Penile vascular study at UPMC Lititz
1500 Highlands Drive, Lititz, PA · UPMC · · NPI 1285167916
$199.80
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.
$333.00
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.
$44.62 with Prime Net vs $801.00 with United Healthcare — 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 | $44.62 | ↓ -78% |
| Keystone Health Plan | Medicare Advantage | $66.60 | ↓ -67% |
| Capital Blue Cross | Medicare Advantage | $66.60 | ↓ -67% |
| Highmark BCBS of PA | Medicare | $101.12 | ↓ -49% |
| Aetna | Medicare | $106.53 | ↓ -47% |
| Geisinger | Medicare | $107.25 | ↓ -46% |
| Cigna | Medicare | $107.25 | ↓ -46% |
| United Healthcare | Medicare | $109.29 | ↓ -45% |
| United Healthcare Community Plan for Families | PA Medicaid | $123.32 | ↓ -38% |
| Prime Net | Legacy Commercial | $123.54 | ↓ -38% |
| Aetna | ACO | $124.54 | ↓ -38% |
| Prime Net | ACO | $124.54 | ↓ -38% |
| Prime Net | NonGateKeeper | $147.19 | ↓ -26% |
| Prime Net | GateKeeper | $148.19 | ↓ -26% |
| Aetna | Commercial | $148.19 | ↓ -26% |
| Keystone Health Plan | Commercial | $156.21 | ↓ -22% |
| Capital Blue Cross | CHIP | $156.21 | ↓ -22% |
| Capital Blue Cross | Commercial | $156.21 | ↓ -22% |
| Keystone Autism Services | ACAP | $163.42 | ↓ -18% |
| Preferred Healthcare System | Inter County Health Plan/Lancaster General Health/Musselman Lumber/Vallorbs Jewelry | $183.15 | ↓ -8% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $195.22 | ↓ -2% |
| Highmark Wholecare (prev Gateway) | Medicaid | $195.22 | ↓ -2% |
| UPMC Health Plan | Managed Medicaid | $199.84 | ↑ +0% |
| Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $209.37 | ↑ +5% |
| Geisinger | Commercial | $218.05 | ↑ +9% |
| Geisinger | Medicaid/CHIP | $223.91 | ↑ +12% |
| UPMC Health Plan | Commercial | $233.10 | ↑ +17% |
| Prime Net | FH-Medical Rental | $241.09 | ↑ +21% |
| Preferred Healthcare System | PPO | $249.75 | ↑ +25% |
| Multiplan | PPO (Includes PHCS and Humana as Payers) | $283.05 | ↑ +42% |
| Highmark BCBS of PA | Commercial - Children's Health Insurance | $301.95 | ↑ +51% |
| Highmark BCBS of PA | Medicaid | $314.41 | ↑ +57% |
| Highmark BCBS of PA | Commercial | $321.27 | ↑ +61% |
| UPMC Work Partners | Workers Comp | $561.11 | ↑ +181% |
| UPMC Health Plan | CHIP | $571.98 | ↑ +186% |
| Cigna | Commercial | $589.04 | ↑ +195% |
| United Healthcare | Commercial | $801.00 | ↑ +301% |
| Tricare | East Region | not published by hospital | — |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
Visitor-reported prices
Comments
Penile vascular study at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Magee | Pittsburgh | $1,077.60 | $94.88 – $585.69 |
| UPMC Muncy | Muncy | $669.60 | $120.50 – $626.55 |
| UPMC Passavant-McCandless | Pittsburgh | $1,179.60 | $94.21 – $681.03 |
| UPMC Wellsboro | Wellsboro | $809.60 | $120.50 – $536.17 |