Diagnostic laryngoscopy 31505 at UPMC Lititz
1500 Highlands Drive, Lititz, PA · UPMC · · NPI 1285167916
$432.60
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.
?
What you pay up front if you don't use insurance.
$721.00
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.
?
The hospital's undiscounted list price — almost no one pays this.
$94.43 with UPMC Work Partners vs $612.85 with Multiplan — same scan, same building. Share
Negotiated rates by payer
?
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 →
?
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 | $94.43 | ↓ -78% |
| Prime Net | Managed Medicare | $96.61 | ↓ -78% |
| United Healthcare Community Plan for Families | PA Medicaid | $142.84 | ↓ -67% |
| Capital Blue Cross | Medicare Advantage | $144.20 | ↓ -67% |
| Keystone Health Plan | Medicare Advantage | $144.20 | ↓ -67% |
| Highmark BCBS of PA | Medicare | $184.60 | ↓ -57% |
| Aetna | Medicare | $194.48 | ↓ -55% |
| Geisinger | Medicare | $195.78 | ↓ -55% |
| Cigna | Medicare | $195.78 | ↓ -55% |
| United Healthcare | Medicare | $199.51 | ↓ -54% |
| Prime Net | Legacy Commercial | $267.49 | ↓ -38% |
| Prime Net | ACO | $269.65 | ↓ -38% |
| Aetna | ACO | $269.65 | ↓ -38% |
| Keystone Autism Services | ACAP | $298.34 | ↓ -31% |
| UPMC Health Plan | CHIP | $300.10 | ↓ -31% |
| Prime Net | NonGateKeeper | $318.68 | ↓ -26% |
| Aetna | Commercial | $320.85 | ↓ -26% |
| Prime Net | GateKeeper | $320.85 | ↓ -26% |
| Capital Blue Cross | Commercial | $338.22 | ↓ -22% |
| Keystone Health Plan | Commercial | $338.22 | ↓ -22% |
| Capital Blue Cross | CHIP | $338.22 | ↓ -22% |
| Geisinger | Medicaid/CHIP | $396.55 | ↓ -8% |
| Preferred Healthcare System | Inter County Health Plan/Lancaster General Health/Musselman Lumber/Vallorbs Jewelry | $396.55 | ↓ -8% |
| Geisinger | Commercial | $472.11 | ↑ +9% |
| UPMC Health Plan | Commercial | $504.70 | ↑ +17% |
| Prime Net | FH-Medical Rental | $522.00 | ↑ +21% |
| Preferred Healthcare System | PPO | $540.75 | ↑ +25% |
| Highmark BCBS of PA | Commercial - Children's Health Insurance | $551.21 | ↑ +27% |
| Cigna | Commercial | $562.38 | ↑ +30% |
| Highmark BCBS of PA | Medicaid | $573.96 | ↑ +33% |
| Highmark BCBS of PA | Commercial | $586.49 | ↑ +36% |
| Multiplan | PPO (Includes PHCS and Humana as Payers) | $612.85 | ↑ +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
Diagnostic laryngoscopy 31505 at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Carlisle | Carlisle | $432.60 | $94.43 – $612.85 |
| UPMC Cole | Coudersport | $259.20 | $17.46 – $2,325.85 |
| UPMC Community Osteopathic | Harrisburg | $432.60 | $98.13 – $612.85 |
| UPMC Hanover | Hanover | $432.60 | $98.13 – $300.10 |
| UPMC Memorial | York | $432.60 | $75.75 – $300.10 |
| UPMC Muncy | Muncy | $279.60 | $98.51 – $139.57 |
| UPMC Presbyterian | Pittsburgh | $609.00 | $93.83 – $203.60 |
| UPMC Somerset | Somerset | $432.60 | $90.23 – $199.88 |