Mayo analysis gene smn1 dosage/deletion at UPMC Lititz
1500 Highlands Drive, Lititz, PA · UPMC · · NPI 1285167916
$792.60
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.
$1,321.00
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.
$109.60 with AmeriHealth Caritas vs $1,122.85 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 | $109.60 | ↓ -86% |
| Highmark BCBS of PA | Medicare | $135.63 | ↓ -83% |
| Highmark Wholecare (prev Gateway) | Medicaid | $139.19 | ↓ -82% |
| UPMC Work Partners | Workers Comp | $141.70 | ↓ -82% |
| UPMC Health Plan | Managed Medicaid | $142.48 | ↓ -82% |
| Aetna | Medicare | $142.89 | ↓ -82% |
| United Healthcare Community Plan for Families | PA Medicaid | $143.58 | ↓ -82% |
| Geisinger | Medicare | $143.85 | ↓ -82% |
| Cigna | Medicare | $143.85 | ↓ -82% |
| United Healthcare | Medicare | $146.59 | ↓ -82% |
| Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $149.28 | ↓ -81% |
| Geisinger | Medicaid/CHIP | $159.64 | ↓ -80% |
| Prime Net | Managed Medicare | $177.01 | ↓ -78% |
| Keystone Autism Services | ACAP | $219.20 | ↓ -72% |
| Keystone Health Plan | Medicare Advantage | $264.20 | ↓ -67% |
| Capital Blue Cross | Medicare Advantage | $264.20 | ↓ -67% |
| Cigna | Commercial | $356.20 | ↓ -55% |
| Highmark BCBS of PA | Commercial - Children's Health Insurance | $405.00 | ↓ -49% |
| Highmark BCBS of PA | Medicaid | $421.71 | ↓ -47% |
| Highmark BCBS of PA | Commercial | $430.92 | ↓ -46% |
| Prime Net | Legacy Commercial | $490.09 | ↓ -38% |
| Aetna | ACO | $494.05 | ↓ -38% |
| Prime Net | ACO | $494.05 | ↓ -38% |
| Prime Net | NonGateKeeper | $583.88 | ↓ -26% |
| Aetna | Commercial | $587.85 | ↓ -26% |
| Prime Net | GateKeeper | $587.85 | ↓ -26% |
| Keystone Health Plan | Commercial | $619.68 | ↓ -22% |
| Capital Blue Cross | CHIP | $619.68 | ↓ -22% |
| Capital Blue Cross | Commercial | $619.68 | ↓ -22% |
| Preferred Healthcare System | Inter County Health Plan/Lancaster General Health/Musselman Lumber/Vallorbs Jewelry | $726.55 | ↓ -8% |
| Geisinger | Commercial | $864.99 | ↑ +9% |
| UPMC Health Plan | Commercial | $924.70 | ↑ +17% |
| Prime Net | FH-Medical Rental | $956.40 | ↑ +21% |
| Preferred Healthcare System | PPO | $990.75 | ↑ +25% |
| UPMC Health Plan | CHIP | $1,004.36 | ↑ +27% |
| Multiplan | PPO (Includes PHCS and Humana as Payers) | $1,122.85 | ↑ +42% |
Visitor-reported prices
Comments
Mayo analysis gene smn1 dosage/deletion at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $2,430.60 | $83.66 – $489.60 |
| UPMC Bedford | Everett | $2,547.60 | $49.43 – $556.20 |
| UPMC Carlisle | Carlisle | $792.60 | $109.60 – $1,122.85 |
| UPMC Community Osteopathic | Harrisburg | $792.60 | $109.60 – $1,122.85 |
| UPMC East | Monroeville | $2,547.60 | $84.46 – $494.40 |
| UPMC Hamot | Erie | $1,301.40 | $83.66 – $152.33 |
| UPMC Northwest | Seneca | $2,547.60 | $120.56 – $147.96 |
| UPMC Hanover | Hanover | $792.60 | $109.60 – $219.20 |