Mayo covid-19 antibody nucleocapsid total at UPMC Lititz
1500 Highlands Drive, Lititz, PA · UPMC · · NPI 1285167916
$123.00
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.
$205.00
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.
$11.16 with AmeriHealth Caritas vs $132.52 with Highmark BCBS of PA — 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 | $11.16 | ↓ -91% |
| Highmark Wholecare (prev Gateway) | Medicaid | $14.17 | ↓ -88% |
| UPMC Health Plan | Managed Medicaid | $14.51 | ↓ -88% |
| United Healthcare Community Plan for Families | PA Medicaid | $14.62 | ↓ -88% |
| Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $15.20 | ↓ -88% |
| Geisinger | Medicaid/CHIP | $16.26 | ↓ -87% |
| Prime Net | Managed Medicare | $18.89 | ↓ -85% |
| United Healthcare | Commercial | $19.54 | ↓ -84% |
| Capital Blue Cross | Medicare Advantage | $28.20 | ↓ -77% |
| Keystone Health Plan | Medicare Advantage | $28.20 | ↓ -77% |
| Highmark BCBS of PA | Medicare | $41.71 | ↓ -66% |
| UPMC Work Partners | Workers Comp | $43.58 | ↓ -65% |
| Aetna | Medicare | $43.94 | ↓ -64% |
| Geisinger | Medicare | $44.24 | ↓ -64% |
| Cigna | Medicare | $44.24 | ↓ -64% |
| United Healthcare | Medicare | $45.08 | ↓ -63% |
| Prime Net | Legacy Commercial | $52.31 | ↓ -57% |
| Aetna | ACO | $52.73 | ↓ -57% |
| Prime Net | ACO | $52.73 | ↓ -57% |
| Prime Net | NonGateKeeper | $62.32 | ↓ -49% |
| Prime Net | GateKeeper | $62.74 | ↓ -49% |
| Aetna | Commercial | $62.74 | ↓ -49% |
| Keystone Health Plan | Commercial | $66.14 | ↓ -46% |
| Capital Blue Cross | CHIP | $66.14 | ↓ -46% |
| Capital Blue Cross | Commercial | $66.14 | ↓ -46% |
| Keystone Autism Services | ACAP | $67.41 | ↓ -45% |
| Preferred Healthcare System | Inter County Health Plan/Lancaster General Health/Musselman Lumber/Vallorbs Jewelry | $77.55 | ↓ -37% |
| UPMC Health Plan | CHIP | $78.40 | ↓ -36% |
| Geisinger | Commercial | $92.33 | ↓ -25% |
| UPMC Health Plan | Commercial | $98.70 | ↓ -20% |
| Prime Net | FH-Medical Rental | $102.08 | ↓ -17% |
| Preferred Healthcare System | PPO | $105.75 | ↓ -14% |
| Cigna | Commercial | $109.98 | ↓ -11% |
| Multiplan | PPO (Includes PHCS and Humana as Payers) | $119.85 | ↓ -3% |
| Highmark BCBS of PA | Commercial - Children's Health Insurance | $124.54 | ↑ +1% |
| Highmark BCBS of PA | Medicaid | $129.68 | ↑ +5% |
| Highmark BCBS of PA | Commercial | $132.52 | ↑ +8% |
Visitor-reported prices
Comments
Mayo covid-19 antibody nucleocapsid total at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $123.00 | $11.16 – $164.00 |
| UPMC Bedford | Everett | $123.00 | $11.16 – $184.50 |
| UPMC Carlisle | Carlisle | $123.00 | $11.16 – $119.85 |
| UPMC Cole | Coudersport | $151.20 | $11.72 – $201.60 |
| UPMC Community Osteopathic | Harrisburg | $123.00 | $11.16 – $119.85 |
| UPMC East | Monroeville | $130.20 | $11.16 – $164.00 |
| UPMC Hamot | Erie | $123.00 | $11.16 – $78.31 |
| UPMC Northwest | Seneca | $123.00 | $12.28 – $44.24 |