Mayo microsomal antibody liver-kidney at UPMC Lititz
1500 Highlands Drive, Lititz, PA · UPMC · · NPI 1285167916
$81.00
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.
$135.00
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.
$7.91 with AmeriHealth Caritas vs $102.00 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 | $7.91 | ↓ -90% |
| Highmark Wholecare (prev Gateway) | Medicaid | $10.05 | ↓ -88% |
| UPMC Health Plan | Managed Medicaid | $10.28 | ↓ -87% |
| United Healthcare Community Plan for Families | PA Medicaid | $10.36 | ↓ -87% |
| Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $10.77 | ↓ -87% |
| Geisinger | Medicaid/CHIP | $11.52 | ↓ -86% |
| Highmark BCBS of PA | Medicare | $14.40 | ↓ -82% |
| UPMC Work Partners | Workers Comp | $15.05 | ↓ -81% |
| Aetna | Medicare | $15.18 | ↓ -81% |
| Cigna | Medicare | $15.28 | ↓ -81% |
| Geisinger | Medicare | $15.28 | ↓ -81% |
| United Healthcare | Medicare | $15.57 | ↓ -81% |
| Prime Net | Managed Medicare | $16.08 | ↓ -80% |
| Keystone Autism Services | ACAP | $23.28 | ↓ -71% |
| Capital Blue Cross | Medicare Advantage | $24.00 | ↓ -70% |
| Keystone Health Plan | Medicare Advantage | $24.00 | ↓ -70% |
| Cigna | Commercial | $37.84 | ↓ -53% |
| Highmark BCBS of PA | Commercial - Children's Health Insurance | $43.01 | ↓ -47% |
| Prime Net | Legacy Commercial | $44.52 | ↓ -45% |
| Highmark BCBS of PA | Medicaid | $44.79 | ↓ -45% |
| Aetna | ACO | $44.88 | ↓ -45% |
| Prime Net | ACO | $44.88 | ↓ -45% |
| Highmark BCBS of PA | Commercial | $45.77 | ↓ -43% |
| Prime Net | NonGateKeeper | $53.04 | ↓ -35% |
| Aetna | Commercial | $53.40 | ↓ -34% |
| Prime Net | GateKeeper | $53.40 | ↓ -34% |
| Keystone Health Plan | Commercial | $56.29 | ↓ -31% |
| Capital Blue Cross | CHIP | $56.29 | ↓ -31% |
| Capital Blue Cross | Commercial | $56.29 | ↓ -31% |
| UPMC Health Plan | CHIP | $58.80 | ↓ -27% |
| Preferred Healthcare System | Inter County Health Plan/Lancaster General Health/Musselman Lumber/Vallorbs Jewelry | $66.00 | ↓ -19% |
| Geisinger | Commercial | $78.58 | ↓ -3% |
| UPMC Health Plan | Commercial | $84.00 | ↑ +4% |
| Prime Net | FH-Medical Rental | $86.88 | ↑ +7% |
| Preferred Healthcare System | PPO | $90.00 | ↑ +11% |
| United Healthcare | Commercial | $93.34 | ↑ +15% |
| Multiplan | PPO (Includes PHCS and Humana as Payers) | $102.00 | ↑ +26% |
Visitor-reported prices
Comments
Mayo microsomal antibody liver-kidney at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $117.00 | $7.91 – $156.00 |
| UPMC Bedford | Everett | $66.60 | $5.25 – $99.90 |
| UPMC Carlisle | Carlisle | $81.00 | $7.91 – $102.00 |
| UPMC Cole | Coudersport | $132.60 | $8.31 – $176.80 |
| UPMC Community Osteopathic | Harrisburg | $81.00 | $7.91 – $102.00 |
| UPMC East | Monroeville | $138.00 | $7.91 – $184.00 |
| UPMC Hamot | Erie | $193.20 | $7.91 – $17.84 |
| UPMC Northwest | Seneca | $78.60 | $8.70 – $15.28 |