Ethylene glycol -sendout at UPMC Lititz
1500 Highlands Drive, Lititz, PA · UPMC · · NPI 1285167916
$28.80
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.
$48.00
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.
$6.43 with Prime Net vs $97.66 with UPMC Health Plan — 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 |
|---|---|---|---|
| Prime Net | Managed Medicare | $6.43 | ↓ -78% |
| Capital Blue Cross | Medicare Advantage | $9.60 | ↓ -67% |
| Keystone Health Plan | Medicare Advantage | $9.60 | ↓ -67% |
| United Healthcare Community Plan for Families | PA Medicaid | $11.91 | ↓ -59% |
| Highmark BCBS of PA | Medicare | $14.75 | ↓ -49% |
| UPMC Work Partners | Workers Comp | $15.42 | ↓ -46% |
| Aetna | Medicare | $15.54 | ↓ -46% |
| Cigna | Medicare | $15.64 | ↓ -46% |
| Geisinger | Medicare | $15.64 | ↓ -46% |
| United Healthcare | Medicare | $15.94 | ↓ -45% |
| Prime Net | Legacy Commercial | $17.81 | ↓ -38% |
| Aetna | ACO | $17.95 | ↓ -38% |
| Prime Net | ACO | $17.95 | ↓ -38% |
| Prime Net | NonGateKeeper | $21.22 | ↓ -26% |
| Aetna | Commercial | $21.36 | ↓ -26% |
| Prime Net | GateKeeper | $21.36 | ↓ -26% |
| Capital Blue Cross | Commercial | $22.52 | ↓ -22% |
| Keystone Health Plan | Commercial | $22.52 | ↓ -22% |
| Capital Blue Cross | CHIP | $22.52 | ↓ -22% |
| Keystone Autism Services | ACAP | $23.84 | ↓ -17% |
| Preferred Healthcare System | Inter County Health Plan/Lancaster General Health/Musselman Lumber/Vallorbs Jewelry | $26.40 | ↓ -8% |
| Geisinger | Medicaid/CHIP | $26.40 | ↓ -8% |
| Geisinger | Commercial | $31.43 | ↑ +9% |
| United Healthcare | Commercial | $33.53 | ↑ +16% |
| UPMC Health Plan | Commercial | $33.60 | ↑ +17% |
| Prime Net | FH-Medical Rental | $34.75 | ↑ +21% |
| Preferred Healthcare System | PPO | $36.00 | ↑ +25% |
| Cigna | Commercial | $38.76 | ↑ +35% |
| Multiplan | PPO (Includes PHCS and Humana as Payers) | $40.80 | ↑ +42% |
| Highmark BCBS of PA | Commercial - Children's Health Insurance | $44.05 | ↑ +53% |
| Highmark BCBS of PA | Medicaid | $45.87 | ↑ +59% |
| Highmark BCBS of PA | Commercial | $46.87 | ↑ +63% |
| UPMC Health Plan | CHIP | $97.66 | ↑ +239% |
Visitor-reported prices
Comments
Ethylene glycol -sendout at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $196.20 | $14.73 – $261.60 |
| UPMC Bedford | Everett | $218.40 | $5.38 – $327.60 |
| UPMC Carlisle | Carlisle | $28.80 | $6.58 – $40.80 |
| UPMC Community Osteopathic | Harrisburg | $28.80 | $9.60 – $97.66 |
| UPMC East | Monroeville | $237.00 | $14.73 – $316.00 |
| UPMC Hamot | Erie | $771.60 | $14.73 – $30.76 |
| UPMC Northwest | Seneca | $104.40 | $13.51 – $16.09 |
| UPMC Hanover | Hanover | $28.80 | $11.91 – $97.66 |