Debride skin bone at fx site at UPMC Lititz
1500 Highlands Drive, Lititz, PA · UPMC · · NPI 1285167916
$3,515.40
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.
$5,859.00
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.
$785.11 with Prime Net vs $8,646.33 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 |
|---|---|---|---|
| Prime Net | Managed Medicare | $785.11 | ↓ -78% |
| United Healthcare Community Plan for Families | PA Medicaid | $1,016.56 | ↓ -71% |
| Capital Blue Cross | Medicare Advantage | $1,171.80 | ↓ -67% |
| Keystone Health Plan | Medicare Advantage | $1,171.80 | ↓ -67% |
| UPMC Work Partners | Workers Comp | $1,334.55 | ↓ -62% |
| Prime Net | Legacy Commercial | $2,173.69 | ↓ -38% |
| Aetna | ACO | $2,191.27 | ↓ -38% |
| Prime Net | ACO | $2,191.27 | ↓ -38% |
| Prime Net | NonGateKeeper | $2,589.68 | ↓ -26% |
| Prime Net | GateKeeper | $2,607.26 | ↓ -26% |
| Aetna | Commercial | $2,607.26 | ↓ -26% |
| Highmark BCBS of PA | Medicare | $2,721.39 | ↓ -23% |
| Capital Blue Cross | CHIP | $2,748.46 | ↓ -22% |
| Keystone Health Plan | Commercial | $2,748.46 | ↓ -22% |
| Capital Blue Cross | Commercial | $2,748.46 | ↓ -22% |
| Aetna | Medicare | $2,867.08 | ↓ -18% |
| Geisinger | Medicare | $2,886.32 | ↓ -18% |
| Cigna | Medicare | $2,886.32 | ↓ -18% |
| United Healthcare | Medicare | $2,941.30 | ↓ -16% |
| Geisinger | Medicaid/CHIP | $3,222.45 | ↓ -8% |
| Preferred Healthcare System | Inter County Health Plan/Lancaster General Health/Musselman Lumber/Vallorbs Jewelry | $3,222.45 | ↓ -8% |
| Geisinger | Commercial | $3,836.47 | ↑ +9% |
| UPMC Health Plan | Commercial | $4,101.30 | ↑ +17% |
| Prime Net | FH-Medical Rental | $4,241.92 | ↑ +21% |
| Preferred Healthcare System | PPO | $4,394.25 | ↑ +25% |
| Keystone Autism Services | ACAP | $4,398.21 | ↑ +25% |
| Cigna | Commercial | $4,570.02 | ↑ +30% |
| Multiplan | PPO (Includes PHCS and Humana as Payers) | $4,980.15 | ↑ +42% |
| UPMC Health Plan | CHIP | $5,710.04 | ↑ +62% |
| Highmark BCBS of PA | Commercial - Children's Health Insurance | $8,126.24 | ↑ +131% |
| Highmark BCBS of PA | Medicaid | $8,461.60 | ↑ +141% |
| Highmark BCBS of PA | Commercial | $8,646.33 | ↑ +146% |
| United Healthcare | Commercial | not published by hospital | — |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
| Tricare | East Region | not published by hospital | — |
Visitor-reported prices
Comments
Debride skin bone at fx site at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Carlisle | Carlisle | $3,515.40 | $802.68 – $4,980.15 |
| UPMC Cole | Coudersport | $883.20 | $408.04 – $1,275.23 |
| UPMC Community Osteopathic | Harrisburg | $3,515.40 | $1,016.56 – $5,710.04 |
| UPMC Hamot | Erie | $7,701.60 | $785.10 – $3,968.58 |
| UPMC Hanover | Hanover | $3,515.40 | $1,016.56 – $5,710.04 |
| UPMC Memorial | York | $3,515.40 | $639.89 – $5,710.04 |
| UPMC Mercy | Pittsburgh | $3,785.40 | $596.00 – $3,001.48 |
| UPMC Presbyterian | Pittsburgh | $5,416.20 | $792.58 – $3,001.48 |