Inj w/fluor eval cv device at UPMC Lititz
1500 Highlands Drive, Lititz, PA · UPMC · · NPI 1285167916
$417.00
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.
$695.00
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.
$75.98 with United Healthcare Community Plan for Families 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 |
|---|---|---|---|
| United Healthcare Community Plan for Families | PA Medicaid | $75.98 | ↓ -82% |
| Prime Net | Managed Medicare | $93.13 | ↓ -78% |
| Capital Blue Cross | Medicare Advantage | $139.00 | ↓ -67% |
| Keystone Health Plan | Medicare Advantage | $139.00 | ↓ -67% |
| Highmark BCBS of PA | Medicare | $200.34 | ↓ -52% |
| UPMC Work Partners | Workers Comp | $211.00 | ↓ -49% |
| Aetna | Medicare | $211.06 | ↓ -49% |
| Cigna | Medicare | $212.48 | ↓ -49% |
| Geisinger | Medicare | $212.48 | ↓ -49% |
| United Healthcare | Medicare | $216.53 | ↓ -48% |
| Prime Net | Legacy Commercial | $257.85 | ↓ -38% |
| Aetna | ACO | $259.93 | ↓ -38% |
| Prime Net | ACO | $259.93 | ↓ -38% |
| Prime Net | NonGateKeeper | $307.19 | ↓ -26% |
| Prime Net | GateKeeper | $309.27 | ↓ -26% |
| Aetna | Commercial | $309.27 | ↓ -26% |
| Keystone Autism Services | ACAP | $323.78 | ↓ -22% |
| Capital Blue Cross | Commercial | $326.02 | ↓ -22% |
| Keystone Health Plan | Commercial | $326.02 | ↓ -22% |
| Capital Blue Cross | CHIP | $326.02 | ↓ -22% |
| Geisinger | Medicaid/CHIP | $382.25 | ↓ -8% |
| Preferred Healthcare System | Inter County Health Plan/Lancaster General Health/Musselman Lumber/Vallorbs Jewelry | $382.25 | ↓ -8% |
| Geisinger | Commercial | $455.09 | ↑ +9% |
| UPMC Health Plan | Commercial | $486.50 | ↑ +17% |
| Prime Net | FH-Medical Rental | $503.18 | ↑ +21% |
| Preferred Healthcare System | PPO | $521.25 | ↑ +25% |
| UPMC Health Plan | CHIP | $524.10 | ↑ +26% |
| Multiplan | PPO (Includes PHCS and Humana as Payers) | $590.75 | ↑ +42% |
| Highmark BCBS of PA | Commercial - Children's Health Insurance | $598.22 | ↑ +43% |
| Highmark BCBS of PA | Medicaid | $622.90 | ↑ +49% |
| Highmark BCBS of PA | Commercial | $636.50 | ↑ +53% |
| Cigna | Commercial | $3,397.00 | ↑ +715% |
| 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
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Inj w/fluor eval cv device at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $484.20 | $201.63 – $645.60 |
| UPMC Bedford | Everett | $1,494.00 | $72.47 – $2,241.00 |
| UPMC Carlisle | Carlisle | $417.00 | $75.98 – $590.75 |
| UPMC Cole | Coudersport | $596.40 | $26.61 – $278.32 |
| UPMC Community Osteopathic | Harrisburg | $417.00 | $75.98 – $590.75 |
| UPMC East | Monroeville | $935.40 | $201.41 – $1,247.20 |
| UPMC Hamot | Erie | $469.80 | $201.63 – $292.15 |
| UPMC Northwest | Seneca | $551.40 | $182.17 – $216.94 |