Etonogestrel implant system at UPMC Lititz
1500 Highlands Drive, Lititz, PA · UPMC · · NPI 1285167916
$693.60
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.
$1,156.00
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.
$138.02 with Prime Net vs $1,571.21 with Cigna — 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 | $138.02 | ↓ -80% |
| Aetna | Medicare | $165.83 | ↓ -76% |
| Capital Blue Cross | Medicare Advantage | $206.00 | ↓ -70% |
| Keystone Health Plan | Medicare Advantage | $206.00 | ↓ -70% |
| UPMC Work Partners | Workers Comp | $253.59 | ↓ -63% |
| Prime Net | Legacy Commercial | $382.13 | ↓ -45% |
| Prime Net | ACO | $385.22 | ↓ -44% |
| Aetna | ACO | $385.22 | ↓ -44% |
| Prime Net | NonGateKeeper | $455.26 | ↓ -34% |
| Aetna | Commercial | $458.35 | ↓ -34% |
| Prime Net | GateKeeper | $458.35 | ↓ -34% |
| Capital Blue Cross | CHIP | $483.17 | ↓ -30% |
| Keystone Health Plan | Commercial | $483.17 | ↓ -30% |
| Capital Blue Cross | Commercial | $483.17 | ↓ -30% |
| Geisinger | Medicaid/CHIP | $566.50 | ↓ -18% |
| Preferred Healthcare System | Inter County Health Plan/Lancaster General Health/Musselman Lumber/Vallorbs Jewelry | $566.50 | ↓ -18% |
| United Healthcare | Commercial | $634.48 | ↓ -9% |
| Geisinger | Commercial | $674.44 | ↓ -3% |
| UPMC Health Plan | Commercial | $721.00 | ↑ +4% |
| Prime Net | FH-Medical Rental | $745.72 | ↑ +8% |
| Preferred Healthcare System | PPO | $772.50 | ↑ +11% |
| United Healthcare Community Plan for Families | PA Medicaid | $836.01 | ↑ +21% |
| Multiplan | PPO (Includes PHCS and Humana as Payers) | $875.50 | ↑ +26% |
| UPMC Health Plan | CHIP | $952.90 | ↑ +37% |
| Cigna | Commercial | $1,571.21 | ↑ +127% |
Visitor-reported prices
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Etonogestrel implant system at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $2,906.40 | $952.90 – $4,372.68 |
| UPMC Carlisle | Carlisle | $693.60 | $141.11 – $1,571.21 |
| UPMC Cole | Coudersport | $967.20 | $446.85 – $1,289.60 |
| UPMC Community Osteopathic | Harrisburg | $693.60 | $206.00 – $1,845.30 |
| UPMC Northwest | Seneca | $3,428.00 | $1,536.64 – $1,536.64 |
| UPMC Hanover | Hanover | $693.60 | $836.01 – $1,571.21 |
| UPMC Horizon-Greenville | Greenville | $3,852.80 | $952.90 – $1,508.92 |
| UPMC Kane | Kane | $1,177.80 | $701.69 – $2,404.97 |