Mopath procedure level 5 at UPMC Lititz
1500 Highlands Drive, Lititz, PA · UPMC · · NPI 1285167916
$1,008.00
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.
$1,680.00
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.
$219.62 with United Healthcare Community Plan for Families vs $1,428.00 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 |
|---|---|---|---|
| United Healthcare Community Plan for Families | PA Medicaid | $219.62 | ↓ -78% |
| Prime Net | Managed Medicare | $225.12 | ↓ -78% |
| Highmark BCBS of PA | Medicare | $272.08 | ↓ -73% |
| UPMC Work Partners | Workers Comp | $284.26 | ↓ -72% |
| Aetna | Medicare | $286.65 | ↓ -72% |
| Cigna | Medicare | $288.57 | ↓ -71% |
| Geisinger | Medicare | $288.57 | ↓ -71% |
| United Healthcare | Medicare | $294.07 | ↓ -71% |
| Keystone Health Plan | Medicare Advantage | $336.00 | ↓ -67% |
| Capital Blue Cross | Medicare Advantage | $336.00 | ↓ -67% |
| Keystone Autism Services | ACAP | $439.73 | ↓ -56% |
| Prime Net | Legacy Commercial | $623.28 | ↓ -38% |
| Prime Net | ACO | $628.32 | ↓ -38% |
| Aetna | ACO | $628.32 | ↓ -38% |
| UPMC Health Plan | CHIP | $636.66 | ↓ -37% |
| Cigna | Commercial | $714.56 | ↓ -29% |
| Prime Net | NonGateKeeper | $742.56 | ↓ -26% |
| Aetna | Commercial | $747.60 | ↓ -26% |
| Prime Net | GateKeeper | $747.60 | ↓ -26% |
| Capital Blue Cross | CHIP | $788.09 | ↓ -22% |
| Capital Blue Cross | Commercial | $788.09 | ↓ -22% |
| Keystone Health Plan | Commercial | $788.09 | ↓ -22% |
| Highmark BCBS of PA | Commercial - Children's Health Insurance | $812.45 | ↓ -19% |
| Highmark BCBS of PA | Medicaid | $845.98 | ↓ -16% |
| Highmark BCBS of PA | Commercial | $864.45 | ↓ -14% |
| Geisinger | Medicaid/CHIP | $924.00 | ↓ -8% |
| Preferred Healthcare System | Inter County Health Plan/Lancaster General Health/Musselman Lumber/Vallorbs Jewelry | $924.00 | ↓ -8% |
| Geisinger | Commercial | $1,100.06 | ↑ +9% |
| UPMC Health Plan | Commercial | $1,176.00 | ↑ +17% |
| Prime Net | FH-Medical Rental | $1,216.32 | ↑ +21% |
| Preferred Healthcare System | PPO | $1,260.00 | ↑ +25% |
| Multiplan | PPO (Includes PHCS and Humana as Payers) | $1,428.00 | ↑ +42% |
Visitor-reported prices
Comments
Mopath procedure level 5 at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $5,556.60 | $159.00 – $473.81 |
| UPMC Bedford | Everett | $2,934.00 | $99.16 – $3,110.40 |
| UPMC Cole | Coudersport | $1,691.40 | $53.00 – $2,255.20 |
| UPMC East | Monroeville | $3,109.80 | $175.14 – $844.80 |
| UPMC Hamot | Erie | $8,296.20 | $271.62 – $473.81 |
| UPMC Northwest | Seneca | $3,109.80 | $176.77 – $296.82 |
| UPMC Horizon-Greenville | Greenville | $8,296.20 | $177.33 – $515.72 |
| UPMC Jameson | New Castle | $2,073.60 | $192.80 – $482.17 |