Partial removal foot fascia at UPMC Lititz
1500 Highlands Drive, Lititz, PA · UPMC · · NPI 1285167916
$6,527.40
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.
$10,879.00
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.
$248.28 with AmeriHealth Caritas vs $9,802.07 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 |
|---|---|---|---|
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $248.28 | ↓ -96% |
| Highmark Wholecare (prev Gateway) | Medicaid | $248.28 | ↓ -96% |
| UPMC Health Plan | Managed Medicaid | $254.15 | ↓ -96% |
| Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $266.27 | ↓ -96% |
| Geisinger | Medicaid/CHIP | $284.77 | ↓ -96% |
| United Healthcare Community Plan for Families | PA Medicaid | $822.68 | ↓ -87% |
| UPMC Work Partners | Workers Comp | $925.82 | ↓ -86% |
| Prime Net | Managed Medicare | $1,457.79 | ↓ -78% |
| Keystone Health Plan | Medicare Advantage | $2,175.80 | ↓ -67% |
| Capital Blue Cross | Medicare Advantage | $2,175.80 | ↓ -67% |
| UPMC Health Plan | CHIP | $2,299.08 | ↓ -65% |
| Highmark BCBS of PA | Medicare | $3,085.16 | ↓ -53% |
| Aetna | Medicare | $3,250.32 | ↓ -50% |
| Cigna | Medicare | $3,272.14 | ↓ -50% |
| Geisinger | Medicare | $3,272.14 | ↓ -50% |
| United Healthcare | Medicare | $3,334.46 | ↓ -49% |
| Prime Net | Legacy Commercial | $4,036.11 | ↓ -38% |
| Aetna | ACO | $4,068.75 | ↓ -38% |
| Prime Net | ACO | $4,068.75 | ↓ -38% |
| Prime Net | NonGateKeeper | $4,808.52 | ↓ -26% |
| Aetna | Commercial | $4,841.15 | ↓ -26% |
| Prime Net | GateKeeper | $4,841.15 | ↓ -26% |
| Keystone Autism Services | ACAP | $4,986.11 | ↓ -24% |
| Cigna | Commercial | $5,035.00 | ↓ -23% |
| Capital Blue Cross | Commercial | $5,103.34 | ↓ -22% |
| Capital Blue Cross | CHIP | $5,103.34 | ↓ -22% |
| Keystone Health Plan | Commercial | $5,103.34 | ↓ -22% |
| Preferred Healthcare System | Inter County Health Plan/Lancaster General Health/Musselman Lumber/Vallorbs Jewelry | $5,983.45 | ↓ -8% |
| Geisinger | Commercial | $7,123.57 | ↑ +9% |
| UPMC Health Plan | Commercial | $7,615.30 | ↑ +17% |
| Prime Net | FH-Medical Rental | $7,876.40 | ↑ +21% |
| United Healthcare | Commercial | $8,006.94 | ↑ +23% |
| Preferred Healthcare System | PPO | $8,159.25 | ↑ +25% |
| Highmark BCBS of PA | Commercial - Children's Health Insurance | $9,212.47 | ↑ +41% |
| Multiplan | PPO (Includes PHCS and Humana as Payers) | $9,247.15 | ↑ +42% |
| Highmark BCBS of PA | Medicaid | $9,592.66 | ↑ +47% |
| Highmark BCBS of PA | Commercial | $9,802.07 | ↑ +50% |
| Tricare | East Region | not published by hospital | — |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
Visitor-reported prices
Comments
Partial removal foot fascia at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Cole | Coudersport | $727.80 | $205.28 – $1,041.88 |
| UPMC Passavant-McCandless | Pittsburgh | $3,958.20 | $215.05 – $3,402.68 |
| UPMC Altoona | Altoona | not published | $195.50 – $3,340.82 |
| UPMC Bedford | Everett | not published | $205.28 – $3,340.82 |
| UPMC Carlisle | Carlisle | not published | $248.28 – $4,966.18 |
| UPMC Community Osteopathic | Harrisburg | not published | $263.93 – $5,805.45 |
| UPMC Memorial | York | not published | $248.28 – $4,978.02 |
| UPMC Somerset | Somerset | not published | $215.05 – $3,093.35 |