In-111 pentetate dtpa / 0.5 mci at UPMC Lititz
1500 Highlands Drive, Lititz, PA · UPMC · · NPI 1285167916
$3,424.80
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.
$5,708.00
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.
$708.14 with Highmark BCBS of PA vs $4,851.80 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 |
|---|---|---|---|
| Highmark BCBS of PA | Medicare | $708.14 | ↓ -79% |
| Aetna | Medicare | $746.05 | ↓ -78% |
| Cigna | Medicare | $751.05 | ↓ -78% |
| Geisinger | Medicare | $751.05 | ↓ -78% |
| Prime Net | Managed Medicare | $764.87 | ↓ -78% |
| United Healthcare | Medicare | $765.36 | ↓ -78% |
| UPMC Health Plan | CHIP | $995.51 | ↓ -71% |
| Keystone Health Plan | Medicare Advantage | $1,141.60 | ↓ -67% |
| Capital Blue Cross | Medicare Advantage | $1,141.60 | ↓ -67% |
| Keystone Autism Services | ACAP | $1,144.46 | ↓ -67% |
| Cigna | Commercial | $1,212.88 | ↓ -65% |
| Highmark BCBS of PA | Commercial - Children's Health Insurance | $2,114.54 | ↓ -38% |
| Prime Net | Legacy Commercial | $2,117.67 | ↓ -38% |
| Aetna | ACO | $2,134.79 | ↓ -38% |
| Prime Net | ACO | $2,134.79 | ↓ -38% |
| Highmark BCBS of PA | Medicaid | $2,201.81 | ↓ -36% |
| Highmark BCBS of PA | Commercial | $2,249.87 | ↓ -34% |
| Prime Net | NonGateKeeper | $2,522.94 | ↓ -26% |
| Aetna | Commercial | $2,540.06 | ↓ -26% |
| Prime Net | GateKeeper | $2,540.06 | ↓ -26% |
| Capital Blue Cross | Commercial | $2,677.62 | ↓ -22% |
| Keystone Health Plan | Commercial | $2,677.62 | ↓ -22% |
| Capital Blue Cross | CHIP | $2,677.62 | ↓ -22% |
| Preferred Healthcare System | Inter County Health Plan/Lancaster General Health/Musselman Lumber/Vallorbs Jewelry | $3,139.40 | ↓ -8% |
| Geisinger | Medicaid/CHIP | $3,139.40 | ↓ -8% |
| United Healthcare | Commercial | $3,516.13 | ↑ +3% |
| Geisinger | Commercial | $3,737.60 | ↑ +9% |
| UPMC Health Plan | Commercial | $3,995.60 | ↑ +17% |
| Prime Net | FH-Medical Rental | $4,132.59 | ↑ +21% |
| Preferred Healthcare System | PPO | $4,281.00 | ↑ +25% |
| Multiplan | PPO (Includes PHCS and Humana as Payers) | $4,851.80 | ↑ +42% |
| UPMC Work Partners | Workers Comp | not published by hospital | — |
Visitor-reported prices
Comments
In-111 pentetate dtpa / 0.5 mci at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $1,023.00 | $30.21 – $1,364.00 |
| UPMC Carlisle | Carlisle | $3,424.80 | $393.41 – $4,851.80 |
| UPMC Cole | Coudersport | $3,067.80 | $995.51 – $4,090.40 |
| UPMC Community Osteopathic | Harrisburg | $3,424.80 | $50.29 – $4,851.80 |
| UPMC Hamot | Erie | $2,550.60 | $30.21 – $772.51 |
| UPMC Hanover | Hanover | $3,424.80 | $708.14 – $1,144.46 |
| UPMC Magee | Pittsburgh | $1,150.80 | $30.49 – $786.82 |
| UPMC Memorial | York | $3,424.80 | $24.62 – $1,155.34 |