Embolization s&i at UPMC Lititz
1500 Highlands Drive, Lititz, PA · UPMC · · NPI 1285167916
$5,940.60
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.
$9,901.00
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.
$123.19 with United Healthcare Community Plan for Families vs $8,415.85 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 |
|---|---|---|---|
| United Healthcare Community Plan for Families | PA Medicaid | $123.19 | ↓ -98% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $197.55 | ↓ -97% |
| Highmark Wholecare (prev Gateway) | Medicaid | $197.55 | ↓ -97% |
| UPMC Health Plan | Managed Medicaid | $202.22 | ↓ -97% |
| Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $211.86 | ↓ -96% |
| Geisinger | Medicaid/CHIP | $226.57 | ↓ -96% |
| Aetna | Medicare | $855.39 | ↓ -86% |
| Prime Net | Managed Medicare | $1,326.73 | ↓ -78% |
| Keystone Health Plan | Medicare Advantage | $1,980.20 | ↓ -67% |
| Capital Blue Cross | Medicare Advantage | $1,980.20 | ↓ -67% |
| UPMC Work Partners | Workers Comp | $2,282.03 | ↓ -62% |
| Premier Comp Solutions | Worker's Comp | $2,282.03 | ↓ -62% |
| UPMC Health Plan | CHIP | $3,500.28 | ↓ -41% |
| Prime Net | Legacy Commercial | $3,673.27 | ↓ -38% |
| Aetna | ACO | $3,702.97 | ↓ -38% |
| Prime Net | ACO | $3,702.97 | ↓ -38% |
| Prime Net | NonGateKeeper | $4,376.24 | ↓ -26% |
| Aetna | Commercial | $4,405.94 | ↓ -26% |
| Prime Net | GateKeeper | $4,405.94 | ↓ -26% |
| Capital Blue Cross | CHIP | $4,644.56 | ↓ -22% |
| Capital Blue Cross | Commercial | $4,644.56 | ↓ -22% |
| Keystone Health Plan | Commercial | $4,644.56 | ↓ -22% |
| Preferred Healthcare System | Inter County Health Plan/Lancaster General Health/Musselman Lumber/Vallorbs Jewelry | $5,445.55 | ↓ -8% |
| Geisinger | Commercial | $6,483.17 | ↑ +9% |
| UPMC Health Plan | Commercial | $6,930.70 | ↑ +17% |
| Prime Net | FH-Medical Rental | $7,168.32 | ↑ +21% |
| United Healthcare | Commercial | $7,287.14 | ↑ +23% |
| Preferred Healthcare System | PPO | $7,425.75 | ↑ +25% |
| Cigna | Commercial | $7,722.78 | ↑ +30% |
| Multiplan | PPO (Includes PHCS and Humana as Payers) | $8,415.85 | ↑ +42% |
Visitor-reported prices
Comments
Embolization s&i at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $6,894.00 | $94.04 – $9,192.00 |
| UPMC Carlisle | Carlisle | $5,940.60 | $123.19 – $8,415.85 |
| UPMC Community Osteopathic | Harrisburg | $5,940.60 | $123.19 – $8,415.85 |
| UPMC East | Monroeville | $10,150.80 | $171.10 – $13,534.40 |
| UPMC Hamot | Erie | $3,052.80 | $171.10 – $2,395.85 |
| UPMC Hanover | Hanover | $5,940.60 | $123.19 – $2,317.96 |
| UPMC Magee | Pittsburgh | $3,889.80 | $171.10 – $2,395.85 |
| UPMC McKeesport | Mckeesport | $4,752.00 | $171.10 – $2,395.85 |