Nm radiopharmaceutical therapy oral administration at UPMC Lititz
1500 Highlands Drive, Lititz, PA · UPMC · · NPI 1285167916
$791.40
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.
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What you pay up front if you don't use insurance.
$1,319.00
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.
$49.50 with United Healthcare Community Plan for Families vs $1,247.65 with Cigna — 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 | $49.50 | ↓ -94% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $138.09 | ↓ -83% |
| Highmark Wholecare (prev Gateway) | Medicaid | $138.09 | ↓ -83% |
| UPMC Health Plan | Managed Medicaid | $141.35 | ↓ -82% |
| Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $148.09 | ↓ -81% |
| Geisinger | Medicaid/CHIP | $158.38 | ↓ -80% |
| Prime Net | Managed Medicare | $176.75 | ↓ -78% |
| Highmark BCBS of PA | Medicare | $213.12 | ↓ -73% |
| Aetna | Medicare | $224.53 | ↓ -72% |
| Cigna | Medicare | $226.03 | ↓ -71% |
| Geisinger | Medicare | $226.03 | ↓ -71% |
| United Healthcare | Medicare | $230.34 | ↓ -71% |
| Keystone Health Plan | Medicare Advantage | $263.80 | ↓ -67% |
| Capital Blue Cross | Medicare Advantage | $263.80 | ↓ -67% |
| Keystone Autism Services | ACAP | $344.43 | ↓ -56% |
| UPMC Work Partners | Workers Comp | $357.41 | ↓ -55% |
| Prime Net | Legacy Commercial | $489.35 | ↓ -38% |
| Aetna | ACO | $493.31 | ↓ -38% |
| Prime Net | ACO | $493.31 | ↓ -38% |
| Prime Net | NonGateKeeper | $583.00 | ↓ -26% |
| Aetna | Commercial | $586.96 | ↓ -26% |
| Prime Net | GateKeeper | $586.96 | ↓ -26% |
| UPMC Health Plan | CHIP | $588.39 | ↓ -26% |
| Capital Blue Cross | Commercial | $618.74 | ↓ -22% |
| Capital Blue Cross | CHIP | $618.74 | ↓ -22% |
| Keystone Health Plan | Commercial | $618.74 | ↓ -22% |
| Highmark BCBS of PA | Commercial - Children's Health Insurance | $636.38 | ↓ -20% |
| Highmark BCBS of PA | Medicaid | $662.64 | ↓ -16% |
| Highmark BCBS of PA | Commercial | $677.11 | ↓ -14% |
| Preferred Healthcare System | Inter County Health Plan/Lancaster General Health/Musselman Lumber/Vallorbs Jewelry | $725.45 | ↓ -8% |
| Geisinger | Commercial | $863.68 | ↑ +9% |
| UPMC Health Plan | Commercial | $923.30 | ↑ +17% |
| Prime Net | FH-Medical Rental | $954.96 | ↑ +21% |
| United Healthcare | Commercial | $970.78 | ↑ +23% |
| Preferred Healthcare System | PPO | $989.25 | ↑ +25% |
| Multiplan | PPO (Includes PHCS and Humana as Payers) | $1,121.15 | ↑ +42% |
| Cigna | Commercial | $1,247.65 | ↑ +58% |
| Tricare | East Region | not published by hospital | — |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
Visitor-reported prices
Comments
Nm radiopharmaceutical therapy oral administration at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $661.80 | $37.79 – $882.40 |
| UPMC Carlisle | Carlisle | $791.40 | $49.50 – $1,121.15 |
| UPMC Community Osteopathic | Harrisburg | $791.40 | $49.50 – $1,121.15 |
| UPMC Hamot | Erie | $1,464.60 | $109.74 – $352.45 |
| UPMC Northwest | Seneca | $626.40 | $119.60 – $341.52 |
| UPMC Hanover | Hanover | $791.40 | $49.50 – $357.41 |
| UPMC Horizon-Greenville | Greenville | $1,176.60 | $119.60 – $341.52 |
| UPMC Jameson | New Castle | $500.40 | $43.46 – $341.52 |