Insertion of catheter vein at UPMC Lititz
1500 Highlands Drive, Lititz, PA · UPMC · · NPI 1285167916
$4,608.60
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.
$7,681.00
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.
$44.45 with Highmark Wholecare (prev Gateway) vs $9,539.00 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 |
|---|---|---|---|
| Highmark Wholecare (prev Gateway) | Medicaid | $44.45 | ↓ -99% |
| UPMC Health Plan | Managed Medicaid | $45.50 | ↓ -99% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $47.25 | ↓ -99% |
| Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $47.67 | ↓ -99% |
| Geisinger | Medicaid/CHIP | $50.98 | ↓ -99% |
| Aetna | Medicare | $193.14 | ↓ -96% |
| UPMC Work Partners | Workers Comp | $195.15 | ↓ -96% |
| Prime Net | Managed Medicare | $1,029.25 | ↓ -78% |
| United Healthcare Community Plan for Families | PA Medicaid | $1,256.29 | ↓ -73% |
| Keystone Health Plan | Medicare Advantage | $1,536.20 | ↓ -67% |
| Capital Blue Cross | Medicare Advantage | $1,536.20 | ↓ -67% |
| UPMC Health Plan | CHIP | $2,297.85 | ↓ -50% |
| Prime Net | Legacy Commercial | $2,849.65 | ↓ -38% |
| Aetna | ACO | $2,872.69 | ↓ -38% |
| Prime Net | ACO | $2,872.69 | ↓ -38% |
| Prime Net | NonGateKeeper | $3,395.00 | ↓ -26% |
| Prime Net | GateKeeper | $3,418.05 | ↓ -26% |
| Aetna | Commercial | $3,418.05 | ↓ -26% |
| Keystone Health Plan | Commercial | $3,603.16 | ↓ -22% |
| Capital Blue Cross | CHIP | $3,603.16 | ↓ -22% |
| Capital Blue Cross | Commercial | $3,603.16 | ↓ -22% |
| Preferred Healthcare System | Inter County Health Plan/Lancaster General Health/Musselman Lumber/Vallorbs Jewelry | $4,224.55 | ↓ -8% |
| Geisinger | Commercial | $5,029.52 | ↑ +9% |
| UPMC Health Plan | Commercial | $5,376.70 | ↑ +17% |
| Prime Net | FH-Medical Rental | $5,561.04 | ↑ +21% |
| Preferred Healthcare System | PPO | $5,760.75 | ↑ +25% |
| Multiplan | PPO (Includes PHCS and Humana as Payers) | $6,528.85 | ↑ +42% |
| Cigna | Commercial | $9,539.00 | ↑ +107% |
| United Healthcare | Commercial | not published by hospital | — |
Visitor-reported prices
Comments
Insertion of catheter vein at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Carlisle | Carlisle | $4,608.60 | $44.45 – $9,539.00 |
| UPMC Community Osteopathic | Harrisburg | $4,608.60 | $47.25 – $6,528.85 |
| UPMC Hanover | Hanover | $4,608.60 | $44.45 – $1,256.29 |
| UPMC Memorial | York | $4,608.60 | $44.45 – $1,256.29 |
| UPMC Mercy | Pittsburgh | $3,172.80 | $38.50 – $729.80 |
| UPMC Presbyterian | Pittsburgh | $4,284.60 | $38.50 – $1,150.80 |
| UPMC Somerset | Somerset | $4,608.60 | $38.50 – $1,102.85 |
| Uniontown Hospital | Uniontown | $878.50 | $38.50 – $326.40 |