Emg thor paraspinal without t1/t2 at UPMC Lititz
1500 Highlands Drive, Lititz, PA · UPMC · · NPI 1285167916
$543.60
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.
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What you pay up front if you don't use insurance.
$906.00
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.
$10.20 with United Healthcare Community Plan for Families vs $940.76 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 | $10.20 | ↓ -98% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $27.67 | ↓ -95% |
| Highmark Wholecare (prev Gateway) | Medicaid | $27.67 | ↓ -95% |
| UPMC Health Plan | Managed Medicaid | $28.33 | ↓ -95% |
| Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $29.68 | ↓ -95% |
| Geisinger | Medicaid/CHIP | $31.74 | ↓ -94% |
| UPMC Health Plan | CHIP | $117.66 | ↓ -78% |
| Prime Net | Managed Medicare | $121.40 | ↓ -78% |
| UPMC Work Partners | Workers Comp | $176.13 | ↓ -68% |
| Capital Blue Cross | Medicare Advantage | $181.20 | ↓ -67% |
| Keystone Health Plan | Medicare Advantage | $181.20 | ↓ -67% |
| Highmark BCBS of PA | Medicare | $296.10 | ↓ -46% |
| Aetna | Medicare | $311.95 | ↓ -43% |
| Geisinger | Medicare | $314.04 | ↓ -42% |
| Cigna | Medicare | $314.04 | ↓ -42% |
| United Healthcare | Commercial | $319.00 | ↓ -41% |
| United Healthcare | Medicare | $320.03 | ↓ -41% |
| Prime Net | Legacy Commercial | $336.13 | ↓ -38% |
| Prime Net | ACO | $338.84 | ↓ -38% |
| Aetna | ACO | $338.84 | ↓ -38% |
| Prime Net | NonGateKeeper | $400.45 | ↓ -26% |
| Prime Net | GateKeeper | $403.17 | ↓ -26% |
| Aetna | Commercial | $403.17 | ↓ -26% |
| Keystone Health Plan | Commercial | $425.00 | ↓ -22% |
| Capital Blue Cross | CHIP | $425.00 | ↓ -22% |
| Capital Blue Cross | Commercial | $425.00 | ↓ -22% |
| Keystone Autism Services | ACAP | $478.54 | ↓ -12% |
| Preferred Healthcare System | Inter County Health Plan/Lancaster General Health/Musselman Lumber/Vallorbs Jewelry | $498.30 | ↓ -8% |
| Geisinger | Commercial | $593.25 | ↑ +9% |
| UPMC Health Plan | Commercial | $634.20 | ↑ +17% |
| Prime Net | FH-Medical Rental | $655.94 | ↑ +21% |
| Preferred Healthcare System | PPO | $679.50 | ↑ +25% |
| Cigna | Commercial | $706.68 | ↑ +30% |
| Multiplan | PPO (Includes PHCS and Humana as Payers) | $770.10 | ↑ +42% |
| Highmark BCBS of PA | Commercial - Children's Health Insurance | $884.17 | ↑ +63% |
| Highmark BCBS of PA | Medicaid | $920.66 | ↑ +69% |
| Highmark BCBS of PA | Commercial | $940.76 | ↑ +73% |
| Tricare | East Region | not published by hospital | — |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
Visitor-reported prices
Comments
Emg thor paraspinal without t1/t2 at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Carlisle | Carlisle | $543.60 | $10.20 – $770.10 |
| UPMC Cole | Coudersport | $54.00 | $10.53 – $168.30 |
| UPMC Community Osteopathic | Harrisburg | $543.60 | $10.20 – $770.10 |
| UPMC Northwest | Seneca | $152.40 | $23.97 – $311.72 |
| UPMC Hanover | Hanover | $543.60 | $10.20 – $475.97 |
| UPMC Magee | Pittsburgh | $122.40 | $23.97 – $320.63 |
| UPMC Memorial | York | $543.60 | $10.20 – $477.76 |
| UPMC Mercy | Pittsburgh | $152.40 | $23.97 – $326.57 |