Lso flex no ri stays pre ots at UPMC Lititz
1500 Highlands Drive, Lititz, PA · UPMC · · NPI 1285167916
$294.60
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.
$491.00
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.
$34.18 with Aetna vs $417.35 with Multiplan — 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 |
|---|---|---|---|
| Aetna | Medicare | $34.18 | ↓ -88% |
| Prime Net | Managed Medicare | $65.79 | ↓ -78% |
| United Healthcare Community Plan for Families | PA Medicaid | $69.09 | ↓ -77% |
| Keystone Health Plan | Medicare Advantage | $98.20 | ↓ -67% |
| Capital Blue Cross | Medicare Advantage | $98.20 | ↓ -67% |
| UPMC Work Partners | Workers Comp | $121.28 | ↓ -59% |
| Geisinger | Medicaid/CHIP | $162.03 | ↓ -45% |
| Prime Net | Legacy Commercial | $182.16 | ↓ -38% |
| Prime Net | ACO | $183.63 | ↓ -38% |
| Aetna | ACO | $183.63 | ↓ -38% |
| Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $186.58 | ↓ -37% |
| Prime Net | NonGateKeeper | $217.02 | ↓ -26% |
| Aetna | Commercial | $218.50 | ↓ -26% |
| Prime Net | GateKeeper | $218.50 | ↓ -26% |
| Capital Blue Cross | CHIP | $230.33 | ↓ -22% |
| Keystone Health Plan | Commercial | $230.33 | ↓ -22% |
| Capital Blue Cross | Commercial | $230.33 | ↓ -22% |
| Preferred Healthcare System | Inter County Health Plan/Lancaster General Health/Musselman Lumber/Vallorbs Jewelry | $270.05 | ↓ -8% |
| United Healthcare | Commercial | $302.46 | ↑ +3% |
| Geisinger | Commercial | $321.51 | ↑ +9% |
| UPMC Health Plan | Commercial | $343.70 | ↑ +17% |
| Prime Net | FH-Medical Rental | $355.48 | ↑ +21% |
| Preferred Healthcare System | PPO | $368.25 | ↑ +25% |
| Cigna | Commercial | $382.98 | ↑ +30% |
| UPMC Health Plan | CHIP | $395.02 | ↑ +34% |
| Multiplan | PPO (Includes PHCS and Humana as Payers) | $417.35 | ↑ +42% |
| Highmark Wholecare (prev Gateway) | Medicaid | not published by hospital | — |
Visitor-reported prices
Comments
Lso flex no ri stays pre ots at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Carlisle | Carlisle | $294.60 | $67.27 – $417.35 |
| UPMC Community Osteopathic | Harrisburg | $294.60 | $69.09 – $644.98 |
| UPMC Hanover | Hanover | $294.60 | $69.09 – $395.02 |
| UPMC Memorial | York | $294.60 | $34.18 – $395.02 |
| UPMC Somerset | Somerset | $294.60 | $60.65 – $236.61 |
| UPMC Wellsboro | Wellsboro | $284.80 | $67.51 – $115.89 |
| UPMC Williamsport | Williamsport | $201.60 | $67.51 – $128.02 |