Cystouretero & or pyeloscope at UPMC Lititz
1500 Highlands Drive, Lititz, PA · UPMC · · NPI 1285167916
$4,730.40
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.
$7,884.00
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.
$698.09 with UPMC Work Partners vs $10,419.45 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 |
|---|---|---|---|
| UPMC Work Partners | Workers Comp | $698.09 | ↓ -85% |
| United Healthcare Community Plan for Families | PA Medicaid | $1,016.56 | ↓ -79% |
| Prime Net | Managed Medicare | $1,056.46 | ↓ -78% |
| Keystone Health Plan | Medicare Advantage | $1,576.80 | ↓ -67% |
| Capital Blue Cross | Medicare Advantage | $1,576.80 | ↓ -67% |
| UPMC Health Plan | CHIP | $2,497.94 | ↓ -47% |
| Prime Net | Legacy Commercial | $2,924.96 | ↓ -38% |
| Aetna | ACO | $2,948.62 | ↓ -38% |
| Prime Net | ACO | $2,948.62 | ↓ -38% |
| Highmark BCBS of PA | Medicare | $3,279.47 | ↓ -31% |
| Aetna | Medicare | $3,455.04 | ↓ -27% |
| Geisinger | Medicare | $3,478.23 | ↓ -26% |
| Cigna | Medicare | $3,478.23 | ↓ -26% |
| Prime Net | NonGateKeeper | $3,484.73 | ↓ -26% |
| Prime Net | GateKeeper | $3,508.38 | ↓ -26% |
| Aetna | Commercial | $3,508.38 | ↓ -26% |
| United Healthcare | Medicare | $3,544.48 | ↓ -25% |
| Capital Blue Cross | Commercial | $3,698.38 | ↓ -22% |
| Keystone Health Plan | Commercial | $3,698.38 | ↓ -22% |
| Capital Blue Cross | CHIP | $3,698.38 | ↓ -22% |
| Geisinger | Medicaid/CHIP | $4,336.20 | ↓ -8% |
| Preferred Healthcare System | Inter County Health Plan/Lancaster General Health/Musselman Lumber/Vallorbs Jewelry | $4,336.20 | ↓ -8% |
| Geisinger | Commercial | $5,162.44 | ↑ +9% |
| Keystone Autism Services | ACAP | $5,300.16 | ↑ +12% |
| UPMC Health Plan | Commercial | $5,518.80 | ↑ +17% |
| Prime Net | FH-Medical Rental | $5,708.02 | ↑ +21% |
| Preferred Healthcare System | PPO | $5,913.00 | ↑ +25% |
| Cigna | Commercial | $6,413.00 | ↑ +36% |
| Multiplan | PPO (Includes PHCS and Humana as Payers) | $6,701.40 | ↑ +42% |
| Highmark BCBS of PA | Commercial - Children's Health Insurance | $9,792.71 | ↑ +107% |
| Highmark BCBS of PA | Medicaid | $10,196.85 | ↑ +116% |
| Highmark BCBS of PA | Commercial | $10,419.45 | ↑ +120% |
| Tricare | East Region | not published by hospital | — |
| United Healthcare | Commercial | not published by hospital | — |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
Visitor-reported prices
Comments
Cystouretero & or pyeloscope at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Carlisle | Carlisle | $4,730.40 | $698.09 – $6,701.40 |
| UPMC Cole | Coudersport | $456.60 | $210.95 – $1,192.92 |
| UPMC Community Osteopathic | Harrisburg | $4,730.40 | $698.09 – $6,701.40 |
| UPMC Hanover | Hanover | $4,730.40 | $698.09 – $5,271.68 |
| UPMC Memorial | York | $4,730.40 | $698.09 – $5,291.55 |
| UPMC Somerset | Somerset | $4,730.40 | $667.07 – $3,550.91 |
| Uniontown Hospital | Uniontown | $1,574.83 | $205.80 – $7,096.32 |
| UPMC Altoona | Altoona | not published | $667.07 – $3,551.23 |