Ins cath ren art 1st uni at UPMC Lititz
1500 Highlands Drive, Lititz, PA · UPMC · · NPI 1285167916
$6,300.60
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.
?
What you pay up front if you don't use insurance.
$10,501.00
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.
$285.42 with Highmark Wholecare (prev Gateway) vs $9,539.00 with Cigna — 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 |
|---|---|---|---|
| Highmark Wholecare (prev Gateway) | Medicaid | $285.42 | ↓ -95% |
| UPMC Health Plan | Managed Medicaid | $292.16 | ↓ -95% |
| United Healthcare Community Plan for Families | PA Medicaid | $294.41 | ↓ -95% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $303.40 | ↓ -95% |
| Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $306.10 | ↓ -95% |
| Geisinger | Medicaid/CHIP | $327.36 | ↓ -95% |
| Prime Net | Managed Medicare | $1,407.13 | ↓ -78% |
| UPMC Health Plan | CHIP | $1,866.87 | ↓ -70% |
| Keystone Health Plan | Medicare Advantage | $2,100.20 | ↓ -67% |
| Capital Blue Cross | Medicare Advantage | $2,100.20 | ↓ -67% |
| UPMC Work Partners | Workers Comp | $2,106.82 | ↓ -67% |
| Highmark BCBS of PA | Medicare | $2,992.82 | ↓ -52% |
| Aetna | Medicare | $3,153.04 | ↓ -50% |
| Cigna | Medicare | $3,174.20 | ↓ -50% |
| Geisinger | Medicare | $3,174.20 | ↓ -50% |
| United Healthcare | Medicare | $3,234.66 | ↓ -49% |
| Prime Net | Legacy Commercial | $3,895.87 | ↓ -38% |
| Aetna | ACO | $3,927.37 | ↓ -38% |
| Prime Net | ACO | $3,927.37 | ↓ -38% |
| Prime Net | NonGateKeeper | $4,641.44 | ↓ -26% |
| Aetna | Commercial | $4,672.94 | ↓ -26% |
| Prime Net | GateKeeper | $4,672.94 | ↓ -26% |
| Keystone Autism Services | ACAP | $4,836.88 | ↓ -23% |
| Capital Blue Cross | Commercial | $4,926.02 | ↓ -22% |
| Keystone Health Plan | Commercial | $4,926.02 | ↓ -22% |
| Capital Blue Cross | CHIP | $4,926.02 | ↓ -22% |
| Preferred Healthcare System | Inter County Health Plan/Lancaster General Health/Musselman Lumber/Vallorbs Jewelry | $5,775.55 | ↓ -8% |
| Geisinger | Commercial | $6,876.05 | ↑ +9% |
| UPMC Health Plan | Commercial | $7,350.70 | ↑ +17% |
| Prime Net | FH-Medical Rental | $7,602.72 | ↑ +21% |
| Preferred Healthcare System | PPO | $7,875.75 | ↑ +25% |
| Multiplan | PPO (Includes PHCS and Humana as Payers) | $8,925.85 | ↑ +42% |
| Highmark BCBS of PA | Commercial - Children's Health Insurance | $8,936.74 | ↑ +42% |
| Highmark BCBS of PA | Medicaid | $9,305.55 | ↑ +48% |
| Highmark BCBS of PA | Commercial | $9,508.70 | ↑ +51% |
| Cigna | Commercial | $9,539.00 | ↑ +51% |
| Tricare | East Region | not published by hospital | — |
| United Healthcare | Commercial | not published by hospital | — |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
Visitor-reported prices
Comments
Ins cath ren art 1st uni at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $3,789.00 | $224.74 – $5,052.00 |
| UPMC Carlisle | Carlisle | $6,300.60 | $285.42 – $8,925.85 |
| UPMC Community Osteopathic | Harrisburg | $6,300.60 | $294.41 – $8,925.85 |
| UPMC East | Monroeville | $7,671.00 | $247.21 – $10,228.00 |
| UPMC Hamot | Erie | $4,726.20 | $247.21 – $4,364.40 |
| UPMC Hanover | Hanover | $6,300.60 | $285.42 – $4,810.90 |
| UPMC Magee | Pittsburgh | $2,833.20 | $247.21 – $3,240.82 |
| UPMC Memorial | York | $6,300.60 | $285.42 – $4,829.02 |