Hiv-1 dna dir probe at UPMC Lititz
1500 Highlands Drive, Lititz, PA · UPMC · · NPI 1285167916
$121.20
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.
$202.00
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.
$17.51 with United Healthcare Community Plan for Families vs $171.70 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 |
|---|---|---|---|
| United Healthcare Community Plan for Families | PA Medicaid | $17.51 | ↓ -86% |
| Highmark BCBS of PA | Medicare | $21.70 | ↓ -82% |
| UPMC Work Partners | Workers Comp | $22.67 | ↓ -81% |
| Aetna | Medicare | $22.86 | ↓ -81% |
| Cigna | Medicare | $23.02 | ↓ -81% |
| Geisinger | Medicare | $23.02 | ↓ -81% |
| United Healthcare | Medicare | $23.45 | ↓ -81% |
| Prime Net | Managed Medicare | $27.07 | ↓ -78% |
| Keystone Autism Services | ACAP | $35.07 | ↓ -71% |
| Keystone Health Plan | Medicare Advantage | $40.40 | ↓ -67% |
| Capital Blue Cross | Medicare Advantage | $40.40 | ↓ -67% |
| Cigna | Commercial | $57.00 | ↓ -53% |
| United Healthcare | Commercial | $61.86 | ↓ -49% |
| Highmark BCBS of PA | Commercial - Children's Health Insurance | $64.80 | ↓ -47% |
| Highmark BCBS of PA | Medicaid | $67.47 | ↓ -44% |
| Highmark BCBS of PA | Commercial | $68.95 | ↓ -43% |
| Prime Net | Legacy Commercial | $74.94 | ↓ -38% |
| Prime Net | ACO | $75.55 | ↓ -38% |
| Aetna | ACO | $75.55 | ↓ -38% |
| Prime Net | NonGateKeeper | $89.28 | ↓ -26% |
| Prime Net | GateKeeper | $89.89 | ↓ -26% |
| Aetna | Commercial | $89.89 | ↓ -26% |
| Keystone Health Plan | Commercial | $94.76 | ↓ -22% |
| Capital Blue Cross | Commercial | $94.76 | ↓ -22% |
| Capital Blue Cross | CHIP | $94.76 | ↓ -22% |
| Preferred Healthcare System | Inter County Health Plan/Lancaster General Health/Musselman Lumber/Vallorbs Jewelry | $111.10 | ↓ -8% |
| Geisinger | Medicaid/CHIP | $111.10 | ↓ -8% |
| Geisinger | Commercial | $132.27 | ↑ +9% |
| UPMC Health Plan | Commercial | $141.40 | ↑ +17% |
| Prime Net | FH-Medical Rental | $146.25 | ↑ +21% |
| Preferred Healthcare System | PPO | $151.50 | ↑ +25% |
| UPMC Health Plan | CHIP | $154.67 | ↑ +28% |
| Multiplan | PPO (Includes PHCS and Humana as Payers) | $171.70 | ↑ +42% |
Visitor-reported prices
Comments
Hiv-1 dna dir probe at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Carlisle | Carlisle | $121.20 | $12.06 – $171.70 |
| UPMC Community Osteopathic | Harrisburg | $121.20 | $17.51 – $158.10 |
| UPMC Hanover | Hanover | $121.20 | $17.51 – $154.67 |
| UPMC Memorial | York | $121.20 | $17.51 – $154.67 |
| UPMC Somerset | Somerset | $121.20 | $15.38 – $23.67 |