Hba1/hba2 gene dup/del vrnts at UPMC Lititz
1500 Highlands Drive, Lititz, PA · UPMC · · NPI 1285167916
$438.00
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.
$730.00
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.
$97.82 with Prime Net vs $878.75 with UPMC Health Plan — 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 | $97.82 | ↓ -78% |
| Keystone Health Plan | Medicare Advantage | $146.00 | ↓ -67% |
| Capital Blue Cross | Medicare Advantage | $146.00 | ↓ -67% |
| United Healthcare Community Plan for Families | PA Medicaid | $161.73 | ↓ -63% |
| Highmark BCBS of PA | Medicare | $200.38 | ↓ -54% |
| UPMC Work Partners | Workers Comp | $209.34 | ↓ -52% |
| Aetna | Medicare | $211.10 | ↓ -52% |
| Geisinger | Medicare | $212.52 | ↓ -51% |
| Cigna | Medicare | $212.52 | ↓ -51% |
| United Healthcare | Medicare | $216.57 | ↓ -51% |
| Prime Net | Legacy Commercial | $270.83 | ↓ -38% |
| Aetna | ACO | $273.02 | ↓ -38% |
| Prime Net | ACO | $273.02 | ↓ -38% |
| Prime Net | NonGateKeeper | $322.66 | ↓ -26% |
| Keystone Autism Services | ACAP | $323.84 | ↓ -26% |
| Aetna | Commercial | $324.85 | ↓ -26% |
| Prime Net | GateKeeper | $324.85 | ↓ -26% |
| Capital Blue Cross | Commercial | $342.44 | ↓ -22% |
| Capital Blue Cross | CHIP | $342.44 | ↓ -22% |
| Keystone Health Plan | Commercial | $342.44 | ↓ -22% |
| United Healthcare | Commercial | $386.35 | ↓ -12% |
| Preferred Healthcare System | Inter County Health Plan/Lancaster General Health/Musselman Lumber/Vallorbs Jewelry | $401.50 | ↓ -8% |
| Geisinger | Medicaid/CHIP | $401.50 | ↓ -8% |
| Geisinger | Commercial | $478.00 | ↑ +9% |
| UPMC Health Plan | Commercial | $511.00 | ↑ +17% |
| Cigna | Commercial | $526.24 | ↑ +20% |
| Prime Net | FH-Medical Rental | $528.52 | ↑ +21% |
| Preferred Healthcare System | PPO | $547.50 | ↑ +25% |
| Highmark BCBS of PA | Commercial - Children's Health Insurance | $598.33 | ↑ +37% |
| Multiplan | PPO (Includes PHCS and Humana as Payers) | $620.50 | ↑ +42% |
| Highmark BCBS of PA | Medicaid | $623.03 | ↑ +42% |
| Highmark BCBS of PA | Commercial | $636.63 | ↑ +45% |
| UPMC Health Plan | CHIP | $878.75 | ↑ +101% |
Visitor-reported prices
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Hba1/hba2 gene dup/del vrnts at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Carlisle | Carlisle | $438.00 | $100.01 – $620.50 |
| UPMC Community Osteopathic | Harrisburg | $438.00 | $146.00 – $878.75 |
| UPMC Hanover | Hanover | $438.00 | $161.73 – $878.75 |
| UPMC Memorial | York | $438.00 | $104.61 – $1,002.81 |
| UPMC Somerset | Somerset | $438.00 | $127.05 – $218.57 |
| Uniontown Hospital | Uniontown | $279.50 | $191.27 – $420.38 |
| WellSpan Gettysburg Hospital | Gettysburg | $434.40 | $101.20 – $835.91 |