Guid loc target vol rad tx at UPMC Lititz
1500 Highlands Drive, Lititz, PA · UPMC · · NPI 1285167916
$300.60
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.
$501.00
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.
$67.13 with Prime Net vs $26,132.00 with United Healthcare — 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 | $67.13 | ↓ -78% |
| United Healthcare Community Plan for Families | PA Medicaid | $83.59 | ↓ -72% |
| Keystone Health Plan | Medicare Advantage | $100.20 | ↓ -67% |
| Capital Blue Cross | Medicare Advantage | $100.20 | ↓ -67% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $101.02 | ↓ -66% |
| Highmark Wholecare (prev Gateway) | Medicaid | $101.02 | ↓ -66% |
| UPMC Health Plan | Managed Medicaid | $103.40 | ↓ -66% |
| Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $108.33 | ↓ -64% |
| Aetna | Medicare | $109.33 | ↓ -64% |
| Geisinger | Medicaid/CHIP | $115.86 | ↓ -61% |
| Prime Net | Legacy Commercial | $185.87 | ↓ -38% |
| Aetna | ACO | $187.37 | ↓ -38% |
| Prime Net | ACO | $187.37 | ↓ -38% |
| Prime Net | NonGateKeeper | $221.44 | ↓ -26% |
| Aetna | Commercial | $222.94 | ↓ -26% |
| Prime Net | GateKeeper | $222.94 | ↓ -26% |
| Capital Blue Cross | Commercial | $235.02 | ↓ -22% |
| Keystone Health Plan | Commercial | $235.02 | ↓ -22% |
| Capital Blue Cross | CHIP | $235.02 | ↓ -22% |
| Preferred Healthcare System | Inter County Health Plan/Lancaster General Health/Musselman Lumber/Vallorbs Jewelry | $275.55 | ↓ -8% |
| Geisinger | Commercial | $328.05 | ↑ +9% |
| UPMC Health Plan | Commercial | $350.70 | ↑ +17% |
| Cigna | Commercial | $360.47 | ↑ +20% |
| Prime Net | FH-Medical Rental | $362.72 | ↑ +21% |
| Preferred Healthcare System | PPO | $375.75 | ↑ +25% |
| Multiplan | PPO (Includes PHCS and Humana as Payers) | $425.85 | ↑ +42% |
| UPMC Health Plan | CHIP | $1,151.81 | ↑ +283% |
| United Healthcare | Commercial | $26,132.00 | ↑ +8593% |
| UPMC Work Partners | Workers Comp | not published by hospital | — |
Visitor-reported prices
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Guid loc target vol rad tx at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $1,093.80 | $15.89 – $1,458.40 |
| UPMC Carlisle | Carlisle | $300.60 | $68.64 – $26,132.00 |
| UPMC Community Osteopathic | Harrisburg | $300.60 | $69.87 – $1,151.81 |
| UPMC East | Monroeville | $951.00 | $16.04 – $1,268.00 |
| UPMC Northwest | Seneca | $1,214.40 | $41.25 – $135.55 |
| UPMC Horizon-Greenville | Greenville | $888.00 | $30.92 – $135.55 |
| UPMC Magee | Pittsburgh | $1,593.00 | $16.04 – $135.55 |
| UPMC McKeesport | Mckeesport | $927.00 | $16.04 – $135.55 |