Insertion picc without port or pump with imaging guidance=>5y at UPMC Lititz
1500 Highlands Drive, Lititz, PA · UPMC · · NPI 1285167916
$3,925.80
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.
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What you pay up front if you don't use insurance.
$6,543.00
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.
$88.60 with AmeriHealth Caritas vs $5,561.55 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 |
|---|---|---|---|
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $88.60 | ↓ -98% |
| Highmark Wholecare (prev Gateway) | Medicaid | $88.60 | ↓ -98% |
| UPMC Health Plan | Managed Medicaid | $90.69 | ↓ -98% |
| Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $95.01 | ↓ -98% |
| Geisinger | Medicaid/CHIP | $101.61 | ↓ -97% |
| UPMC Work Partners | Workers Comp | $484.75 | ↓ -88% |
| Prime Net | Managed Medicare | $876.76 | ↓ -78% |
| United Healthcare Community Plan for Families | PA Medicaid | $1,016.56 | ↓ -74% |
| Capital Blue Cross | Medicare Advantage | $1,308.60 | ↓ -67% |
| Keystone Health Plan | Medicare Advantage | $1,308.60 | ↓ -67% |
| Highmark BCBS of PA | Medicare | $1,477.10 | ↓ -62% |
| Aetna | Medicare | $1,556.18 | ↓ -60% |
| Geisinger | Medicare | $1,566.62 | ↓ -60% |
| Cigna | Medicare | $1,566.62 | ↓ -60% |
| United Healthcare | Medicare | $1,596.46 | ↓ -59% |
| Keystone Autism Services | ACAP | $2,387.23 | ↓ -39% |
| Prime Net | Legacy Commercial | $2,427.45 | ↓ -38% |
| Aetna | ACO | $2,447.08 | ↓ -38% |
| Prime Net | ACO | $2,447.08 | ↓ -38% |
| Prime Net | NonGateKeeper | $2,892.01 | ↓ -26% |
| Aetna | Commercial | $2,911.64 | ↓ -26% |
| Prime Net | GateKeeper | $2,911.64 | ↓ -26% |
| Keystone Health Plan | Commercial | $3,069.32 | ↓ -22% |
| Capital Blue Cross | CHIP | $3,069.32 | ↓ -22% |
| Capital Blue Cross | Commercial | $3,069.32 | ↓ -22% |
| UPMC Health Plan | CHIP | $3,375.18 | ↓ -14% |
| Preferred Healthcare System | Inter County Health Plan/Lancaster General Health/Musselman Lumber/Vallorbs Jewelry | $3,598.65 | ↓ -8% |
| Geisinger | Commercial | $4,284.36 | ↑ +9% |
| Highmark BCBS of PA | Commercial - Children's Health Insurance | $4,410.71 | ↑ +12% |
| UPMC Health Plan | Commercial | $4,580.10 | ↑ +17% |
| Highmark BCBS of PA | Medicaid | $4,592.74 | ↑ +17% |
| Highmark BCBS of PA | Commercial | $4,693.00 | ↑ +20% |
| Prime Net | FH-Medical Rental | $4,737.13 | ↑ +21% |
| Preferred Healthcare System | PPO | $4,907.25 | ↑ +25% |
| Cigna | Commercial | $5,103.54 | ↑ +30% |
| Multiplan | PPO (Includes PHCS and Humana as Payers) | $5,561.55 | ↑ +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
Insertion picc without port or pump with imaging guidance=>5y at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $1,267.20 | $69.76 – $1,689.60 |
| UPMC Bedford | Everett | $4,026.00 | $73.25 – $6,039.00 |
| UPMC Carlisle | Carlisle | $3,925.80 | $88.60 – $5,561.55 |
| UPMC Cole | Coudersport | $1,358.40 | $61.54 – $1,192.92 |
| UPMC Community Osteopathic | Harrisburg | $3,925.80 | $88.60 – $5,561.55 |
| UPMC East | Monroeville | $3,017.40 | $76.74 – $4,023.20 |
| UPMC Hamot | Erie | $1,284.00 | $76.74 – $2,154.03 |
| UPMC Northwest | Seneca | $1,239.00 | $76.74 – $1,555.07 |