Ghs osteopathic manipulative tx, 1-2 regions at UPMC Lititz
1500 Highlands Drive, Lititz, PA · UPMC · · NPI 1285167916
$97.80
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.
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What you pay up front if you don't use insurance.
$163.00
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.
$21.84 with Prime Net vs $138.55 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 | $21.84 | ↓ -78% |
| Highmark BCBS of PA | Medicare | $24.06 | ↓ -75% |
| Aetna | Medicare | $25.34 | ↓ -74% |
| Cigna | Medicare | $25.52 | ↓ -74% |
| Geisinger | Medicare | $25.52 | ↓ -74% |
| United Healthcare | Medicare | $26.00 | ↓ -73% |
| United Healthcare Community Plan for Families | PA Medicaid | $26.15 | ↓ -73% |
| Capital Blue Cross | Medicare Advantage | $32.60 | ↓ -67% |
| Keystone Health Plan | Medicare Advantage | $32.60 | ↓ -67% |
| Keystone Autism Services | ACAP | $38.88 | ↓ -60% |
| UPMC Work Partners | Workers Comp | $51.22 | ↓ -48% |
| Prime Net | Legacy Commercial | $60.47 | ↓ -38% |
| Aetna | ACO | $60.96 | ↓ -38% |
| Prime Net | ACO | $60.96 | ↓ -38% |
| Highmark BCBS of PA | Commercial - Children's Health Insurance | $71.84 | ↓ -27% |
| Prime Net | NonGateKeeper | $72.05 | ↓ -26% |
| Prime Net | GateKeeper | $72.53 | ↓ -26% |
| Aetna | Commercial | $72.53 | ↓ -26% |
| Highmark BCBS of PA | Medicaid | $74.80 | ↓ -24% |
| Highmark BCBS of PA | Commercial | $76.43 | ↓ -22% |
| Capital Blue Cross | Commercial | $76.46 | ↓ -22% |
| Keystone Health Plan | Commercial | $76.46 | ↓ -22% |
| Capital Blue Cross | CHIP | $76.46 | ↓ -22% |
| UPMC Health Plan | CHIP | $80.98 | ↓ -17% |
| Preferred Healthcare System | Inter County Health Plan/Lancaster General Health/Musselman Lumber/Vallorbs Jewelry | $89.65 | ↓ -8% |
| Geisinger | Medicaid/CHIP | $89.65 | ↓ -8% |
| Geisinger | Commercial | $106.73 | ↑ +9% |
| UPMC Health Plan | Commercial | $114.10 | ↑ +17% |
| Prime Net | FH-Medical Rental | $118.01 | ↑ +21% |
| Preferred Healthcare System | PPO | $122.25 | ↑ +25% |
| Cigna | Commercial | $127.14 | ↑ +30% |
| Multiplan | PPO (Includes PHCS and Humana as Payers) | $138.55 | ↑ +42% |
| United Healthcare | Commercial | not published by hospital | — |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
| Tricare | East Region | not published by hospital | — |
Visitor-reported prices
Comments
Ghs osteopathic manipulative tx, 1-2 regions at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $27.60 | $23.00 – $48.94 |
| UPMC Carlisle | Carlisle | $97.80 | $13.31 – $138.55 |
| UPMC Community Osteopathic | Harrisburg | $97.80 | $24.64 – $138.55 |
| UPMC Hanover | Hanover | $97.80 | $23.93 – $80.98 |
| UPMC Magee | Pittsburgh | $187.20 | $22.57 – $58.70 |
| UPMC Memorial | York | $97.80 | $19.30 – $80.98 |
| UPMC Muncy | Muncy | $39.60 | $25.55 – $62.80 |
| UPMC Passavant-McCandless | Pittsburgh | $159.60 | $22.41 – $68.26 |