Ghs inj neurolytic other perph nerve at UPMC Lititz
1500 Highlands Drive, Lititz, PA · UPMC · · NPI 1285167916
$1,231.20
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.
$2,052.00
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.
$93.34 with Highmark Wholecare (prev Gateway) vs $3,397.00 with Cigna — 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 |
|---|---|---|---|
| Highmark Wholecare (prev Gateway) | Medicaid | $93.34 | ↓ -92% |
| UPMC Health Plan | Managed Medicaid | $95.55 | ↓ -92% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $99.22 | ↓ -92% |
| Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $100.11 | ↓ -92% |
| Geisinger | Medicaid/CHIP | $107.06 | ↓ -91% |
| UPMC Work Partners | Workers Comp | $264.86 | ↓ -78% |
| Prime Net | Managed Medicare | $274.97 | ↓ -78% |
| Keystone Health Plan | Medicare Advantage | $410.40 | ↓ -67% |
| Capital Blue Cross | Medicare Advantage | $410.40 | ↓ -67% |
| UPMC Health Plan | CHIP | $635.60 | ↓ -48% |
| Prime Net | Legacy Commercial | $761.29 | ↓ -38% |
| Aetna | ACO | $767.45 | ↓ -38% |
| Prime Net | ACO | $767.45 | ↓ -38% |
| Highmark BCBS of PA | Medicare | $846.54 | ↓ -31% |
| Aetna | Medicare | $891.86 | ↓ -28% |
| Geisinger | Medicare | $897.84 | ↓ -27% |
| Cigna | Medicare | $897.84 | ↓ -27% |
| Prime Net | NonGateKeeper | $906.98 | ↓ -26% |
| Aetna | Commercial | $913.14 | ↓ -26% |
| Prime Net | GateKeeper | $913.14 | ↓ -26% |
| United Healthcare | Medicare | $914.95 | ↓ -26% |
| Capital Blue Cross | CHIP | $962.59 | ↓ -22% |
| Capital Blue Cross | Commercial | $962.59 | ↓ -22% |
| Keystone Health Plan | Commercial | $962.59 | ↓ -22% |
| United Healthcare Community Plan for Families | PA Medicaid | $1,016.56 | ↓ -17% |
| Preferred Healthcare System | Inter County Health Plan/Lancaster General Health/Musselman Lumber/Vallorbs Jewelry | $1,128.60 | ↓ -8% |
| Geisinger | Commercial | $1,343.65 | ↑ +9% |
| Keystone Autism Services | ACAP | $1,368.14 | ↑ +11% |
| UPMC Health Plan | Commercial | $1,436.40 | ↑ +17% |
| Prime Net | FH-Medical Rental | $1,485.65 | ↑ +21% |
| Preferred Healthcare System | PPO | $1,539.00 | ↑ +25% |
| Multiplan | PPO (Includes PHCS and Humana as Payers) | $1,744.20 | ↑ +42% |
| Highmark BCBS of PA | Commercial - Children's Health Insurance | $2,527.82 | ↑ +105% |
| Highmark BCBS of PA | Medicaid | $2,632.14 | ↑ +114% |
| Highmark BCBS of PA | Commercial | $2,689.60 | ↑ +118% |
| Cigna | Commercial | $3,397.00 | ↑ +176% |
| 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 inj neurolytic other perph nerve at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Carlisle | Carlisle | $1,231.20 | $93.34 – $1,744.20 |
| UPMC Cole | Coudersport | $381.60 | $54.61 – $771.51 |
| UPMC Community Osteopathic | Harrisburg | $1,231.20 | $99.22 – $1,744.20 |
| UPMC East | Monroeville | $1,056.00 | $80.85 – $1,408.00 |
| UPMC Hamot | Erie | $1,122.60 | $80.85 – $1,234.49 |
| UPMC Northwest | Seneca | $1,343.40 | $80.85 – $891.22 |
| UPMC Hanover | Hanover | $1,231.20 | $93.34 – $1,360.78 |
| UPMC Horizon-Greenville | Greenville | $963.00 | $80.85 – $916.68 |