Injection(s) anesthetic agent(s) and/or steroid femoral nerve left at UPMC Lititz
1500 Highlands Drive, Lititz, PA · UPMC · · NPI 1285167916
$2,346.60
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.
$3,911.00
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.
$77.47 with Highmark Wholecare (prev Gateway) vs $3,324.35 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 |
|---|---|---|---|
| Highmark Wholecare (prev Gateway) | Medicaid | $77.47 | ↓ -97% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $77.47 | ↓ -97% |
| UPMC Health Plan | Managed Medicaid | $79.30 | ↓ -97% |
| Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $83.08 | ↓ -96% |
| Geisinger | Medicaid/CHIP | $88.85 | ↓ -96% |
| UPMC Work Partners | Workers Comp | $151.49 | ↓ -94% |
| UPMC Health Plan | CHIP | $203.62 | ↓ -91% |
| Prime Net | Managed Medicare | $524.07 | ↓ -78% |
| Highmark BCBS of PA | Medicare | $658.49 | ↓ -72% |
| Aetna | Medicare | $693.74 | ↓ -70% |
| Geisinger | Medicare | $698.40 | ↓ -70% |
| Cigna | Medicare | $698.40 | ↓ -70% |
| United Healthcare | Medicare | $711.70 | ↓ -70% |
| Capital Blue Cross | Medicare Advantage | $782.20 | ↓ -67% |
| Keystone Health Plan | Medicare Advantage | $782.20 | ↓ -67% |
| United Healthcare Community Plan for Families | PA Medicaid | $1,016.56 | ↓ -57% |
| Keystone Autism Services | ACAP | $1,064.22 | ↓ -55% |
| Prime Net | Legacy Commercial | $1,450.98 | ↓ -38% |
| Prime Net | ACO | $1,462.71 | ↓ -38% |
| Aetna | ACO | $1,462.71 | ↓ -38% |
| Prime Net | NonGateKeeper | $1,728.66 | ↓ -26% |
| Prime Net | GateKeeper | $1,740.39 | ↓ -26% |
| Aetna | Commercial | $1,740.39 | ↓ -26% |
| Keystone Health Plan | Commercial | $1,834.65 | ↓ -22% |
| Capital Blue Cross | CHIP | $1,834.65 | ↓ -22% |
| Capital Blue Cross | Commercial | $1,834.65 | ↓ -22% |
| Highmark BCBS of PA | Commercial - Children's Health Insurance | $1,966.29 | ↓ -16% |
| Highmark BCBS of PA | Medicaid | $2,047.43 | ↓ -13% |
| Highmark BCBS of PA | Commercial | $2,092.13 | ↓ -11% |
| Preferred Healthcare System | Inter County Health Plan/Lancaster General Health/Musselman Lumber/Vallorbs Jewelry | $2,151.05 | ↓ -8% |
| Geisinger | Commercial | $2,560.92 | ↑ +9% |
| UPMC Health Plan | Commercial | $2,737.70 | ↑ +17% |
| Prime Net | FH-Medical Rental | $2,831.56 | ↑ +21% |
| Preferred Healthcare System | PPO | $2,933.25 | ↑ +25% |
| Cigna | Commercial | $3,050.58 | ↑ +30% |
| Multiplan | PPO (Includes PHCS and Humana as Payers) | $3,324.35 | ↑ +42% |
| 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
Comments
Injection(s) anesthetic agent(s) and/or steroid femoral nerve left at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $871.80 | $61.00 – $1,162.40 |
| UPMC Bedford | Everett | $932.40 | $64.05 – $1,398.60 |
| UPMC Carlisle | Carlisle | $2,346.60 | $77.47 – $3,324.35 |
| UPMC Cole | Coudersport | $134.40 | $62.09 – $179.20 |
| UPMC Community Osteopathic | Harrisburg | $2,346.60 | $77.47 – $3,324.35 |
| UPMC East | Monroeville | $584.40 | $67.10 – $779.20 |
| UPMC Hamot | Erie | $775.20 | $67.10 – $960.26 |
| UPMC Northwest | Seneca | $880.80 | $67.10 – $693.24 |