↑ +68% |
| Cigna | Medicare | $2,065.89 | ↑ +69% |
| Geisinger | Medicare | $2,065.89 | ↑ +69% |
| United Healthcare | Medicare | $2,105.24 | ↑ +73% |
| UPMC Health Plan | CHIP | $3,000.00 | ↑ +146% |
| Keystone Autism Services | ACAP | $3,148.02 | ↑ +158% |
| UPMC Health Plan | Commercial | $3,614.86 | ↑ +196% |
| Highmark BCBS of PA | Commercial - Children's Health Insurance | $5,816.35 | ↑ +377% |
| Highmark BCBS of PA | Medicaid | $6,056.39 | ↑ +397% |
| Highmark BCBS of PA | Commercial | $6,188.61 | ↑ +408% |
| UPMC Work Partners | Workers Comp | not published by hospital | — |
| Tricare | East Region | not published by hospital | — |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
Visitor-reported prices
Comments
Circumcision (newborn) at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Carlisle | Carlisle | $1,219.20 | $100.33 – $3,135.44 |
| UPMC Altoona | Altoona | $1,248.60 | $27.00 – $2,089.72 |
| UPMC Cole | Coudersport | $283.80 | $82.95 – $2,325.85 |
| UPMC Hanover | Hanover | $1,219.20 | $100.33 – $3,131.10 |
| UPMC Horizon-Greenville | Greenville | $593.40 | $31.88 – $2,050.66 |
| UPMC Magee | Pittsburgh | $2,380.80 | $26.56 – $3,650.56 |
| UPMC Memorial | York | $1,219.20 | $100.33 – $3,142.91 |
| UPMC Northwest | Seneca | $2,149.20 | $86.90 – $3,044.70 |