Electrophysiology evaluation at UPMC Lititz
1500 Highlands Drive, Lititz, PA · UPMC · · NPI 1285167916
$6,361.20
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.
$10,602.00
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.
$1,016.56 with United Healthcare Community Plan for Families vs $22,923.90 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 |
|---|---|---|---|
| United Healthcare Community Plan for Families | PA Medicaid | $1,016.56 | ↓ -84% |
| Prime Net | Managed Medicare | $1,420.67 | ↓ -78% |
| Keystone Health Plan | Medicare Advantage | $2,120.40 | ↓ -67% |
| Capital Blue Cross | Medicare Advantage | $2,120.40 | ↓ -67% |
| UPMC Health Plan | CHIP | $3,062.53 | ↓ -52% |
| UPMC Work Partners | Workers Comp | $3,079.75 | ↓ -52% |
| Prime Net | Legacy Commercial | $3,933.34 | ↓ -38% |
| Prime Net | ACO | $3,965.15 | ↓ -38% |
| Aetna | ACO | $3,965.15 | ↓ -38% |
| Prime Net | NonGateKeeper | $4,686.08 | ↓ -26% |
| Aetna | Commercial | $4,717.89 | ↓ -26% |
| Prime Net | GateKeeper | $4,717.89 | ↓ -26% |
| Keystone Health Plan | Commercial | $4,973.40 | ↓ -22% |
| Capital Blue Cross | CHIP | $4,973.40 | ↓ -22% |
| Capital Blue Cross | Commercial | $4,973.40 | ↓ -22% |
| Preferred Healthcare System | Inter County Health Plan/Lancaster General Health/Musselman Lumber/Vallorbs Jewelry | $5,831.10 | ↓ -8% |
| Geisinger | Medicaid/CHIP | $5,831.10 | ↓ -8% |
| Geisinger | Commercial | $6,942.19 | ↑ +9% |
| Highmark BCBS of PA | Medicare | $7,215.19 | ↑ +13% |
| UPMC Health Plan | Commercial | $7,421.40 | ↑ +17% |
| Aetna | Medicare | $7,601.46 | ↑ +19% |
| Geisinger | Medicare | $7,652.47 | ↑ +20% |
| Cigna | Medicare | $7,652.47 | ↑ +20% |
| Prime Net | FH-Medical Rental | $7,675.85 | ↑ +21% |
| United Healthcare | Medicare | $7,798.23 | ↑ +23% |
| Preferred Healthcare System | PPO | $7,951.50 | ↑ +25% |
| Multiplan | PPO (Includes PHCS and Humana as Payers) | $9,011.70 | ↑ +42% |
| Keystone Autism Services | ACAP | $11,660.91 | ↑ +83% |
| Cigna | Commercial | $17,298.00 | ↑ +172% |
| Highmark BCBS of PA | Commercial - Children's Health Insurance | $21,544.99 | ↑ +239% |
| Highmark BCBS of PA | Medicaid | $22,434.14 | ↑ +253% |
| Highmark BCBS of PA | Commercial | $22,923.90 | ↑ +260% |
| 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
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Electrophysiology evaluation at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $5,123.40 | $989.90 – $7,813.09 |
| UPMC Carlisle | Carlisle | $6,361.20 | $1,016.56 – $11,614.29 |
| UPMC Community Osteopathic | Harrisburg | $6,361.20 | $1,016.56 – $9,011.70 |
| UPMC Hamot | Erie | $5,694.00 | $989.90 – $9,017.29 |
| UPMC Hanover | Hanover | $6,361.20 | $1,016.56 – $11,598.26 |
| UPMC Memorial | York | $6,361.20 | $806.81 – $11,641.97 |
| UPMC Mercy | Pittsburgh | $10,233.60 | $989.90 – $7,957.77 |
| UPMC Passavant-McCandless | Pittsburgh | $5,260.20 | $999.33 – $7,957.77 |