Consult comp w/report rfrd material at UPMC Lititz
1500 Highlands Drive, Lititz, PA · UPMC · · NPI 1285167916
$514.80
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.
$858.00
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.
$64.19 with United Healthcare Community Plan for Families vs $729.30 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 | $64.19 | ↓ -88% |
| Prime Net | Managed Medicare | $114.97 | ↓ -78% |
| Highmark BCBS of PA | Medicare | $162.93 | ↓ -68% |
| Keystone Health Plan | Medicare Advantage | $171.60 | ↓ -67% |
| Capital Blue Cross | Medicare Advantage | $171.60 | ↓ -67% |
| Aetna | Medicare | $171.66 | ↓ -67% |
| Geisinger | Medicare | $172.81 | ↓ -66% |
| Cigna | Medicare | $172.81 | ↓ -66% |
| United Healthcare | Medicare | $176.10 | ↓ -66% |
| UPMC Health Plan | CHIP | $183.46 | ↓ -64% |
| UPMC Work Partners | Workers Comp | $198.72 | ↓ -61% |
| Keystone Autism Services | ACAP | $263.33 | ↓ -49% |
| Prime Net | Legacy Commercial | $318.32 | ↓ -38% |
| Aetna | ACO | $320.89 | ↓ -38% |
| Prime Net | ACO | $320.89 | ↓ -38% |
| Prime Net | NonGateKeeper | $379.24 | ↓ -26% |
| Prime Net | GateKeeper | $381.81 | ↓ -26% |
| Aetna | Commercial | $381.81 | ↓ -26% |
| Cigna | Commercial | $392.24 | ↓ -24% |
| Capital Blue Cross | CHIP | $402.49 | ↓ -22% |
| Keystone Health Plan | Commercial | $402.49 | ↓ -22% |
| Capital Blue Cross | Commercial | $402.49 | ↓ -22% |
| Preferred Healthcare System | Inter County Health Plan/Lancaster General Health/Musselman Lumber/Vallorbs Jewelry | $471.90 | ↓ -8% |
| Geisinger | Medicaid/CHIP | $471.90 | ↓ -8% |
| Highmark BCBS of PA | Commercial - Children's Health Insurance | $486.53 | ↓ -5% |
| Highmark BCBS of PA | Medicaid | $506.61 | ↓ -2% |
| Highmark BCBS of PA | Commercial | $517.67 | ↑ +1% |
| Geisinger | Commercial | $561.82 | ↑ +9% |
| UPMC Health Plan | Commercial | $600.60 | ↑ +17% |
| Prime Net | FH-Medical Rental | $621.19 | ↑ +21% |
| Preferred Healthcare System | PPO | $643.50 | ↑ +25% |
| Multiplan | PPO (Includes PHCS and Humana as Payers) | $729.30 | ↑ +42% |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
| Tricare | East Region | not published by hospital | — |
Visitor-reported prices
Comments
Consult comp w/report rfrd material at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $334.20 | $67.12 – $445.60 |
| UPMC Cole | Coudersport | $618.60 | $53.00 – $824.80 |
| UPMC Hamot | Erie | $382.80 | $60.45 – $203.63 |
| UPMC Horizon-Greenville | Greenville | $1,294.80 | $51.10 – $176.44 |
| UPMC Magee | Pittsburgh | $273.60 | $53.40 – $179.71 |
| UPMC Passavant-McCandless | Pittsburgh | $324.60 | $50.91 – $196.77 |
| UPMC Presbyterian | Pittsburgh | $189.00 | $53.72 – $245.11 |
| UPMC St. Margaret | Pittsburgh | $289.20 | $51.04 – $179.71 |