Dna probe gc at UPMC Lititz
1500 Highlands Drive, Lititz, PA · UPMC · · NPI 1285167916
$97.20
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.
$162.00
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.
$21.48 with United Healthcare Community Plan for Families vs $363.14 with United Healthcare — 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 | $21.48 | ↓ -78% |
| Prime Net | Managed Medicare | $21.71 | ↓ -78% |
| Highmark BCBS of PA | Medicare | $26.61 | ↓ -73% |
| UPMC Work Partners | Workers Comp | $27.80 | ↓ -71% |
| Aetna | Medicare | $28.04 | ↓ -71% |
| Cigna | Medicare | $28.22 | ↓ -71% |
| Geisinger | Medicare | $28.22 | ↓ -71% |
| United Healthcare | Medicare | $28.76 | ↓ -70% |
| Capital Blue Cross | Medicare Advantage | $32.40 | ↓ -67% |
| Keystone Health Plan | Medicare Advantage | $32.40 | ↓ -67% |
| Keystone Autism Services | ACAP | $43.01 | ↓ -56% |
| Prime Net | Legacy Commercial | $60.10 | ↓ -38% |
| Prime Net | ACO | $60.59 | ↓ -38% |
| Aetna | ACO | $60.59 | ↓ -38% |
| Cigna | Commercial | $69.88 | ↓ -28% |
| Prime Net | NonGateKeeper | $71.60 | ↓ -26% |
| Aetna | Commercial | $72.09 | ↓ -26% |
| Prime Net | GateKeeper | $72.09 | ↓ -26% |
| Capital Blue Cross | Commercial | $75.99 | ↓ -22% |
| Keystone Health Plan | Commercial | $75.99 | ↓ -22% |
| Capital Blue Cross | CHIP | $75.99 | ↓ -22% |
| Highmark BCBS of PA | Commercial - Children's Health Insurance | $79.46 | ↓ -18% |
| Highmark BCBS of PA | Medicaid | $82.74 | ↓ -15% |
| Highmark BCBS of PA | Commercial | $84.55 | ↓ -13% |
| Geisinger | Medicaid/CHIP | $89.10 | ↓ -8% |
| Preferred Healthcare System | Inter County Health Plan/Lancaster General Health/Musselman Lumber/Vallorbs Jewelry | $89.10 | ↓ -8% |
| Geisinger | Commercial | $106.08 | ↑ +9% |
| UPMC Health Plan | Commercial | $113.40 | ↑ +17% |
| Prime Net | FH-Medical Rental | $117.29 | ↑ +21% |
| Preferred Healthcare System | PPO | $121.50 | ↑ +25% |
| Multiplan | PPO (Includes PHCS and Humana as Payers) | $137.70 | ↑ +42% |
| UPMC Health Plan | CHIP | $155.18 | ↑ +60% |
| United Healthcare | Commercial | $363.14 | ↑ +274% |
Visitor-reported prices
Comments
Dna probe gc at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Carlisle | Carlisle | $97.20 | $14.78 – $137.70 |
| UPMC Cole | Coudersport | $180.60 | $17.47 – $240.80 |
| UPMC Community Osteopathic | Harrisburg | $97.20 | $21.48 – $155.18 |
| UPMC Hanover | Hanover | $97.20 | $21.48 – $155.18 |
| UPMC Kane | Kane | $152.40 | $26.57 – $116.01 |
| UPMC Memorial | York | $97.20 | $21.48 – $155.18 |
| UPMC Somerset | Somerset | $97.20 | $18.86 – $29.03 |
| WellSpan Newberry Hospital | Etters | not published | not published |