Hemodialysis one evaluation at UPMC Lititz
1500 Highlands Drive, Lititz, PA · UPMC · · NPI 1285167916
$1,081.80
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.
$1,803.00
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.
$216.15 with United Healthcare Community Plan for Families vs $2,113.87 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 |
|---|---|---|---|
| United Healthcare Community Plan for Families | PA Medicaid | $216.15 | ↓ -80% |
| Prime Net | Managed Medicare | $241.60 | ↓ -78% |
| UPMC Work Partners | Workers Comp | $285.14 | ↓ -74% |
| Capital Blue Cross | Medicare Advantage | $360.60 | ↓ -67% |
| Keystone Health Plan | Medicare Advantage | $360.60 | ↓ -67% |
| Highmark BCBS of PA | Medicare | $665.33 | ↓ -38% |
| Prime Net | Legacy Commercial | $668.91 | ↓ -38% |
| Aetna | ACO | $674.32 | ↓ -38% |
| Prime Net | ACO | $674.32 | ↓ -38% |
| Aetna | Medicare | $700.95 | ↓ -35% |
| Cigna | Medicare | $705.65 | ↓ -35% |
| Geisinger | Medicare | $705.65 | ↓ -35% |
| United Healthcare | Medicare | $719.09 | ↓ -34% |
| Prime Net | NonGateKeeper | $796.93 | ↓ -26% |
| Aetna | Commercial | $802.34 | ↓ -26% |
| Prime Net | GateKeeper | $802.34 | ↓ -26% |
| Capital Blue Cross | Commercial | $845.79 | ↓ -22% |
| Keystone Health Plan | Commercial | $845.79 | ↓ -22% |
| Capital Blue Cross | CHIP | $845.79 | ↓ -22% |
| Preferred Healthcare System | Inter County Health Plan/Lancaster General Health/Musselman Lumber/Vallorbs Jewelry | $991.65 | ↓ -8% |
| Geisinger | Medicaid/CHIP | $991.65 | ↓ -8% |
| Keystone Autism Services | ACAP | $1,075.28 | ↓ -1% |
| UPMC Health Plan | CHIP | $1,145.76 | ↑ +6% |
| Geisinger | Commercial | $1,180.60 | ↑ +9% |
| UPMC Health Plan | Commercial | $1,262.10 | ↑ +17% |
| Prime Net | FH-Medical Rental | $1,305.37 | ↑ +21% |
| United Healthcare | Commercial | $1,327.01 | ↑ +23% |
| Preferred Healthcare System | PPO | $1,352.25 | ↑ +25% |
| Cigna | Commercial | $1,406.34 | ↑ +30% |
| Multiplan | PPO (Includes PHCS and Humana as Payers) | $1,532.55 | ↑ +42% |
| Highmark BCBS of PA | Commercial - Children's Health Insurance | $1,986.71 | ↑ +84% |
| Highmark BCBS of PA | Medicaid | $2,068.70 | ↑ +91% |
| Highmark BCBS of PA | Commercial | $2,113.87 | ↑ +95% |
| Tricare | East Region | not published by hospital | — |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
Visitor-reported prices
Comments
Hemodialysis one evaluation at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $1,635.00 | $272.47 – $2,180.00 |
| UPMC Bedford | Everett | $817.20 | $240.69 – $1,225.80 |
| UPMC Carlisle | Carlisle | $1,081.80 | $216.15 – $1,532.55 |
| UPMC Community Osteopathic | Harrisburg | $1,081.80 | $216.15 – $1,532.55 |
| UPMC East | Monroeville | $1,261.20 | $286.45 – $770.40 |
| UPMC Hamot | Erie | $6,177.60 | $152.56 – $831.51 |
| UPMC Northwest | Seneca | $1,223.40 | $279.71 – $720.47 |
| UPMC Hanover | Hanover | $1,081.80 | $216.15 – $1,145.76 |