Ghs repair tendon ext forearm/wrist ea at UPMC Lititz
1500 Highlands Drive, Lititz, PA · UPMC · · NPI 1285167916
$4,150.20
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.
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What you pay up front if you don't use insurance.
$6,917.00
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.
$926.88 with Prime Net vs $9,802.07 with Highmark BCBS of PA — 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 | $926.88 | ↓ -78% |
| United Healthcare Community Plan for Families | PA Medicaid | $1,016.56 | ↓ -76% |
| UPMC Work Partners | Workers Comp | $1,306.84 | ↓ -69% |
| Capital Blue Cross | Medicare Advantage | $1,383.40 | ↓ -67% |
| Keystone Health Plan | Medicare Advantage | $1,383.40 | ↓ -67% |
| Prime Net | Legacy Commercial | $2,566.21 | ↓ -38% |
| Prime Net | ACO | $2,586.96 | ↓ -38% |
| Aetna | ACO | $2,586.96 | ↓ -38% |
| Prime Net | NonGateKeeper | $3,057.31 | ↓ -26% |
| Aetna | Commercial | $3,078.07 | ↓ -26% |
| Prime Net | GateKeeper | $3,078.07 | ↓ -26% |
| Highmark BCBS of PA | Medicare | $3,085.16 | ↓ -26% |
| Capital Blue Cross | Commercial | $3,244.76 | ↓ -22% |
| Keystone Health Plan | Commercial | $3,244.76 | ↓ -22% |
| Capital Blue Cross | CHIP | $3,244.76 | ↓ -22% |
| Aetna | Medicare | $3,250.32 | ↓ -22% |
| UPMC Health Plan | CHIP | $3,251.08 | ↓ -22% |
| Geisinger | Medicare | $3,272.14 | ↓ -21% |
| Cigna | Medicare | $3,272.14 | ↓ -21% |
| United Healthcare | Medicare | $3,334.46 | ↓ -20% |
| Geisinger | Medicaid/CHIP | $3,804.35 | ↓ -8% |
| Preferred Healthcare System | Inter County Health Plan/Lancaster General Health/Musselman Lumber/Vallorbs Jewelry | $3,804.35 | ↓ -8% |
| Geisinger | Commercial | $4,529.25 | ↑ +9% |
| UPMC Health Plan | Commercial | $4,841.90 | ↑ +17% |
| Keystone Autism Services | ACAP | $4,986.11 | ↑ +20% |
| Prime Net | FH-Medical Rental | $5,007.91 | ↑ +21% |
| Preferred Healthcare System | PPO | $5,187.75 | ↑ +25% |
| Cigna | Commercial | $5,395.26 | ↑ +30% |
| Multiplan | PPO (Includes PHCS and Humana as Payers) | $5,879.45 | ↑ +42% |
| Highmark BCBS of PA | Commercial - Children's Health Insurance | $9,212.47 | ↑ +122% |
| Highmark BCBS of PA | Medicaid | $9,592.66 | ↑ +131% |
| Highmark BCBS of PA | Commercial | $9,802.07 | ↑ +136% |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
| United Healthcare | Commercial | not published by hospital | — |
| Tricare | East Region | not published by hospital | — |
Visitor-reported prices
Comments
Ghs repair tendon ext forearm/wrist ea at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Carlisle | Carlisle | $4,150.20 | $947.63 – $5,879.45 |
| UPMC Cole | Coudersport | $943.80 | $436.04 – $1,470.59 |
| UPMC Community Osteopathic | Harrisburg | $4,150.20 | $1,016.56 – $5,879.45 |
| UPMC Hamot | Erie | $5,743.20 | $935.47 – $4,499.05 |
| UPMC Hanover | Hanover | $4,150.20 | $1,016.56 – $4,959.33 |
| UPMC Memorial | York | $4,150.20 | $840.28 – $4,978.02 |
| UPMC Mercy | Pittsburgh | $8,044.80 | $840.00 – $3,402.68 |
| UPMC Somerset | Somerset | $4,150.20 | $892.40 – $3,340.51 |