Full thick gft w/close donor fccmnaghf <=20sqcm 15240 at UPMC Lititz
1500 Highlands Drive, Lititz, PA · UPMC · · NPI 1285167916
not published by hospital
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.
not published by hospital
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.
$1,416.11 with United Healthcare Community Plan for Families vs $6,413.00 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 |
|---|---|---|---|
| United Healthcare Community Plan for Families | PA Medicaid | $1,416.11 | — |
| UPMC Work Partners | Workers Comp | $1,661.95 | — |
| Highmark BCBS of PA | Medicare | $1,739.33 | — |
| Aetna | Medicare | $1,832.45 | — |
| Cigna | Medicare | $1,844.74 | — |
| Geisinger | Medicare | $1,844.74 | — |
| United Healthcare | Medicare | $1,879.88 | — |
| UPMC Health Plan | CHIP | $2,653.56 | — |
| Keystone Autism Services | ACAP | $2,811.04 | — |
| Highmark BCBS of PA | Commercial - Children's Health Insurance | $5,193.75 | — |
| Highmark BCBS of PA | Medicaid | $5,408.09 | — |
| Highmark BCBS of PA | Commercial | $5,526.15 | — |
| Cigna | Commercial | $6,413.00 | — |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
| Tricare | East Region | not published by hospital | — |
| United Healthcare | Commercial | not published by hospital | — |
Visitor-reported prices
Comments
Full thick gft w/close donor fccmnaghf <=20sqcm 15240 at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Carlisle | Carlisle | $5,833.80 | $962.43 – $8,264.55 |
| UPMC Cole | Coudersport | $1,327.20 | $613.17 – $1,769.60 |
| UPMC Mercy | Pittsburgh | $4,035.60 | $681.00 – $1,918.35 |
| UPMC Presbyterian | Pittsburgh | $6,063.00 | $844.93 – $1,918.35 |
| UPMC St. Margaret | Pittsburgh | $3,955.80 | $844.93 – $1,631.34 |
| Uniontown Hospital | Uniontown | $2,371.50 | $205.80 – $4,153.69 |
| UPMC Hamot | Erie | not published | $836.96 – $2,536.45 |
| UPMC Memorial | York | not published | $682.16 – $2,806.48 |