Decalcification at UPMC Lititz
1500 Highlands Drive, Lititz, PA · UPMC · · NPI 1285167916
$124.80
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.
$208.00
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.
$8.11 with United Healthcare Community Plan for Families vs $176.80 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 |
|---|---|---|---|
| United Healthcare Community Plan for Families | PA Medicaid | $8.11 | ↓ -94% |
| Aetna | Medicare | $16.44 | ↓ -87% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $16.72 | ↓ -87% |
| Highmark Wholecare (prev Gateway) | Medicaid | $21.23 | ↓ -83% |
| UPMC Health Plan | Managed Medicaid | $21.74 | ↓ -83% |
| Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $22.77 | ↓ -82% |
| Cigna | Commercial | $23.44 | ↓ -81% |
| Geisinger | Medicaid/CHIP | $24.35 | ↓ -80% |
| Prime Net | Managed Medicare | $27.87 | ↓ -78% |
| Keystone Health Plan | Medicare Advantage | $41.60 | ↓ -67% |
| Capital Blue Cross | Medicare Advantage | $41.60 | ↓ -67% |
| Prime Net | Legacy Commercial | $77.17 | ↓ -38% |
| Prime Net | ACO | $77.79 | ↓ -38% |
| Aetna | ACO | $77.79 | ↓ -38% |
| UPMC Health Plan | CHIP | $82.82 | ↓ -34% |
| Prime Net | NonGateKeeper | $91.94 | ↓ -26% |
| Aetna | Commercial | $92.56 | ↓ -26% |
| Prime Net | GateKeeper | $92.56 | ↓ -26% |
| Capital Blue Cross | Commercial | $97.57 | ↓ -22% |
| Capital Blue Cross | CHIP | $97.57 | ↓ -22% |
| Keystone Health Plan | Commercial | $97.57 | ↓ -22% |
| Preferred Healthcare System | Inter County Health Plan/Lancaster General Health/Musselman Lumber/Vallorbs Jewelry | $114.40 | ↓ -8% |
| Geisinger | Commercial | $136.20 | ↑ +9% |
| UPMC Health Plan | Commercial | $145.60 | ↑ +17% |
| UPMC Work Partners | Workers Comp | $147.65 | ↑ +18% |
| Prime Net | FH-Medical Rental | $150.59 | ↑ +21% |
| Preferred Healthcare System | PPO | $156.00 | ↑ +25% |
| Multiplan | PPO (Includes PHCS and Humana as Payers) | $176.80 | ↑ +42% |
Visitor-reported prices
Comments
Decalcification at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $127.80 | $16.72 – $170.40 |
| UPMC Bedford | Everett | $83.40 | $16.72 – $141.08 |
| UPMC Carlisle | Carlisle | $124.80 | $8.11 – $176.80 |
| UPMC Cole | Coudersport | $80.40 | $17.56 – $141.08 |
| UPMC Community Osteopathic | Harrisburg | $124.80 | $8.11 – $176.80 |
| UPMC East | Monroeville | $250.20 | $16.72 – $333.60 |
| UPMC Hamot | Erie | $272.40 | $12.71 – $142.12 |
| UPMC Northwest | Seneca | $102.00 | $18.39 – $141.30 |