Echo guide for amniocentesis at UPMC Lititz
1500 Highlands Drive, Lititz, PA · UPMC · · NPI 1285167916
$295.80
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.
$493.00
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.
$24.37 with United Healthcare Community Plan for Families vs $419.05 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 | $24.37 | ↓ -92% |
| Aetna | Medicare | $28.16 | ↓ -90% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $47.10 | ↓ -84% |
| Highmark Wholecare (prev Gateway) | Medicaid | $47.10 | ↓ -84% |
| UPMC Health Plan | Managed Medicaid | $48.22 | ↓ -84% |
| Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $50.52 | ↓ -83% |
| Geisinger | Medicaid/CHIP | $54.03 | ↓ -82% |
| Prime Net | Managed Medicare | $66.06 | ↓ -78% |
| Keystone Health Plan | Medicare Advantage | $98.60 | ↓ -67% |
| Capital Blue Cross | Medicare Advantage | $98.60 | ↓ -67% |
| Prime Net | Legacy Commercial | $182.90 | ↓ -38% |
| Aetna | ACO | $184.38 | ↓ -38% |
| Prime Net | ACO | $184.38 | ↓ -38% |
| UPMC Work Partners | Workers Comp | $184.81 | ↓ -38% |
| Premier Comp Solutions | Worker's Comp | $184.81 | ↓ -38% |
| Prime Net | NonGateKeeper | $217.91 | ↓ -26% |
| Aetna | Commercial | $219.38 | ↓ -26% |
| Prime Net | GateKeeper | $219.38 | ↓ -26% |
| Capital Blue Cross | CHIP | $231.27 | ↓ -22% |
| Capital Blue Cross | Commercial | $231.27 | ↓ -22% |
| Keystone Health Plan | Commercial | $231.27 | ↓ -22% |
| Preferred Healthcare System | Inter County Health Plan/Lancaster General Health/Musselman Lumber/Vallorbs Jewelry | $271.15 | ↓ -8% |
| UPMC Health Plan | CHIP | $290.14 | ↓ -2% |
| Geisinger | Commercial | $322.82 | ↑ +9% |
| UPMC Health Plan | Commercial | $345.10 | ↑ +17% |
| Prime Net | FH-Medical Rental | $356.93 | ↑ +21% |
| United Healthcare | Commercial | $362.85 | ↑ +23% |
| Preferred Healthcare System | PPO | $369.75 | ↑ +25% |
| Cigna | Commercial | $384.54 | ↑ +30% |
| Multiplan | PPO (Includes PHCS and Humana as Payers) | $419.05 | ↑ +42% |
Visitor-reported prices
Comments
Echo guide for amniocentesis at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Carlisle | Carlisle | $295.80 | $24.37 – $419.05 |
| UPMC Community Osteopathic | Harrisburg | $295.80 | $24.37 – $419.05 |
| UPMC Hamot | Erie | $511.80 | $40.80 – $193.13 |
| UPMC Hanover | Hanover | $295.80 | $24.37 – $189.05 |
| UPMC Magee | Pittsburgh | $388.20 | $30.98 – $193.13 |
| UPMC Memorial | York | $295.80 | $24.37 – $189.05 |
| UPMC Muncy | Muncy | $499.20 | $23.81 – $206.60 |
| UPMC Somerset | Somerset | $295.80 | $21.39 – $176.59 |