Emg 2 ext w-w/o paraspinal area 95861 at UPMC Lititz
1500 Highlands Drive, Lititz, PA · UPMC · · NPI 1285167916
$247.80
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.
$413.00
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.
$29.48 with United Healthcare Community Plan for Families vs $558.00 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 | $29.48 | ↓ -88% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $47.62 | ↓ -81% |
| Highmark Wholecare (prev Gateway) | Medicaid | $47.62 | ↓ -81% |
| UPMC Health Plan | Managed Medicaid | $48.75 | ↓ -80% |
| Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $51.08 | ↓ -79% |
| Geisinger | Medicaid/CHIP | $54.62 | ↓ -78% |
| Prime Net | Managed Medicare | $55.34 | ↓ -78% |
| Keystone Health Plan | Medicare Advantage | $82.60 | ↓ -67% |
| Capital Blue Cross | Medicare Advantage | $82.60 | ↓ -67% |
| Highmark BCBS of PA | Medicare | $122.56 | ↓ -51% |
| Aetna | Medicare | $129.12 | ↓ -48% |
| Cigna | Medicare | $129.99 | ↓ -48% |
| Geisinger | Medicare | $129.99 | ↓ -48% |
| United Healthcare | Medicare | $132.47 | ↓ -47% |
| Prime Net | Legacy Commercial | $153.22 | ↓ -38% |
| Prime Net | ACO | $154.46 | ↓ -38% |
| Aetna | ACO | $154.46 | ↓ -38% |
| Prime Net | NonGateKeeper | $182.55 | ↓ -26% |
| Aetna | Commercial | $183.78 | ↓ -26% |
| Prime Net | GateKeeper | $183.78 | ↓ -26% |
| Capital Blue Cross | Commercial | $193.74 | ↓ -22% |
| Keystone Health Plan | Commercial | $193.74 | ↓ -22% |
| Capital Blue Cross | CHIP | $193.74 | ↓ -22% |
| Keystone Autism Services | ACAP | $198.08 | ↓ -20% |
| Preferred Healthcare System | Inter County Health Plan/Lancaster General Health/Musselman Lumber/Vallorbs Jewelry | $227.15 | ↓ -8% |
| Geisinger | Commercial | $270.43 | ↑ +9% |
| UPMC Health Plan | Commercial | $289.10 | ↑ +17% |
| Prime Net | FH-Medical Rental | $299.01 | ↑ +21% |
| Preferred Healthcare System | PPO | $309.75 | ↑ +25% |
| Cigna | Commercial | $322.14 | ↑ +30% |
| UPMC Work Partners | Workers Comp | $322.41 | ↑ +30% |
| UPMC Health Plan | CHIP | $327.88 | ↑ +32% |
| Multiplan | PPO (Includes PHCS and Humana as Payers) | $351.05 | ↑ +42% |
| Highmark BCBS of PA | Commercial - Children's Health Insurance | $365.98 | ↑ +48% |
| Highmark BCBS of PA | Medicaid | $381.08 | ↑ +54% |
| Highmark BCBS of PA | Commercial | $389.40 | ↑ +57% |
| United Healthcare | Commercial | $558.00 | ↑ +125% |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
| Tricare | East Region | not published by hospital | — |
Visitor-reported prices
Comments
Emg 2 ext w-w/o paraspinal area 95861 at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $462.60 | $22.50 – $616.80 |
| UPMC Carlisle | Carlisle | $247.80 | $29.48 – $351.05 |
| UPMC Cole | Coudersport | $160.20 | $33.54 – $308.08 |
| UPMC Community Osteopathic | Harrisburg | $247.80 | $29.48 – $351.05 |
| UPMC East | Monroeville | $615.00 | $41.25 – $820.00 |
| UPMC Hamot | Erie | $260.40 | $41.25 – $331.42 |
| UPMC Northwest | Seneca | $464.40 | $41.25 – $312.08 |
| UPMC Hanover | Hanover | $247.80 | $29.48 – $326.59 |