Cystostomy cystotomy w/drainage 51040 at UPMC Lititz

1500 Highlands Drive, Lititz, PA · UPMC · · NPI 1285167916

Source: hospital's published price file ↗ · Published Mar 6, 2026 · Ingested Aug 13, 2026

$3,276.00

Cash price

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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.

$5,460.00

Gross charge

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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.

Full explanation →

The hospital's undiscounted list price — almost no one pays this.

$334.35 with AmeriHealth Caritas 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 →

Payer
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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
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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
AmeriHealth Caritas Community HealthChoices (CHC)/Medicaid $334.35 ↓ -90%
Highmark Wholecare (prev Gateway) Medicaid $334.35 ↓ -90%
UPMC Health Plan Managed Medicaid $342.25 ↓ -90%
Health Partners Plans (Jefferson Health Plan) Medicaid/CHIP $358.57 ↓ -89%
Geisinger Medicaid/CHIP $383.48 ↓ -88%
Prime Net Managed Medicare $731.64 ↓ -78%
United Healthcare Community Plan for Families PA Medicaid $1,016.56 ↓ -69%
Keystone Health Plan Medicare Advantage $1,092.00 ↓ -67%
Capital Blue Cross Medicare Advantage $1,092.00 ↓ -67%
UPMC Work Partners Workers Comp $1,438.71 ↓ -56%
Highmark BCBS of PA Medicare $1,947.83 ↓ -41%
Prime Net Legacy Commercial $2,025.66 ↓ -38%
Aetna ACO $2,042.04 ↓ -38%
Prime Net ACO $2,042.04 ↓ -38%
Aetna Medicare $2,052.11 ↓ -37%
Cigna Medicare $2,065.89 ↓ -37%
Geisinger Medicare $2,065.89 ↓ -37%
United Healthcare Medicare $2,105.24 ↓ -36%
Prime Net NonGateKeeper $2,413.32 ↓ -26%
Prime Net GateKeeper $2,429.70 ↓ -26%
Aetna Commercial $2,429.70 ↓ -26%
Keystone Health Plan Commercial $2,561.29 ↓ -22%
Capital Blue Cross Commercial $2,561.29 ↓ -22%
Capital Blue Cross CHIP $2,561.29 ↓ -22%
Preferred Healthcare System Inter County Health Plan/Lancaster General Health/Musselman Lumber/Vallorbs Jewelry $3,003.00 ↓ -8%
Keystone Autism Services ACAP $3,148.02 ↓ -4%
UPMC Health Plan CHIP $3,269.06 ↓ -0%
Geisinger Commercial $3,575.21 ↑ +9%
UPMC Health Plan Commercial $3,822.00 ↑ +17%
Prime Net FH-Medical Rental $3,953.04 ↑ +21%
Preferred Healthcare System PPO $4,095.00 ↑ +25%
Cigna Commercial $4,258.80 ↑ +30%
Multiplan PPO (Includes PHCS and Humana as Payers) $4,641.00 ↑ +42%
Highmark BCBS of PA Commercial - Children's Health Insurance $5,816.35 ↑ +78%
Highmark BCBS of PA Medicaid $6,056.39 ↑ +85%
Highmark BCBS of PA Commercial $6,188.61 ↑ +89%
US Family Health Plan Tricare Prime not published by hospital
United Healthcare Commercial not published by hospital
Tricare East Region not published by hospital

Visitor-reported prices

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Cystostomy cystotomy w/drainage 51040 at other Pennsylvania hospitals

Hospital City Cash price Negotiated range
UPMC Carlisle Carlisle $3,276.00 $334.35 – $4,641.00
UPMC Cole Coudersport $489.00 $225.92 – $1,470.59
UPMC Community Osteopathic Harrisburg $3,276.00 $334.35 – $4,641.00
UPMC Hamot Erie $5,943.60 $289.60 – $2,840.52
UPMC Northwest Seneca $6,051.00 $289.60 – $2,050.66
UPMC Hanover Hanover $3,276.00 $334.35 – $3,131.10
UPMC Horizon-Greenville Greenville $5,115.00 $289.60 – $2,109.25
UPMC Magee Pittsburgh $6,178.80 $289.60 – $2,109.25

All Pennsylvania hospitals for this procedure →