Debrid ecz/inf skin up tp 10% body 11000 at UPMC Lititz
1500 Highlands Drive, Lititz, PA · UPMC · · NPI 1285167916
$1,488.00
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.
$2,480.00
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.
$37.21 with AmeriHealth Caritas vs $2,108.00 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 | $37.21 | ↓ -97% |
| Highmark Wholecare (prev Gateway) | Medicaid | $37.21 | ↓ -97% |
| UPMC Health Plan | Managed Medicaid | $38.09 | ↓ -97% |
| Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $39.91 | ↓ -97% |
| Geisinger | Medicaid/CHIP | $42.68 | ↓ -97% |
| UPMC Work Partners | Workers Comp | $127.70 | ↓ -91% |
| UPMC Health Plan | CHIP | $300.27 | ↓ -80% |
| Prime Net | Managed Medicare | $332.32 | ↓ -78% |
| Capital Blue Cross | Medicare Advantage | $496.00 | ↓ -67% |
| Keystone Health Plan | Medicare Advantage | $496.00 | ↓ -67% |
| Highmark BCBS of PA | Medicare | $582.05 | ↓ -61% |
| Aetna | Medicare | $613.21 | ↓ -59% |
| Geisinger | Medicare | $617.33 | ↓ -59% |
| Cigna | Medicare | $617.33 | ↓ -59% |
| United Healthcare | Medicare | $629.09 | ↓ -58% |
| United Healthcare Community Plan for Families | PA Medicaid | $793.86 | ↓ -47% |
| Prime Net | Legacy Commercial | $920.08 | ↓ -38% |
| Prime Net | ACO | $927.52 | ↓ -38% |
| Aetna | ACO | $927.52 | ↓ -38% |
| Keystone Autism Services | ACAP | $940.69 | ↓ -37% |
| Prime Net | NonGateKeeper | $1,096.16 | ↓ -26% |
| Aetna | Commercial | $1,103.60 | ↓ -26% |
| Prime Net | GateKeeper | $1,103.60 | ↓ -26% |
| Keystone Health Plan | Commercial | $1,163.37 | ↓ -22% |
| Capital Blue Cross | CHIP | $1,163.37 | ↓ -22% |
| Capital Blue Cross | Commercial | $1,163.37 | ↓ -22% |
| Preferred Healthcare System | Inter County Health Plan/Lancaster General Health/Musselman Lumber/Vallorbs Jewelry | $1,364.00 | ↓ -8% |
| Geisinger | Commercial | $1,623.90 | ↑ +9% |
| UPMC Health Plan | Commercial | $1,736.00 | ↑ +17% |
| Highmark BCBS of PA | Commercial - Children's Health Insurance | $1,738.04 | ↑ +17% |
| Prime Net | FH-Medical Rental | $1,795.52 | ↑ +21% |
| Highmark BCBS of PA | Medicaid | $1,809.77 | ↑ +22% |
| Highmark BCBS of PA | Commercial | $1,849.28 | ↑ +24% |
| Preferred Healthcare System | PPO | $1,860.00 | ↑ +25% |
| Cigna | Commercial | $1,934.40 | ↑ +30% |
| Multiplan | PPO (Includes PHCS and Humana as Payers) | $2,108.00 | ↑ +42% |
| 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
Debrid ecz/inf skin up tp 10% body 11000 at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $389.40 | $29.30 – $519.20 |
| UPMC Bedford | Everett | $640.80 | $30.77 – $961.20 |
| UPMC Carlisle | Carlisle | $1,488.00 | $37.21 – $2,108.00 |
| UPMC Cole | Coudersport | $220.20 | $9.98 – $2,325.85 |
| UPMC Community Osteopathic | Harrisburg | $1,488.00 | $37.21 – $2,108.00 |
| UPMC East | Monroeville | $459.60 | $32.23 – $612.80 |
| UPMC Hamot | Erie | $624.00 | $32.23 – $848.80 |
| UPMC Northwest | Seneca | $544.20 | $32.23 – $612.77 |