Fibrin degrade semiquant at UPMC Lititz
1500 Highlands Drive, Lititz, PA · UPMC · · NPI 1285167916
$34.80
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.
$58.00
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.
$7.77 with Prime Net vs $49.50 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 | $7.77 | ↓ -78% |
| Highmark BCBS of PA | Medicare | $9.62 | ↓ -72% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $9.86 | ↓ -72% |
| UPMC Work Partners | Workers Comp | $10.05 | ↓ -71% |
| Aetna | Medicare | $10.14 | ↓ -71% |
| Geisinger | Medicare | $10.21 | ↓ -71% |
| Cigna | Medicare | $10.21 | ↓ -71% |
| United Healthcare | Medicare | $10.40 | ↓ -70% |
| Capital Blue Cross | Medicare Advantage | $11.60 | ↓ -67% |
| Keystone Health Plan | Medicare Advantage | $11.60 | ↓ -67% |
| Highmark Wholecare (prev Gateway) | Medicaid | $12.52 | ↓ -64% |
| UPMC Health Plan | Managed Medicaid | $12.82 | ↓ -63% |
| United Healthcare Community Plan for Families | PA Medicaid | $12.92 | ↓ -63% |
| Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $13.43 | ↓ -61% |
| Geisinger | Medicaid/CHIP | $14.36 | ↓ -59% |
| Keystone Autism Services | ACAP | $15.55 | ↓ -55% |
| United Healthcare | Commercial | $16.82 | ↓ -52% |
| Prime Net | Legacy Commercial | $21.52 | ↓ -38% |
| Prime Net | ACO | $21.69 | ↓ -38% |
| Aetna | ACO | $21.69 | ↓ -38% |
| Cigna | Commercial | $25.28 | ↓ -27% |
| Prime Net | NonGateKeeper | $25.64 | ↓ -26% |
| Aetna | Commercial | $25.81 | ↓ -26% |
| Prime Net | GateKeeper | $25.81 | ↓ -26% |
| Keystone Health Plan | Commercial | $27.21 | ↓ -22% |
| Capital Blue Cross | CHIP | $27.21 | ↓ -22% |
| Capital Blue Cross | Commercial | $27.21 | ↓ -22% |
| Highmark BCBS of PA | Commercial - Children's Health Insurance | $28.73 | ↓ -17% |
| Highmark BCBS of PA | Medicaid | $29.92 | ↓ -14% |
| Highmark BCBS of PA | Commercial | $30.57 | ↓ -12% |
| Preferred Healthcare System | Inter County Health Plan/Lancaster General Health/Musselman Lumber/Vallorbs Jewelry | $31.90 | ↓ -8% |
| Geisinger | Commercial | $37.98 | ↑ +9% |
| UPMC Health Plan | Commercial | $40.60 | ↑ +17% |
| Prime Net | FH-Medical Rental | $41.99 | ↑ +21% |
| Preferred Healthcare System | PPO | $43.50 | ↑ +25% |
| Multiplan | PPO (Includes PHCS and Humana as Payers) | $49.30 | ↑ +42% |
| UPMC Health Plan | CHIP | $49.50 | ↑ +42% |
Visitor-reported prices
Comments
Fibrin degrade semiquant at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Carlisle | Carlisle | $34.80 | $7.95 – $49.30 |
| UPMC Cole | Coudersport | $74.40 | $6.32 – $99.20 |
| UPMC Community Osteopathic | Harrisburg | $34.80 | $9.62 – $49.50 |
| UPMC East | Monroeville | $156.00 | $9.61 – $208.00 |
| UPMC Hamot | Erie | $178.20 | $9.61 – $20.24 |
| UPMC Northwest | Seneca | $70.20 | $8.82 – $11.34 |
| UPMC Hanover | Hanover | $34.80 | $9.62 – $15.55 |
| UPMC Magee | Pittsburgh | $76.20 | $9.10 – $20.44 |