Infectious agent nucleic acid amplified probe streptococcus group a at UPMC Lititz
1500 Highlands Drive, Lititz, PA · UPMC · · NPI 1285167916
$195.60
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.
$326.00
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.
$28.03 with United Healthcare Community Plan for Families vs $277.10 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 |
|---|---|---|---|
| United Healthcare Community Plan for Families | PA Medicaid | $28.03 | ↓ -86% |
| United Healthcare | Commercial | $29.71 | ↓ -85% |
| Highmark BCBS of PA | Medicare | $34.74 | ↓ -82% |
| UPMC Work Partners | Workers Comp | $36.29 | ↓ -81% |
| Aetna | Medicare | $36.60 | ↓ -81% |
| Cigna | Medicare | $36.84 | ↓ -81% |
| Geisinger | Medicare | $36.84 | ↓ -81% |
| United Healthcare | Medicare | $37.55 | ↓ -81% |
| Prime Net | Managed Medicare | $43.68 | ↓ -78% |
| Keystone Autism Services | ACAP | $56.14 | ↓ -71% |
| Keystone Health Plan | Medicare Advantage | $65.20 | ↓ -67% |
| Capital Blue Cross | Medicare Advantage | $65.20 | ↓ -67% |
| Cigna | Commercial | $91.24 | ↓ -53% |
| Highmark BCBS of PA | Commercial - Children's Health Insurance | $103.73 | ↓ -47% |
| Highmark BCBS of PA | Medicaid | $108.01 | ↓ -45% |
| Highmark BCBS of PA | Commercial | $110.37 | ↓ -44% |
| Prime Net | Legacy Commercial | $120.95 | ↓ -38% |
| Aetna | ACO | $121.92 | ↓ -38% |
| Prime Net | ACO | $121.92 | ↓ -38% |
| Prime Net | NonGateKeeper | $144.09 | ↓ -26% |
| Aetna | Commercial | $145.07 | ↓ -26% |
| Prime Net | GateKeeper | $145.07 | ↓ -26% |
| Capital Blue Cross | CHIP | $152.93 | ↓ -22% |
| Keystone Health Plan | Commercial | $152.93 | ↓ -22% |
| Capital Blue Cross | Commercial | $152.93 | ↓ -22% |
| Geisinger | Medicaid/CHIP | $179.30 | ↓ -8% |
| Preferred Healthcare System | Inter County Health Plan/Lancaster General Health/Musselman Lumber/Vallorbs Jewelry | $179.30 | ↓ -8% |
| Geisinger | Commercial | $213.46 | ↑ +9% |
| UPMC Health Plan | Commercial | $228.20 | ↑ +17% |
| Prime Net | FH-Medical Rental | $236.02 | ↑ +21% |
| Preferred Healthcare System | PPO | $244.50 | ↑ +25% |
| UPMC Health Plan | CHIP | $249.93 | ↑ +28% |
| Multiplan | PPO (Includes PHCS and Humana as Payers) | $277.10 | ↑ +42% |
Visitor-reported prices
Comments
Infectious agent nucleic acid amplified probe streptococcus group a at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Carlisle | Carlisle | $195.60 | $19.30 – $277.10 |
| UPMC Community Osteopathic | Harrisburg | $195.60 | $28.03 – $277.10 |
| UPMC Hamot | Erie | $501.60 | $34.68 – $90.15 |
| UPMC Northwest | Seneca | $568.20 | $31.82 – $37.90 |
| UPMC Hanover | Hanover | $195.60 | $28.03 – $249.93 |
| UPMC Horizon-Greenville | Greenville | $333.00 | $31.42 – $65.85 |
| UPMC Jameson | New Castle | $697.20 | $24.61 – $91.74 |
| UPMC Kane | Kane | $79.20 | $34.68 – $184.04 |