healthcosts.net
ER Visit (level 1, minor) at UPMC Lititz
1500 Highlands Drive, Lititz, PA · UPMC · · NPI 1285167916
$391.20
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.
?
What you pay up front if you don't use insurance.
$652.00
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.
$21.05 with AmeriHealth Caritas vs $750.00 with Cigna — 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 |
|---|---|---|---|
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $21.05 | ↓ -95% |
| UPMC Work Partners | Workers Comp | $50.90 | ↓ -87% |
| United Healthcare Community Plan for Families | PA Medicaid | $60.00 | ↓ -85% |
| Highmark BCBS of PA | Medicare | $83.72 | ↓ -79% |
| Prime Net | Managed Medicare | $87.37 | ↓ -78% |
| Aetna | Medicare | $88.21 | ↓ -77% |
| Cigna | Medicare | $88.80 | ↓ -77% |
| Geisinger | Medicare | $88.80 | ↓ -77% |
| United Healthcare | Medicare | $90.49 | ↓ -77% |
| Keystone Health Plan | Medicare Advantage | $130.40 | ↓ -67% |
| Capital Blue Cross | Medicare Advantage | $130.40 | ↓ -67% |
| Keystone Autism Services | ACAP | $135.31 | ↓ -65% |
| UPMC Health Plan | CHIP | $176.68 | ↓ -55% |
| Prime Net | Legacy Commercial | $241.89 | ↓ -38% |
| Aetna | ACO | $243.85 | ↓ -38% |
| Prime Net | ACO | $243.85 | ↓ -38% |
| Highmark BCBS of PA | Commercial - Children's Health Insurance | $250.01 | ↓ -36% |
| Highmark BCBS of PA | Medicaid | $260.32 | ↓ -33% |
| Highmark BCBS of PA | Commercial | $266.01 | ↓ -32% |
| Prime Net | NonGateKeeper | $288.18 | ↓ -26% |
| Prime Net | GateKeeper | $290.14 | ↓ -26% |
| Aetna | Commercial | $290.14 | ↓ -26% |
| Capital Blue Cross | CHIP | $305.85 | ↓ -22% |
| Keystone Health Plan | Commercial | $305.85 | ↓ -22% |
| Capital Blue Cross | Commercial | $305.85 | ↓ -22% |
| Geisinger | Medicaid/CHIP | $358.60 | ↓ -8% |
| Preferred Healthcare System | Inter County Health Plan/Lancaster General Health/Musselman Lumber/Vallorbs Jewelry | $358.60 | ↓ -8% |
| Geisinger | Commercial | $426.93 | ↑ +9% |
| UPMC Health Plan | Commercial | $456.40 | ↑ +17% |
| Prime Net | FH-Medical Rental | $472.05 | ↑ +21% |
| Preferred Healthcare System | PPO | $489.00 | ↑ +25% |
| Multiplan | PPO (Includes PHCS and Humana as Payers) | $554.20 | ↑ +42% |
| Cigna | Commercial | $750.00 | ↑ +92% |
| Tricare | East Region | not published by hospital | — |
| United Healthcare | Commercial | not published by hospital | — |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
Visitor-reported prices
Comments
ER Visit (level 1, minor) at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Passavant-McCandless | Pittsburgh | $183.60 | $51.60 – $260.10 |
| UPMC East | Monroeville | $260.40 | $51.60 – $347.20 |
| UPMC Hamot | Erie | $384.60 | $51.60 – $448.70 |
| UPMC Carlisle | Carlisle | $391.20 | $21.05 – $554.20 |
| UPMC Altoona | Altoona | $374.40 | $21.00 – $499.20 |
| UPMC Bedford | Everett | $215.40 | $30.29 – $323.10 |
| UPMC Cole | Coudersport | $136.20 | $18.26 – $103.74 |
| UPMC Community Osteopathic | Harrisburg | $391.20 | $21.05 – $554.20 |