Cytopath c/v index add-on at UPMC Lititz
1500 Highlands Drive, Lititz, PA · UPMC · · NPI 1285167916
$34.20
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.
$57.00
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.
$6.50 with AmeriHealth Caritas vs $48.45 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 |
|---|---|---|---|
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $6.50 | ↓ -81% |
| Prime Net | Managed Medicare | $7.64 | ↓ -78% |
| Highmark Wholecare (prev Gateway) | Medicaid | $8.26 | ↓ -76% |
| UPMC Health Plan | Managed Medicaid | $8.45 | ↓ -75% |
| United Healthcare Community Plan for Families | PA Medicaid | $8.52 | ↓ -75% |
| Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $8.85 | ↓ -74% |
| Geisinger | Medicaid/CHIP | $9.47 | ↓ -72% |
| Keystone Health Plan | Medicare Advantage | $11.40 | ↓ -67% |
| Capital Blue Cross | Medicare Advantage | $11.40 | ↓ -67% |
| Highmark BCBS of PA | Medicare | $14.50 | ↓ -58% |
| UPMC Work Partners | Workers Comp | $15.15 | ↓ -56% |
| Aetna | Medicare | $15.28 | ↓ -55% |
| Cigna | Medicare | $15.38 | ↓ -55% |
| Geisinger | Medicare | $15.38 | ↓ -55% |
| United Healthcare | Medicare | $15.68 | ↓ -54% |
| Prime Net | Legacy Commercial | $21.15 | ↓ -38% |
| Aetna | ACO | $21.32 | ↓ -38% |
| Prime Net | ACO | $21.32 | ↓ -38% |
| Keystone Autism Services | ACAP | $23.44 | ↓ -31% |
| Prime Net | NonGateKeeper | $25.19 | ↓ -26% |
| Aetna | Commercial | $25.36 | ↓ -26% |
| Prime Net | GateKeeper | $25.36 | ↓ -26% |
| Capital Blue Cross | Commercial | $26.74 | ↓ -22% |
| Keystone Health Plan | Commercial | $26.74 | ↓ -22% |
| Capital Blue Cross | CHIP | $26.74 | ↓ -22% |
| Preferred Healthcare System | Inter County Health Plan/Lancaster General Health/Musselman Lumber/Vallorbs Jewelry | $31.35 | ↓ -8% |
| UPMC Health Plan | CHIP | $35.17 | ↑ +3% |
| Geisinger | Commercial | $37.32 | ↑ +9% |
| Cigna | Commercial | $38.08 | ↑ +11% |
| UPMC Health Plan | Commercial | $39.90 | ↑ +17% |
| Prime Net | FH-Medical Rental | $41.27 | ↑ +21% |
| Preferred Healthcare System | PPO | $42.75 | ↑ +25% |
| Highmark BCBS of PA | Commercial - Children's Health Insurance | $43.31 | ↑ +27% |
| Highmark BCBS of PA | Medicaid | $45.10 | ↑ +32% |
| Highmark BCBS of PA | Commercial | $46.08 | ↑ +35% |
| Multiplan | PPO (Includes PHCS and Humana as Payers) | $48.45 | ↑ +42% |
Visitor-reported prices
Comments
Cytopath c/v index add-on at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Carlisle | Carlisle | $34.20 | $6.50 – $48.45 |
| UPMC Community Osteopathic | Harrisburg | $34.20 | $6.50 – $48.45 |
| UPMC Hanover | Hanover | $34.20 | $6.50 – $23.44 |
| UPMC Magee | Pittsburgh | $63.60 | $7.15 – $16.06 |
| UPMC Memorial | York | $34.20 | $6.50 – $43.35 |
| UPMC Somerset | Somerset | $34.20 | $7.15 – $14.65 |