Coronary art/grft angio s&i at UPMC Lititz
1500 Highlands Drive, Lititz, PA · UPMC · · NPI 1285167916
$5,553.60
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.
$9,256.00
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.
$1,016.56 with United Healthcare Community Plan for Families vs $17,298.00 with Cigna — 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 | $1,016.56 | ↓ -82% |
| Prime Net | Managed Medicare | $1,240.30 | ↓ -78% |
| UPMC Work Partners | Workers Comp | $1,582.72 | ↓ -72% |
| Keystone Health Plan | Medicare Advantage | $1,851.20 | ↓ -67% |
| Capital Blue Cross | Medicare Advantage | $1,851.20 | ↓ -67% |
| Highmark BCBS of PA | Medicare | $3,058.34 | ↓ -45% |
| Aetna | Medicare | $3,222.07 | ↓ -42% |
| Geisinger | Medicare | $3,243.69 | ↓ -42% |
| Cigna | Medicare | $3,243.69 | ↓ -42% |
| United Healthcare | Medicare | $3,305.48 | ↓ -40% |
| Prime Net | Legacy Commercial | $3,433.98 | ↓ -38% |
| Aetna | ACO | $3,461.74 | ↓ -38% |
| Prime Net | ACO | $3,461.74 | ↓ -38% |
| UPMC Health Plan | CHIP | $3,969.28 | ↓ -29% |
| Prime Net | NonGateKeeper | $4,091.15 | ↓ -26% |
| Aetna | Commercial | $4,118.92 | ↓ -26% |
| Prime Net | GateKeeper | $4,118.92 | ↓ -26% |
| Capital Blue Cross | CHIP | $4,341.99 | ↓ -22% |
| Capital Blue Cross | Commercial | $4,341.99 | ↓ -22% |
| Keystone Health Plan | Commercial | $4,341.99 | ↓ -22% |
| Keystone Autism Services | ACAP | $4,942.77 | ↓ -11% |
| Preferred Healthcare System | Inter County Health Plan/Lancaster General Health/Musselman Lumber/Vallorbs Jewelry | $5,090.80 | ↓ -8% |
| Geisinger | Medicaid/CHIP | $5,090.80 | ↓ -8% |
| Geisinger | Commercial | $6,060.83 | ↑ +9% |
| UPMC Health Plan | Commercial | $6,479.20 | ↑ +17% |
| Prime Net | FH-Medical Rental | $6,701.34 | ↑ +21% |
| Preferred Healthcare System | PPO | $6,942.00 | ↑ +25% |
| Multiplan | PPO (Includes PHCS and Humana as Payers) | $7,867.60 | ↑ +42% |
| Highmark BCBS of PA | Commercial - Children's Health Insurance | $9,132.38 | ↑ +64% |
| Highmark BCBS of PA | Medicaid | $9,509.27 | ↑ +71% |
| Highmark BCBS of PA | Commercial | $9,716.86 | ↑ +75% |
| Cigna | Commercial | $17,298.00 | ↑ +211% |
| United Healthcare | Commercial | 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
Coronary art/grft angio s&i at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $10,002.00 | $1,277.57 – $13,336.00 |
| UPMC Carlisle | Carlisle | $5,553.60 | $1,016.56 – $7,867.60 |
| UPMC Community Osteopathic | Harrisburg | $5,553.60 | $1,016.56 – $7,867.60 |
| UPMC East | Monroeville | $6,611.40 | $1,289.74 – $8,815.20 |
| UPMC Hamot | Erie | $12,250.20 | $1,277.57 – $4,459.95 |
| UPMC Hanover | Hanover | $5,553.60 | $1,016.56 – $4,916.22 |
| UPMC Jameson | New Castle | $4,585.80 | $892.40 – $3,833.07 |
| UPMC Magee | Pittsburgh | $9,857.40 | $1,289.74 – $3,373.11 |