Nerve conduction studies 11-12 at UPMC Lititz
1500 Highlands Drive, Lititz, PA · UPMC · · NPI 1285167916
$328.20
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.
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What you pay up front if you don't use insurance.
$547.00
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.
$73.30 with Prime Net vs $1,602.96 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 |
|---|---|---|---|
| Prime Net | Managed Medicare | $73.30 | ↓ -78% |
| United Healthcare Community Plan for Families | PA Medicaid | $101.59 | ↓ -69% |
| Keystone Health Plan | Medicare Advantage | $109.40 | ↓ -67% |
| Capital Blue Cross | Medicare Advantage | $109.40 | ↓ -67% |
| Prime Net | Legacy Commercial | $202.94 | ↓ -38% |
| Aetna | ACO | $204.58 | ↓ -38% |
| Prime Net | ACO | $204.58 | ↓ -38% |
| Prime Net | NonGateKeeper | $241.77 | ↓ -26% |
| Aetna | Commercial | $243.41 | ↓ -26% |
| Prime Net | GateKeeper | $243.41 | ↓ -26% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $252.39 | ↓ -23% |
| Highmark Wholecare (prev Gateway) | Medicaid | $252.39 | ↓ -23% |
| Keystone Health Plan | Commercial | $256.60 | ↓ -22% |
| Capital Blue Cross | CHIP | $256.60 | ↓ -22% |
| Capital Blue Cross | Commercial | $256.60 | ↓ -22% |
| UPMC Health Plan | CHIP | $257.54 | ↓ -22% |
| UPMC Health Plan | Managed Medicaid | $258.35 | ↓ -21% |
| Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $270.67 | ↓ -18% |
| Geisinger | Medicaid/CHIP | $289.47 | ↓ -12% |
| Preferred Healthcare System | Inter County Health Plan/Lancaster General Health/Musselman Lumber/Vallorbs Jewelry | $300.85 | ↓ -8% |
| United Healthcare | Commercial | $319.00 | ↓ -3% |
| Geisinger | Commercial | $358.18 | ↑ +9% |
| UPMC Work Partners | Workers Comp | $371.02 | ↑ +13% |
| UPMC Health Plan | Commercial | $382.90 | ↑ +17% |
| Prime Net | FH-Medical Rental | $396.03 | ↑ +21% |
| Preferred Healthcare System | PPO | $410.25 | ↑ +25% |
| Cigna | Commercial | $426.66 | ↑ +30% |
| Multiplan | PPO (Includes PHCS and Humana as Payers) | $464.95 | ↑ +42% |
| Highmark BCBS of PA | Medicare | $504.52 | ↑ +54% |
| Aetna | Medicare | $531.53 | ↑ +62% |
| Cigna | Medicare | $535.10 | ↑ +63% |
| Geisinger | Medicare | $535.10 | ↑ +63% |
| United Healthcare | Medicare | $545.29 | ↑ +66% |
| Keystone Autism Services | ACAP | $815.39 | ↑ +148% |
| Highmark BCBS of PA | Commercial - Children's Health Insurance | $1,506.54 | ↑ +359% |
| Highmark BCBS of PA | Medicaid | $1,568.71 | ↑ +378% |
| Highmark BCBS of PA | Commercial | $1,602.96 | ↑ +388% |
| Tricare | East Region | not published by hospital | — |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
Visitor-reported prices
Comments
Nerve conduction studies 11-12 at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $542.40 | $77.55 – $723.20 |
| UPMC Bedford | Everett | $1,788.60 | $182.51 – $2,682.90 |
| UPMC Carlisle | Carlisle | $328.20 | $74.94 – $812.13 |
| UPMC Cole | Coudersport | $316.20 | $63.48 – $354.54 |
| UPMC Community Osteopathic | Harrisburg | $328.20 | $101.59 – $558.48 |
| UPMC East | Monroeville | $2,332.80 | $83.45 – $3,110.40 |
| UPMC Hamot | Erie | $2,557.80 | $82.66 – $720.95 |
| UPMC Northwest | Seneca | $2,280.00 | $214.54 – $531.15 |