Impl neurostim electr perc at UPMC Lititz
1500 Highlands Drive, Lititz, PA · UPMC · · NPI 1285167916
$12,736.80
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.
$21,228.00
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.
$473.65 with Highmark Wholecare (prev Gateway) vs $19,826.71 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 |
|---|---|---|---|
| Highmark Wholecare (prev Gateway) | Medicaid | $473.65 | ↓ -96% |
| UPMC Health Plan | Managed Medicaid | $484.83 | ↓ -96% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $503.48 | ↓ -96% |
| Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $507.96 | ↓ -96% |
| Geisinger | Medicaid/CHIP | $543.24 | ↓ -96% |
| United Healthcare Community Plan for Families | PA Medicaid | $1,016.56 | ↓ -92% |
| UPMC Work Partners | Workers Comp | $1,617.46 | ↓ -87% |
| UPMC Health Plan | CHIP | $2,317.11 | ↓ -82% |
| Prime Net | Managed Medicare | $2,844.55 | ↓ -78% |
| Keystone Health Plan | Medicare Advantage | $4,245.60 | ↓ -67% |
| Capital Blue Cross | Medicare Advantage | $4,245.60 | ↓ -67% |
| Highmark BCBS of PA | Medicare | $6,240.37 | ↓ -51% |
| Aetna | Medicare | $6,574.45 | ↓ -48% |
| Cigna | Medicare | $6,618.57 | ↓ -48% |
| Geisinger | Medicare | $6,618.57 | ↓ -48% |
| United Healthcare | Medicare | $6,744.64 | ↓ -47% |
| Prime Net | Legacy Commercial | $7,875.59 | ↓ -38% |
| Aetna | ACO | $7,939.27 | ↓ -38% |
| Prime Net | ACO | $7,939.27 | ↓ -38% |
| Prime Net | NonGateKeeper | $9,382.78 | ↓ -26% |
| Aetna | Commercial | $9,446.46 | ↓ -26% |
| Prime Net | GateKeeper | $9,446.46 | ↓ -26% |
| Keystone Health Plan | Commercial | $9,958.05 | ↓ -22% |
| Capital Blue Cross | CHIP | $9,958.05 | ↓ -22% |
| Capital Blue Cross | Commercial | $9,958.05 | ↓ -22% |
| Keystone Autism Services | ACAP | $10,085.44 | ↓ -21% |
| Preferred Healthcare System | Inter County Health Plan/Lancaster General Health/Musselman Lumber/Vallorbs Jewelry | $11,675.40 | ↓ -8% |
| Geisinger | Commercial | $13,900.09 | ↑ +9% |
| UPMC Health Plan | Commercial | $14,859.60 | ↑ +17% |
| Prime Net | FH-Medical Rental | $15,369.07 | ↑ +21% |
| Preferred Healthcare System | PPO | $15,921.00 | ↑ +25% |
| Cigna | Commercial | $16,693.00 | ↑ +31% |
| Multiplan | PPO (Includes PHCS and Humana as Payers) | $18,043.80 | ↑ +42% |
| Highmark BCBS of PA | Commercial - Children's Health Insurance | $18,634.11 | ↑ +46% |
| Highmark BCBS of PA | Medicaid | $19,403.13 | ↑ +52% |
| Highmark BCBS of PA | Commercial | $19,826.71 | ↑ +56% |
| United Healthcare | Commercial | not published by hospital | — |
| Tricare | East Region | not published by hospital | — |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
Visitor-reported prices
Comments
Impl neurostim electr perc at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Carlisle | Carlisle | $12,736.80 | $473.65 – $18,043.80 |
| UPMC Cole | Coudersport | $785.40 | $362.85 – $1,545.57 |
| UPMC Community Osteopathic | Harrisburg | $12,736.80 | $503.48 – $18,043.80 |
| UPMC East | Monroeville | $3,768.60 | $410.25 – $6,569.79 |
| UPMC Northwest | Seneca | $4,795.80 | $410.25 – $6,569.79 |
| UPMC Hanover | Hanover | $12,736.80 | $473.65 – $10,031.26 |
| UPMC Kane | Kane | $5,749.20 | $410.25 – $9,493.47 |
| UPMC Memorial | York | $12,736.80 | $473.65 – $10,069.06 |