healthcosts.net
Knee MRI (with and without contrast) at UPMC Lititz
1500 Highlands Drive, Lititz, PA · UPMC · · NPI 1285167916
$2,713.80
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.
$4,523.00
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.
$403.98 with Aetna vs $3,844.55 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 |
|---|---|---|---|
| Aetna | Medicare | $403.98 | ↓ -85% |
| Prime Net | Managed Medicare | $606.08 | ↓ -78% |
| United Healthcare Community Plan for Families | PA Medicaid | $618.88 | ↓ -77% |
| Premier Comp Solutions | Worker's Comp | $650.00 | ↓ -76% |
| OneCall | Worker's Comp | $700.00 | ↓ -74% |
| Highmark Wholecare (prev Gateway) | Medicaid | $726.72 | ↓ -73% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $726.72 | ↓ -73% |
| UPMC Health Plan | Managed Medicaid | $743.89 | ↓ -73% |
| Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $779.36 | ↓ -71% |
| Geisinger | Medicaid/CHIP | $833.50 | ↓ -69% |
| Keystone Health Plan | Medicare Advantage | $904.60 | ↓ -67% |
| Capital Blue Cross | Medicare Advantage | $904.60 | ↓ -67% |
| Prime Net | Legacy Commercial | $1,678.03 | ↓ -38% |
| Aetna | ACO | $1,691.60 | ↓ -38% |
| Prime Net | ACO | $1,691.60 | ↓ -38% |
| Prime Net | NonGateKeeper | $1,999.17 | ↓ -26% |
| Cigna | Commercial | $2,006.79 | ↓ -26% |
| Prime Net | GateKeeper | $2,012.73 | ↓ -26% |
| Aetna | Commercial | $2,012.73 | ↓ -26% |
| UPMC Work Partners | Workers Comp | $2,084.90 | ↓ -23% |
| Capital Blue Cross | CHIP | $2,121.74 | ↓ -22% |
| Keystone Health Plan | Commercial | $2,121.74 | ↓ -22% |
| Capital Blue Cross | Commercial | $2,121.74 | ↓ -22% |
| Preferred Healthcare System | Inter County Health Plan/Lancaster General Health/Musselman Lumber/Vallorbs Jewelry | $2,487.65 | ↓ -8% |
| UPMC Health Plan | CHIP | $2,599.74 | ↓ -4% |
| Geisinger | Commercial | $2,961.66 | ↑ +9% |
| UPMC Health Plan | Commercial | $3,166.10 | ↑ +17% |
| Prime Net | FH-Medical Rental | $3,274.65 | ↑ +21% |
| United Healthcare | Commercial | $3,328.93 | ↑ +23% |
| Preferred Healthcare System | PPO | $3,392.25 | ↑ +25% |
| Multiplan | PPO (Includes PHCS and Humana as Payers) | $3,844.55 | ↑ +42% |
| Tricare | East Region | not published by hospital | — |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
Visitor-reported prices
Comments
Knee MRI (with and without contrast) at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Passavant-McCandless | Pittsburgh | $5,999.40 | $316.41 – $8,499.15 |
| UPMC East | Monroeville | $6,218.40 | $341.40 – $8,291.20 |
| UPMC Hamot | Erie | $2,415.00 | $264.38 – $2,817.50 |
| UPMC Carlisle | Carlisle | $2,713.80 | $618.88 – $3,844.55 |
| UPMC Bedford | Everett | $2,563.20 | $122.85 – $3,844.80 |
| UPMC Altoona | Altoona | $2,604.00 | $425.00 – $3,472.00 |
| UPMC Cole | Coudersport | $1,857.00 | $468.12 – $2,476.00 |
| UPMC Community Osteopathic | Harrisburg | $2,713.80 | $618.88 – $4,391.77 |