_fragile x methylation-sendout at UPMC Lititz
1500 Highlands Drive, Lititz, PA · UPMC · · NPI 1285167916
$162.00
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.
$270.00
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.
$36.18 with Prime Net vs $229.50 with Multiplan — 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 | $36.18 | ↓ -78% |
| Highmark BCBS of PA | Medicare | $44.44 | ↓ -73% |
| UPMC Work Partners | Workers Comp | $46.43 | ↓ -71% |
| Aetna | Medicare | $46.82 | ↓ -71% |
| Geisinger | Medicare | $47.13 | ↓ -71% |
| Cigna | Medicare | $47.13 | ↓ -71% |
| United Healthcare | Medicare | $48.03 | ↓ -70% |
| Keystone Health Plan | Medicare Advantage | $54.00 | ↓ -67% |
| Capital Blue Cross | Medicare Advantage | $54.00 | ↓ -67% |
| United Healthcare | Commercial | $68.45 | ↓ -58% |
| Keystone Autism Services | ACAP | $71.82 | ↓ -56% |
| UPMC Health Plan | CHIP | $82.32 | ↓ -49% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $82.95 | ↓ -49% |
| Prime Net | Legacy Commercial | $100.17 | ↓ -38% |
| Prime Net | ACO | $100.98 | ↓ -38% |
| Aetna | ACO | $100.98 | ↓ -38% |
| Highmark Wholecare (prev Gateway) | Medicaid | $105.35 | ↓ -35% |
| UPMC Health Plan | Managed Medicaid | $107.83 | ↓ -33% |
| United Healthcare Community Plan for Families | PA Medicaid | $108.66 | ↓ -33% |
| Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $112.98 | ↓ -30% |
| Cigna | Commercial | $116.72 | ↓ -28% |
| Prime Net | NonGateKeeper | $119.34 | ↓ -26% |
| Prime Net | GateKeeper | $120.15 | ↓ -26% |
| Aetna | Commercial | $120.15 | ↓ -26% |
| Geisinger | Medicaid/CHIP | $120.82 | ↓ -25% |
| Capital Blue Cross | Commercial | $126.66 | ↓ -22% |
| Capital Blue Cross | CHIP | $126.66 | ↓ -22% |
| Keystone Health Plan | Commercial | $126.66 | ↓ -22% |
| Highmark BCBS of PA | Commercial - Children's Health Insurance | $132.70 | ↓ -18% |
| Highmark BCBS of PA | Medicaid | $138.18 | ↓ -15% |
| Highmark BCBS of PA | Commercial | $141.20 | ↓ -13% |
| Preferred Healthcare System | Inter County Health Plan/Lancaster General Health/Musselman Lumber/Vallorbs Jewelry | $148.50 | ↓ -8% |
| Geisinger | Commercial | $176.80 | ↑ +9% |
| UPMC Health Plan | Commercial | $189.00 | ↑ +17% |
| Prime Net | FH-Medical Rental | $195.48 | ↑ +21% |
| Preferred Healthcare System | PPO | $202.50 | ↑ +25% |
| Multiplan | PPO (Includes PHCS and Humana as Payers) | $229.50 | ↑ +42% |
Visitor-reported prices
Comments
_fragile x methylation-sendout at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $544.80 | $44.37 – $726.40 |
| UPMC Carlisle | Carlisle | $162.00 | $36.99 – $229.50 |
| UPMC Community Osteopathic | Harrisburg | $162.00 | $44.44 – $229.50 |
| UPMC Northwest | Seneca | $475.80 | $22.86 – $95.39 |
| UPMC Hanover | Hanover | $162.00 | $44.44 – $112.98 |
| UPMC Magee | Pittsburgh | $669.60 | $23.96 – $385.73 |
| UPMC Memorial | York | $162.00 | $46.43 – $222.41 |
| UPMC Presbyterian | Pittsburgh | $1,007.40 | $24.11 – $385.73 |