Ghs clsd red med malleolus fx w manip at UPMC Lititz
1500 Highlands Drive, Lititz, PA · UPMC · · NPI 1285167916
$2,266.80
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.
?
What you pay up front if you don't use insurance.
$3,778.00
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.
?
The hospital's undiscounted list price — almost no one pays this.
$506.25 with Prime Net vs $4,834.89 with Highmark BCBS of PA — same scan, same building. Share
Negotiated rates by payer
?
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 →
?
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 | $506.25 | ↓ -78% |
| Keystone Health Plan | Medicare Advantage | $755.60 | ↓ -67% |
| Capital Blue Cross | Medicare Advantage | $755.60 | ↓ -67% |
| UPMC Work Partners | Workers Comp | $819.25 | ↓ -64% |
| United Healthcare Community Plan for Families | PA Medicaid | $1,016.56 | ↓ -55% |
| Prime Net | Legacy Commercial | $1,401.64 | ↓ -38% |
| Aetna | ACO | $1,412.97 | ↓ -38% |
| Prime Net | ACO | $1,412.97 | ↓ -38% |
| Highmark BCBS of PA | Medicare | $1,521.76 | ↓ -33% |
| Aetna | Medicare | $1,603.23 | ↓ -29% |
| Geisinger | Medicare | $1,613.99 | ↓ -29% |
| Cigna | Medicare | $1,613.99 | ↓ -29% |
| United Healthcare | Medicare | $1,644.73 | ↓ -27% |
| Prime Net | NonGateKeeper | $1,669.88 | ↓ -26% |
| Prime Net | GateKeeper | $1,681.21 | ↓ -26% |
| Aetna | Commercial | $1,681.21 | ↓ -26% |
| UPMC Health Plan | CHIP | $1,715.17 | ↓ -24% |
| Capital Blue Cross | Commercial | $1,772.26 | ↓ -22% |
| Keystone Health Plan | Commercial | $1,772.26 | ↓ -22% |
| Capital Blue Cross | CHIP | $1,772.26 | ↓ -22% |
| Geisinger | Medicaid/CHIP | $2,077.90 | ↓ -8% |
| Preferred Healthcare System | Inter County Health Plan/Lancaster General Health/Musselman Lumber/Vallorbs Jewelry | $2,077.90 | ↓ -8% |
| Keystone Autism Services | ACAP | $2,459.41 | ↑ +8% |
| Geisinger | Commercial | $2,473.83 | ↑ +9% |
| UPMC Health Plan | Commercial | $2,644.60 | ↑ +17% |
| Prime Net | FH-Medical Rental | $2,735.27 | ↑ +21% |
| Preferred Healthcare System | PPO | $2,833.50 | ↑ +25% |
| Cigna | Commercial | $2,946.84 | ↑ +30% |
| Multiplan | PPO (Includes PHCS and Humana as Payers) | $3,211.30 | ↑ +42% |
| Highmark BCBS of PA | Commercial - Children's Health Insurance | $4,544.06 | ↑ +100% |
| Highmark BCBS of PA | Medicaid | $4,731.59 | ↑ +109% |
| Highmark BCBS of PA | Commercial | $4,834.89 | ↑ +113% |
| 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
Ghs clsd red med malleolus fx w manip at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $2,275.20 | $545.04 – $3,033.60 |
| UPMC Bedford | Everett | $3,384.60 | $550.51 – $5,076.90 |
| UPMC Carlisle | Carlisle | $2,266.80 | $517.59 – $3,211.30 |
| UPMC Cole | Coudersport | $1,494.60 | $346.50 – $1,000.00 |
| UPMC Community Osteopathic | Harrisburg | $2,266.80 | $755.60 – $3,211.30 |
| UPMC East | Monroeville | $2,767.80 | $550.23 – $3,690.40 |
| UPMC Hamot | Erie | $2,313.60 | $545.04 – $2,219.16 |
| UPMC Northwest | Seneca | $3,396.00 | $792.00 – $1,647.86 |