Ins cerv dilator (sep proc) at UPMC Lititz
1500 Highlands Drive, Lititz, PA · UPMC · · NPI 1285167916
$678.00
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.
$1,130.00
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.
$151.42 with Prime Net vs $3,000.00 with UPMC Health Plan — 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 |
|---|---|---|---|
| Prime Net | Managed Medicare | $151.42 | ↓ -78% |
| Keystone Health Plan | Medicare Advantage | $226.00 | ↓ -67% |
| Capital Blue Cross | Medicare Advantage | $226.00 | ↓ -67% |
| United Healthcare Community Plan for Families | PA Medicaid | $233.31 | ↓ -66% |
| Highmark BCBS of PA | Medicare | $289.24 | ↓ -57% |
| Aetna | Medicare | $304.72 | ↓ -55% |
| Geisinger | Medicare | $306.77 | ↓ -55% |
| Cigna | Medicare | $306.77 | ↓ -55% |
| United Healthcare | Medicare | $312.61 | ↓ -54% |
| Prime Net | Legacy Commercial | $419.23 | ↓ -38% |
| Prime Net | ACO | $422.62 | ↓ -38% |
| Aetna | ACO | $422.62 | ↓ -38% |
| Keystone Autism Services | ACAP | $467.46 | ↓ -31% |
| United Healthcare | Commercial | $471.00 | ↓ -31% |
| Prime Net | NonGateKeeper | $499.46 | ↓ -26% |
| Aetna | Commercial | $502.85 | ↓ -26% |
| Prime Net | GateKeeper | $502.85 | ↓ -26% |
| Capital Blue Cross | CHIP | $530.08 | ↓ -22% |
| Keystone Health Plan | Commercial | $530.08 | ↓ -22% |
| Capital Blue Cross | Commercial | $530.08 | ↓ -22% |
| Preferred Healthcare System | Inter County Health Plan/Lancaster General Health/Musselman Lumber/Vallorbs Jewelry | $621.50 | ↓ -8% |
| Geisinger | Medicaid/CHIP | $621.50 | ↓ -8% |
| Geisinger | Commercial | $739.92 | ↑ +9% |
| UPMC Health Plan | Commercial | $791.00 | ↑ +17% |
| Prime Net | FH-Medical Rental | $818.12 | ↑ +21% |
| Preferred Healthcare System | PPO | $847.50 | ↑ +25% |
| Highmark BCBS of PA | Commercial - Children's Health Insurance | $863.68 | ↑ +27% |
| Cigna | Commercial | $881.40 | ↑ +30% |
| Highmark BCBS of PA | Medicaid | $899.33 | ↑ +33% |
| Highmark BCBS of PA | Commercial | $918.96 | ↑ +36% |
| Multiplan | PPO (Includes PHCS and Humana as Payers) | $960.50 | ↑ +42% |
| UPMC Health Plan | CHIP | $3,000.00 | ↑ +342% |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
| Tricare | East Region | not published by hospital | — |
| UPMC Work Partners | Workers Comp | not published by hospital | — |
Visitor-reported prices
Comments
Ins cerv dilator (sep proc) at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $2,562.00 | $204.47 – $3,416.00 |
| UPMC Bedford | Everett | $1,416.00 | $104.64 – $2,124.00 |
| UPMC Carlisle | Carlisle | $678.00 | $154.81 – $960.50 |
| UPMC Cole | Coudersport | $385.80 | $25.50 – $514.40 |
| UPMC Community Osteopathic | Harrisburg | $678.00 | $226.00 – $3,000.00 |
| UPMC Hanover | Hanover | $678.00 | $233.31 – $464.94 |
| UPMC Horizon-Greenville | Greenville | $890.40 | $259.65 – $397.78 |
| UPMC Magee | Pittsburgh | $733.80 | $206.41 – $319.01 |