Injection epidural blood patch or clot at UPMC Lititz
1500 Highlands Drive, Lititz, PA · UPMC · · NPI 1285167916
$1,192.80
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.
?
What you pay up front if you don't use insurance.
$1,988.00
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.
?
The hospital's undiscounted list price — almost no one pays this.
$60.96 with AmeriHealth Caritas vs $2,092.13 with Highmark BCBS of PA — same scan, same building. Share
Negotiated rates by payer
?
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 →
?
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 |
|---|---|---|---|
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $60.96 | ↓ -95% |
| Highmark Wholecare (prev Gateway) | Medicaid | $60.96 | ↓ -95% |
| UPMC Health Plan | Managed Medicaid | $62.40 | ↓ -95% |
| Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $65.38 | ↓ -95% |
| Geisinger | Medicaid/CHIP | $69.92 | ↓ -94% |
| Prime Net | Managed Medicare | $266.39 | ↓ -78% |
| UPMC Work Partners | Workers Comp | $312.74 | ↓ -74% |
| Keystone Health Plan | Medicare Advantage | $397.60 | ↓ -67% |
| Capital Blue Cross | Medicare Advantage | $397.60 | ↓ -67% |
| Highmark BCBS of PA | Medicare | $658.49 | ↓ -45% |
| Aetna | Medicare | $693.74 | ↓ -42% |
| Geisinger | Medicare | $698.40 | ↓ -41% |
| Cigna | Medicare | $698.40 | ↓ -41% |
| United Healthcare | Medicare | $711.70 | ↓ -40% |
| Prime Net | Legacy Commercial | $737.55 | ↓ -38% |
| Aetna | ACO | $743.51 | ↓ -38% |
| Prime Net | ACO | $743.51 | ↓ -38% |
| Prime Net | NonGateKeeper | $878.70 | ↓ -26% |
| Prime Net | GateKeeper | $884.66 | ↓ -26% |
| Aetna | Commercial | $884.66 | ↓ -26% |
| Keystone Health Plan | Commercial | $932.57 | ↓ -22% |
| Capital Blue Cross | CHIP | $932.57 | ↓ -22% |
| Capital Blue Cross | Commercial | $932.57 | ↓ -22% |
| United Healthcare Community Plan for Families | PA Medicaid | $1,016.56 | ↓ -15% |
| Keystone Autism Services | ACAP | $1,064.22 | ↓ -11% |
| Preferred Healthcare System | Inter County Health Plan/Lancaster General Health/Musselman Lumber/Vallorbs Jewelry | $1,093.40 | ↓ -8% |
| Geisinger | Commercial | $1,301.74 | ↑ +9% |
| UPMC Health Plan | Commercial | $1,391.60 | ↑ +17% |
| Prime Net | FH-Medical Rental | $1,439.31 | ↑ +21% |
| Preferred Healthcare System | PPO | $1,491.00 | ↑ +25% |
| Cigna | Commercial | $1,550.64 | ↑ +30% |
| Multiplan | PPO (Includes PHCS and Humana as Payers) | $1,689.80 | ↑ +42% |
| UPMC Health Plan | CHIP | $1,730.46 | ↑ +45% |
| Highmark BCBS of PA | Commercial - Children's Health Insurance | $1,966.29 | ↑ +65% |
| Highmark BCBS of PA | Medicaid | $2,047.43 | ↑ +72% |
| Highmark BCBS of PA | Commercial | $2,092.13 | ↑ +75% |
| 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
Comments
Injection epidural blood patch or clot at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $1,180.80 | $48.00 – $1,574.40 |
| UPMC Bedford | Everett | $3,754.80 | $50.40 – $5,632.20 |
| UPMC Carlisle | Carlisle | $1,192.80 | $60.96 – $1,689.80 |
| UPMC Cole | Coudersport | $1,266.00 | $50.40 – $771.51 |
| UPMC Community Osteopathic | Harrisburg | $1,192.80 | $60.96 – $1,730.46 |
| UPMC East | Monroeville | $2,281.20 | $52.80 – $3,041.60 |
| UPMC Hamot | Erie | $2,334.00 | $52.80 – $960.26 |
| UPMC Northwest | Seneca | $1,156.80 | $52.80 – $693.24 |