Infectious agent antigen immunoassay ql/sq multi step legionella urine at UPMC Lititz
1500 Highlands Drive, Lititz, PA · UPMC · · NPI 1285167916
$66.60
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.
$111.00
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.
$5.63 with Prime Net vs $74.59 with UPMC Health Plan — 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 | $5.63 | ↓ -92% |
| Capital Blue Cross | Medicare Advantage | $8.40 | ↓ -87% |
| Keystone Health Plan | Medicare Advantage | $8.40 | ↓ -87% |
| United Healthcare Community Plan for Families | PA Medicaid | $9.58 | ↓ -86% |
| Highmark BCBS of PA | Medicare | $11.86 | ↓ -82% |
| UPMC Work Partners | Workers Comp | $12.39 | ↓ -81% |
| Aetna | Medicare | $12.50 | ↓ -81% |
| Cigna | Medicare | $12.58 | ↓ -81% |
| Geisinger | Medicare | $12.58 | ↓ -81% |
| United Healthcare | Medicare | $12.82 | ↓ -81% |
| Prime Net | Legacy Commercial | $15.58 | ↓ -77% |
| Aetna | ACO | $15.71 | ↓ -76% |
| Prime Net | ACO | $15.71 | ↓ -76% |
| Prime Net | NonGateKeeper | $18.56 | ↓ -72% |
| Prime Net | GateKeeper | $18.69 | ↓ -72% |
| Aetna | Commercial | $18.69 | ↓ -72% |
| Keystone Autism Services | ACAP | $19.17 | ↓ -71% |
| Keystone Health Plan | Commercial | $19.70 | ↓ -70% |
| Capital Blue Cross | Commercial | $19.70 | ↓ -70% |
| Capital Blue Cross | CHIP | $19.70 | ↓ -70% |
| United Healthcare | Commercial | $20.17 | ↓ -70% |
| Preferred Healthcare System | Inter County Health Plan/Lancaster General Health/Musselman Lumber/Vallorbs Jewelry | $23.10 | ↓ -65% |
| Geisinger | Medicaid/CHIP | $23.10 | ↓ -65% |
| Geisinger | Commercial | $27.50 | ↓ -59% |
| UPMC Health Plan | Commercial | $29.40 | ↓ -56% |
| Prime Net | FH-Medical Rental | $30.41 | ↓ -54% |
| Cigna | Commercial | $31.16 | ↓ -53% |
| Preferred Healthcare System | PPO | $31.50 | ↓ -53% |
| Highmark BCBS of PA | Commercial - Children's Health Insurance | $35.42 | ↓ -47% |
| Multiplan | PPO (Includes PHCS and Humana as Payers) | $35.70 | ↓ -46% |
| Highmark BCBS of PA | Medicaid | $36.88 | ↓ -45% |
| Highmark BCBS of PA | Commercial | $37.68 | ↓ -43% |
| UPMC Health Plan | CHIP | $74.59 | ↑ +12% |
Visitor-reported prices
Comments
Infectious agent antigen immunoassay ql/sq multi step legionella urine at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $204.00 | $11.84 – $272.00 |
| UPMC Bedford | Everett | $66.00 | $4.32 – $99.00 |
| UPMC Carlisle | Carlisle | $66.60 | $5.75 – $35.70 |
| UPMC Cole | Coudersport | $70.20 | $7.79 – $93.60 |
| UPMC Community Osteopathic | Harrisburg | $66.60 | $8.40 – $74.59 |
| UPMC East | Monroeville | $225.60 | $11.84 – $300.80 |
| UPMC Hamot | Erie | $259.20 | $11.84 – $29.24 |
| UPMC Northwest | Seneca | $74.40 | $10.86 – $12.94 |