Inj epidural sgl lumb-sacral without img at UPMC Lititz
1500 Highlands Drive, Lititz, PA · UPMC · · NPI 1285167916
not published by hospital
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.
not published by hospital
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.
$90.36 with Highmark Wholecare (prev Gateway) vs $3,397.00 with Cigna — 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 | $90.36 | — |
| UPMC Health Plan | Managed Medicaid | $92.50 | — |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $96.05 | — |
| Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $96.91 | — |
| Geisinger | Medicaid/CHIP | $103.64 | — |
| UPMC Work Partners | Workers Comp | $210.10 | — |
| Highmark BCBS of PA | Medicare | $846.54 | — |
| Aetna | Medicare | $891.86 | — |
| Cigna | Medicare | $897.84 | — |
| Geisinger | Medicare | $897.84 | — |
| United Healthcare | Medicare | $914.95 | — |
| United Healthcare Community Plan for Families | PA Medicaid | $1,016.56 | — |
| Keystone Autism Services | ACAP | $1,368.14 | — |
| UPMC Health Plan | CHIP | $1,954.74 | — |
| Highmark BCBS of PA | Commercial - Children's Health Insurance | $2,527.82 | — |
| Highmark BCBS of PA | Medicaid | $2,632.14 | — |
| Highmark BCBS of PA | Commercial | $2,689.60 | — |
| Cigna | Commercial | $3,397.00 | — |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
| Tricare | East Region | not published by hospital | — |
| United Healthcare | Commercial | not published by hospital | — |
Visitor-reported prices
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Inj epidural sgl lumb-sacral without img at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $1,629.00 | $71.15 – $2,172.00 |
| UPMC East | Monroeville | $1,278.00 | $78.27 – $1,704.00 |
| UPMC Hamot | Erie | $1,980.00 | $78.27 – $1,234.49 |
| UPMC Horizon-Greenville | Greenville | $1,956.60 | $78.27 – $916.68 |
| UPMC Jameson | New Castle | $1,956.60 | $78.27 – $1,145.85 |
| UPMC Magee | Pittsburgh | $2,641.20 | $78.27 – $916.68 |
| UPMC Mercy | Pittsburgh | $1,541.40 | $78.27 – $933.66 |
| UPMC Muncy | Muncy | $1,260.60 | $78.27 – $993.28 |