Myocrd img pet 2rtracer at UPMC Lititz
1500 Highlands Drive, Lititz, PA · UPMC · · NPI 1285167916
$10,748.40
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.
$17,914.00
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.
$800.00 with OneCall vs $15,226.90 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 |
|---|---|---|---|
| OneCall | Worker's Comp | $800.00 | ↓ -93% |
| Highmark BCBS of PA | Medicare | $1,759.56 | ↓ -84% |
| Aetna | Medicare | $1,853.76 | ↓ -83% |
| Geisinger | Medicare | $1,866.20 | ↓ -83% |
| Cigna | Medicare | $1,866.20 | ↓ -83% |
| United Healthcare | Medicare | $1,901.74 | ↓ -82% |
| Prime Net | Managed Medicare | $2,400.48 | ↓ -78% |
| United Healthcare Community Plan for Families | PA Medicaid | $2,700.81 | ↓ -75% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $2,719.06 | ↓ -75% |
| Highmark Wholecare (prev Gateway) | Medicaid | $2,719.06 | ↓ -75% |
| UPMC Health Plan | Managed Medicaid | $2,783.29 | ↓ -74% |
| Keystone Autism Services | ACAP | $2,843.73 | ↓ -74% |
| Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $2,916.03 | ↓ -73% |
| Geisinger | Medicaid/CHIP | $3,118.57 | ↓ -71% |
| Keystone Health Plan | Medicare Advantage | $3,582.80 | ↓ -67% |
| Capital Blue Cross | Medicare Advantage | $3,582.80 | ↓ -67% |
| Highmark BCBS of PA | Commercial - Children's Health Insurance | $5,254.14 | ↓ -51% |
| Highmark BCBS of PA | Medicaid | $5,470.98 | ↓ -49% |
| Highmark BCBS of PA | Commercial | $5,590.41 | ↓ -48% |
| Prime Net | Legacy Commercial | $6,646.09 | ↓ -38% |
| Aetna | ACO | $6,699.84 | ↓ -38% |
| Prime Net | ACO | $6,699.84 | ↓ -38% |
| Prime Net | NonGateKeeper | $7,917.99 | ↓ -26% |
| Prime Net | GateKeeper | $7,971.73 | ↓ -26% |
| Aetna | Commercial | $7,971.73 | ↓ -26% |
| Capital Blue Cross | Commercial | $8,403.46 | ↓ -22% |
| Keystone Health Plan | Commercial | $8,403.46 | ↓ -22% |
| Capital Blue Cross | CHIP | $8,403.46 | ↓ -22% |
| Preferred Healthcare System | Inter County Health Plan/Lancaster General Health/Musselman Lumber/Vallorbs Jewelry | $9,852.70 | ↓ -8% |
| Geisinger | Commercial | $11,730.09 | ↑ +9% |
| UPMC Health Plan | Commercial | $12,539.80 | ↑ +17% |
| UPMC Health Plan | CHIP | $12,539.80 | ↑ +17% |
| Prime Net | FH-Medical Rental | $12,969.74 | ↑ +21% |
| United Healthcare | Commercial | $13,184.70 | ↑ +23% |
| Preferred Healthcare System | PPO | $13,435.50 | ↑ +25% |
| Cigna | Commercial | $14,455.20 | ↑ +34% |
| Multiplan | PPO (Includes PHCS and Humana as Payers) | $15,226.90 | ↑ +42% |
| Tricare | East Region | not published by hospital | — |
| UPMC Work Partners | Workers Comp | not published by hospital | — |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
Visitor-reported prices
Comments
Myocrd img pet 2rtracer at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Carlisle | Carlisle | $10,748.40 | $800.00 – $15,226.90 |
| UPMC Community Osteopathic | Harrisburg | $10,748.40 | $1,802.10 – $15,226.90 |
| UPMC Hanover | Hanover | $10,748.40 | $800.00 – $2,916.03 |
| UPMC Memorial | York | $10,748.40 | $800.00 – $16,848.44 |
| UPMC Presbyterian | Pittsburgh | $11,591.40 | $1,033.59 – $3,332.88 |
| UPMC Somerset | Somerset | $10,748.40 | $1,013.49 – $2,975.76 |