Ortho whf rigd without jnt cstm w/fit&adj at UPMC Lititz
1500 Highlands Drive, Lititz, PA · UPMC · · NPI 1285167916
$702.00
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.
$1,170.00
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.
$156.78 with Prime Net vs $1,602.33 with UPMC Health Plan — 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 | $156.78 | ↓ -78% |
| Aetna | Medicare | $192.75 | ↓ -73% |
| United Healthcare Community Plan for Families | PA Medicaid | $220.62 | ↓ -69% |
| Capital Blue Cross | Medicare Advantage | $234.00 | ↓ -67% |
| Keystone Health Plan | Medicare Advantage | $234.00 | ↓ -67% |
| Geisinger | Medicaid/CHIP | $386.10 | ↓ -45% |
| Prime Net | Legacy Commercial | $434.07 | ↓ -38% |
| Aetna | ACO | $437.58 | ↓ -38% |
| Prime Net | ACO | $437.58 | ↓ -38% |
| Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $444.60 | ↓ -37% |
| Prime Net | NonGateKeeper | $517.14 | ↓ -26% |
| Prime Net | GateKeeper | $520.65 | ↓ -26% |
| Aetna | Commercial | $520.65 | ↓ -26% |
| Keystone Health Plan | Commercial | $548.85 | ↓ -22% |
| Capital Blue Cross | CHIP | $548.85 | ↓ -22% |
| Capital Blue Cross | Commercial | $548.85 | ↓ -22% |
| Preferred Healthcare System | Inter County Health Plan/Lancaster General Health/Musselman Lumber/Vallorbs Jewelry | $643.50 | ↓ -8% |
| United Healthcare | Commercial | $720.72 | ↑ +3% |
| Geisinger | Commercial | $766.12 | ↑ +9% |
| UPMC Health Plan | Commercial | $819.00 | ↑ +17% |
| Prime Net | FH-Medical Rental | $847.08 | ↑ +21% |
| Preferred Healthcare System | PPO | $877.50 | ↑ +25% |
| Cigna | Commercial | $912.60 | ↑ +30% |
| Multiplan | PPO (Includes PHCS and Humana as Payers) | $994.50 | ↑ +42% |
| UPMC Health Plan | CHIP | $1,602.33 | ↑ +128% |
| Highmark Wholecare (prev Gateway) | Medicaid | not published by hospital | — |
| UPMC Work Partners | Workers Comp | not published by hospital | — |
Visitor-reported prices
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Ortho whf rigd without jnt cstm w/fit&adj at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Carlisle | Carlisle | $702.00 | $160.29 – $994.50 |
| UPMC Cole | Coudersport | $1,635.00 | $421.61 – $1,775.20 |
| UPMC Community Osteopathic | Harrisburg | $702.00 | $220.62 – $1,602.33 |
| UPMC Hanover | Hanover | $702.00 | $220.62 – $1,602.33 |
| UPMC Memorial | York | $702.00 | $192.75 – $1,602.33 |
| UPMC Presbyterian | Pittsburgh | $1,574.40 | $202.09 – $2,590.68 |
| UPMC Somerset | Somerset | $702.00 | $193.67 – $959.74 |
| WellSpan Chambersburg Hospital | Chambersburg | $454.40 | $210.51 – $1,780.30 |