Hla i typing complete hr at UPMC Lititz
1500 Highlands Drive, Lititz, PA · UPMC · · NPI 1285167916
$727.20
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.
$1,212.00
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.
$162.41 with Prime Net vs $1,054.90 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 | $162.41 | ↓ -78% |
| Keystone Health Plan | Medicare Advantage | $242.40 | ↓ -67% |
| Capital Blue Cross | Medicare Advantage | $242.40 | ↓ -67% |
| Highmark BCBS of PA | Medicare | $332.03 | ↓ -54% |
| UPMC Work Partners | Workers Comp | $346.88 | ↓ -52% |
| Aetna | Medicare | $349.80 | ↓ -52% |
| Geisinger | Medicare | $352.15 | ↓ -52% |
| Cigna | Medicare | $352.15 | ↓ -52% |
| United Healthcare | Medicare | $358.86 | ↓ -51% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $366.03 | ↓ -50% |
| Prime Net | Legacy Commercial | $449.65 | ↓ -38% |
| Aetna | ACO | $453.29 | ↓ -38% |
| Prime Net | ACO | $453.29 | ↓ -38% |
| Highmark Wholecare (prev Gateway) | Medicaid | $464.86 | ↓ -36% |
| UPMC Health Plan | Managed Medicaid | $475.84 | ↓ -35% |
| United Healthcare Community Plan for Families | PA Medicaid | $479.50 | ↓ -34% |
| Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $498.53 | ↓ -31% |
| United Healthcare | Commercial | $511.96 | ↓ -30% |
| Geisinger | Medicaid/CHIP | $533.16 | ↓ -27% |
| Prime Net | NonGateKeeper | $535.70 | ↓ -26% |
| Keystone Autism Services | ACAP | $536.61 | ↓ -26% |
| Aetna | Commercial | $539.34 | ↓ -26% |
| Prime Net | GateKeeper | $539.34 | ↓ -26% |
| Capital Blue Cross | CHIP | $568.55 | ↓ -22% |
| Keystone Health Plan | Commercial | $568.55 | ↓ -22% |
| Capital Blue Cross | Commercial | $568.55 | ↓ -22% |
| Preferred Healthcare System | Inter County Health Plan/Lancaster General Health/Musselman Lumber/Vallorbs Jewelry | $666.60 | ↓ -8% |
| Geisinger | Commercial | $793.62 | ↑ +9% |
| UPMC Health Plan | Commercial | $848.40 | ↑ +17% |
| UPMC Health Plan | CHIP | $848.40 | ↑ +17% |
| Cigna | Commercial | $872.00 | ↑ +20% |
| Prime Net | FH-Medical Rental | $877.49 | ↑ +21% |
| Preferred Healthcare System | PPO | $909.00 | ↑ +25% |
| Highmark BCBS of PA | Commercial - Children's Health Insurance | $991.45 | ↑ +36% |
| Multiplan | PPO (Includes PHCS and Humana as Payers) | $1,030.20 | ↑ +42% |
| Highmark BCBS of PA | Medicaid | $1,032.37 | ↑ +42% |
| Highmark BCBS of PA | Commercial | $1,054.90 | ↑ +45% |
Visitor-reported prices
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Hla i typing complete hr at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $1,897.20 | $331.46 – $2,529.60 |
| UPMC Carlisle | Carlisle | $727.20 | $166.04 – $1,030.20 |
| UPMC Community Osteopathic | Harrisburg | $727.20 | $242.40 – $1,030.20 |
| UPMC Hanover | Hanover | $727.20 | $332.03 – $536.61 |
| UPMC Magee | Pittsburgh | $2,479.80 | $313.88 – $623.79 |
| UPMC Memorial | York | $727.20 | $311.42 – $2,266.93 |
| UPMC Presbyterian | Pittsburgh | $2,479.80 | $331.46 – $569.80 |
| UPMC Somerset | Somerset | $727.20 | $331.46 – $508.75 |