Nebulizer Breathing Treatment at UPMC Lititz
1500 Highlands Drive, Lititz, PA · UPMC · · NPI 1285167916
$418.20
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.
$697.00
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.
$47.91 with UPMC Work Partners vs $614.45 with Highmark BCBS of PA — 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 |
|---|---|---|---|
| UPMC Work Partners | Workers Comp | $47.91 | ↓ -89% |
| UPMC Health Plan | CHIP | $66.25 | ↓ -84% |
| Prime Net | Managed Medicare | $93.40 | ↓ -78% |
| Keystone Health Plan | Medicare Advantage | $139.40 | ↓ -67% |
| Capital Blue Cross | Medicare Advantage | $139.40 | ↓ -67% |
| United Healthcare Community Plan for Families | PA Medicaid | $153.03 | ↓ -63% |
| United Healthcare | Commercial | $163.00 | ↓ -61% |
| Highmark BCBS of PA | Medicare | $193.40 | ↓ -54% |
| Aetna | Medicare | $203.75 | ↓ -51% |
| Cigna | Medicare | $205.12 | ↓ -51% |
| Geisinger | Medicare | $205.12 | ↓ -51% |
| United Healthcare | Medicare | $209.02 | ↓ -50% |
| Prime Net | Legacy Commercial | $258.59 | ↓ -38% |
| Aetna | ACO | $260.68 | ↓ -38% |
| Prime Net | ACO | $260.68 | ↓ -38% |
| Prime Net | NonGateKeeper | $308.07 | ↓ -26% |
| Prime Net | GateKeeper | $310.17 | ↓ -26% |
| Aetna | Commercial | $310.17 | ↓ -26% |
| Keystone Autism Services | ACAP | $312.56 | ↓ -25% |
| Capital Blue Cross | CHIP | $326.96 | ↓ -22% |
| Keystone Health Plan | Commercial | $326.96 | ↓ -22% |
| Capital Blue Cross | Commercial | $326.96 | ↓ -22% |
| Geisinger | Medicaid/CHIP | $383.35 | ↓ -8% |
| Preferred Healthcare System | Inter County Health Plan/Lancaster General Health/Musselman Lumber/Vallorbs Jewelry | $383.35 | ↓ -8% |
| Cigna | Commercial | $387.00 | ↓ -7% |
| Geisinger | Commercial | $456.40 | ↑ +9% |
| UPMC Health Plan | Commercial | $487.90 | ↑ +17% |
| Prime Net | FH-Medical Rental | $504.63 | ↑ +21% |
| Preferred Healthcare System | PPO | $522.75 | ↑ +25% |
| Highmark BCBS of PA | Commercial - Children's Health Insurance | $577.49 | ↑ +38% |
| Multiplan | PPO (Includes PHCS and Humana as Payers) | $592.45 | ↑ +42% |
| Highmark BCBS of PA | Medicaid | $601.33 | ↑ +44% |
| Highmark BCBS of PA | Commercial | $614.45 | ↑ +47% |
| Tricare | East Region | not published by hospital | — |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
Visitor-reported prices
Comments
Nebulizer Breathing Treatment at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $126.00 | $24.67 – $209.42 |
| UPMC Bedford | Everett | $59.40 | $24.75 – $209.42 |
| UPMC Carlisle | Carlisle | $418.20 | $47.91 – $592.45 |
| UPMC Cole | Coudersport | $63.00 | $15.63 – $84.00 |
| UPMC Community Osteopathic | Harrisburg | $418.20 | $36.40 – $592.45 |
| UPMC East | Monroeville | $128.40 | $24.90 – $209.42 |
| UPMC Hamot | Erie | $617.40 | $24.67 – $241.69 |
| UPMC Northwest | Seneca | $74.40 | $34.78 – $209.42 |