Home sleep test/type 3 porta at UPMC Lititz
1500 Highlands Drive, Lititz, PA · UPMC · · NPI 1285167916
$984.00
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.
$1,640.00
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.
$116.21 with United Healthcare Community Plan for Families vs $3,620.00 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 |
|---|---|---|---|
| United Healthcare Community Plan for Families | PA Medicaid | $116.21 | ↓ -88% |
| Highmark BCBS of PA | Medicare | $148.77 | ↓ -85% |
| Aetna | Medicare | $156.73 | ↓ -84% |
| Cigna | Medicare | $157.78 | ↓ -84% |
| Geisinger | Medicare | $157.78 | ↓ -84% |
| United Healthcare | Medicare | $160.79 | ↓ -84% |
| Prime Net | Managed Medicare | $219.76 | ↓ -78% |
| Keystone Autism Services | ACAP | $240.43 | ↓ -76% |
| Keystone Health Plan | Medicare Advantage | $328.00 | ↓ -67% |
| Capital Blue Cross | Medicare Advantage | $328.00 | ↓ -67% |
| Highmark BCBS of PA | Commercial - Children's Health Insurance | $444.23 | ↓ -55% |
| Highmark BCBS of PA | Medicaid | $462.56 | ↓ -53% |
| Highmark BCBS of PA | Commercial | $472.66 | ↓ -52% |
| Prime Net | Legacy Commercial | $608.44 | ↓ -38% |
| Aetna | ACO | $613.36 | ↓ -38% |
| Prime Net | ACO | $613.36 | ↓ -38% |
| Prime Net | NonGateKeeper | $724.88 | ↓ -26% |
| Prime Net | GateKeeper | $729.80 | ↓ -26% |
| Aetna | Commercial | $729.80 | ↓ -26% |
| Keystone Health Plan | Commercial | $769.32 | ↓ -22% |
| Capital Blue Cross | Commercial | $769.32 | ↓ -22% |
| Capital Blue Cross | CHIP | $769.32 | ↓ -22% |
| UPMC Health Plan | CHIP | $825.05 | ↓ -16% |
| Geisinger | Medicaid/CHIP | $902.00 | ↓ -8% |
| Preferred Healthcare System | Inter County Health Plan/Lancaster General Health/Musselman Lumber/Vallorbs Jewelry | $902.00 | ↓ -8% |
| Geisinger | Commercial | $1,073.87 | ↑ +9% |
| UPMC Health Plan | Commercial | $1,148.00 | ↑ +17% |
| Prime Net | FH-Medical Rental | $1,187.36 | ↑ +21% |
| Preferred Healthcare System | PPO | $1,230.00 | ↑ +25% |
| Cigna | Commercial | $1,279.20 | ↑ +30% |
| Multiplan | PPO (Includes PHCS and Humana as Payers) | $1,394.00 | ↑ +42% |
| United Healthcare | Commercial | $3,620.00 | ↑ +268% |
| Tricare | East Region | not published by hospital | — |
| UPMC Work Partners | Workers Comp | not published by hospital | — |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
Visitor-reported prices
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Home sleep test/type 3 porta at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $1,649.40 | $152.12 – $2,199.20 |
| UPMC Bedford | Everett | $1,543.20 | $53.82 – $2,314.80 |
| UPMC Carlisle | Carlisle | $984.00 | $82.32 – $1,394.00 |
| UPMC East | Monroeville | $1,350.60 | $149.57 – $1,800.80 |
| UPMC Hamot | Erie | $1,242.60 | $115.25 – $288.29 |
| UPMC Hanover | Hanover | $984.00 | $116.21 – $825.05 |
| UPMC Horizon-Greenville | Greenville | $1,102.20 | $133.55 – $279.92 |
| UPMC Jameson | New Castle | $1,240.80 | $102.02 – $226.99 |