Fine needle asp without image guide 10021 at UPMC Lititz
1500 Highlands Drive, Lititz, PA · UPMC · · NPI 1285167916
$1,056.00
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.
$1,760.00
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.
$79.04 with Highmark Wholecare (prev Gateway) vs $9,539.00 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 |
|---|---|---|---|
| Highmark Wholecare (prev Gateway) | Medicaid | $79.04 | ↓ -93% |
| UPMC Health Plan | Managed Medicaid | $80.91 | ↓ -92% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $84.02 | ↓ -92% |
| Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $84.77 | ↓ -92% |
| Geisinger | Medicaid/CHIP | $90.66 | ↓ -91% |
| UPMC Work Partners | Workers Comp | $171.04 | ↓ -84% |
| UPMC Health Plan | CHIP | $207.65 | ↓ -80% |
| Prime Net | Managed Medicare | $235.84 | ↓ -78% |
| Capital Blue Cross | Medicare Advantage | $352.00 | ↓ -67% |
| Keystone Health Plan | Medicare Advantage | $352.00 | ↓ -67% |
| Highmark BCBS of PA | Medicare | $379.89 | ↓ -64% |
| Aetna | Medicare | $400.23 | ↓ -62% |
| Geisinger | Medicare | $402.92 | ↓ -62% |
| Cigna | Medicare | $402.92 | ↓ -62% |
| United Healthcare | Medicare | $410.59 | ↓ -61% |
| Keystone Autism Services | ACAP | $613.97 | ↓ -42% |
| Prime Net | Legacy Commercial | $652.96 | ↓ -38% |
| Aetna | ACO | $658.24 | ↓ -38% |
| Prime Net | ACO | $658.24 | ↓ -38% |
| Prime Net | NonGateKeeper | $777.92 | ↓ -26% |
| Aetna | Commercial | $783.20 | ↓ -26% |
| Prime Net | GateKeeper | $783.20 | ↓ -26% |
| Keystone Health Plan | Commercial | $825.62 | ↓ -22% |
| Capital Blue Cross | CHIP | $825.62 | ↓ -22% |
| Capital Blue Cross | Commercial | $825.62 | ↓ -22% |
| Preferred Healthcare System | Inter County Health Plan/Lancaster General Health/Musselman Lumber/Vallorbs Jewelry | $968.00 | ↓ -8% |
| United Healthcare Community Plan for Families | PA Medicaid | $1,016.56 | ↓ -4% |
| Highmark BCBS of PA | Commercial - Children's Health Insurance | $1,134.38 | ↑ +7% |
| Geisinger | Commercial | $1,152.45 | ↑ +9% |
| Highmark BCBS of PA | Medicaid | $1,181.20 | ↑ +12% |
| Highmark BCBS of PA | Commercial | $1,206.98 | ↑ +14% |
| UPMC Health Plan | Commercial | $1,232.00 | ↑ +17% |
| Prime Net | FH-Medical Rental | $1,274.24 | ↑ +21% |
| Preferred Healthcare System | PPO | $1,320.00 | ↑ +25% |
| Multiplan | PPO (Includes PHCS and Humana as Payers) | $1,496.00 | ↑ +42% |
| Cigna | Commercial | $9,539.00 | ↑ +803% |
| United Healthcare | Commercial | not published by hospital | — |
| Tricare | East Region | not published by hospital | — |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
Visitor-reported prices
Comments
Fine needle asp without image guide 10021 at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $501.00 | $62.24 – $668.00 |
| UPMC Bedford | Everett | $1,452.60 | $65.35 – $2,178.90 |
| UPMC Carlisle | Carlisle | $1,056.00 | $79.04 – $1,496.00 |
| UPMC Cole | Coudersport | $144.60 | $30.21 – $2,325.85 |
| UPMC Community Osteopathic | Harrisburg | $1,056.00 | $78.00 – $1,016.56 |
| UPMC East | Monroeville | $978.60 | $68.46 – $1,304.80 |
| UPMC Hamot | Erie | $1,086.00 | $68.46 – $554.00 |
| UPMC Northwest | Seneca | $478.80 | $68.46 – $399.94 |