Pet fdg brain metoblic eval sb at UPMC Lititz
1500 Highlands Drive, Lititz, PA · UPMC · · NPI 1285167916
$5,639.40
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.
$9,399.00
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.
$800.00 with OneCall vs $7,989.15 with Multiplan — 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 |
|---|---|---|---|
| OneCall | Worker's Comp | $800.00 | ↓ -86% |
| United Healthcare Community Plan for Families | PA Medicaid | $803.38 | ↓ -86% |
| Highmark Wholecare (prev Gateway) | Medicaid | $867.52 | ↓ -85% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $867.52 | ↓ -85% |
| UPMC Health Plan | Managed Medicaid | $888.02 | ↓ -84% |
| Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $930.37 | ↓ -84% |
| Geisinger | Medicaid/CHIP | $994.99 | ↓ -82% |
| Aetna | Medicare | $1,000.00 | ↓ -82% |
| Prime Net | Managed Medicare | $1,259.47 | ↓ -78% |
| Keystone Health Plan | Medicare Advantage | $1,879.80 | ↓ -67% |
| Capital Blue Cross | Medicare Advantage | $1,879.80 | ↓ -67% |
| Prime Net | Legacy Commercial | $3,487.03 | ↓ -38% |
| Prime Net | ACO | $3,515.23 | ↓ -38% |
| Aetna | ACO | $3,515.23 | ↓ -38% |
| Prime Net | NonGateKeeper | $4,154.36 | ↓ -26% |
| Prime Net | GateKeeper | $4,182.56 | ↓ -26% |
| Aetna | Commercial | $4,182.56 | ↓ -26% |
| Capital Blue Cross | CHIP | $4,409.07 | ↓ -22% |
| Keystone Health Plan | Commercial | $4,409.07 | ↓ -22% |
| Capital Blue Cross | Commercial | $4,409.07 | ↓ -22% |
| UPMC Health Plan | CHIP | $4,718.45 | ↓ -16% |
| Preferred Healthcare System | Inter County Health Plan/Lancaster General Health/Musselman Lumber/Vallorbs Jewelry | $5,169.45 | ↓ -8% |
| Geisinger | Commercial | $6,154.47 | ↑ +9% |
| UPMC Health Plan | Commercial | $6,579.30 | ↑ +17% |
| Prime Net | FH-Medical Rental | $6,804.88 | ↑ +21% |
| United Healthcare | Commercial | $6,917.66 | ↑ +23% |
| Preferred Healthcare System | PPO | $7,049.25 | ↑ +25% |
| Cigna | Commercial | $7,584.17 | ↑ +34% |
| Multiplan | PPO (Includes PHCS and Humana as Payers) | $7,989.15 | ↑ +42% |
| Tricare | East Region | not published by hospital | — |
| UPMC Work Partners | Workers Comp | not published by hospital | — |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
Visitor-reported prices
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Pet fdg brain metoblic eval sb at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $4,077.60 | $613.27 – $5,436.80 |
| UPMC Carlisle | Carlisle | $5,639.40 | $800.00 – $7,989.15 |
| UPMC Cole | Coudersport | $6,180.00 | $717.24 – $8,240.00 |
| UPMC Community Osteopathic | Harrisburg | $5,639.40 | $803.38 – $10,683.53 |
| UPMC Hanover | Hanover | $5,639.40 | $800.00 – $7,584.17 |
| UPMC Kane | Kane | $4,480.80 | $751.40 – $5,997.30 |
| UPMC Magee | Pittsburgh | $7,773.00 | $751.40 – $2,453.09 |
| UPMC Memorial | York | $5,639.40 | $800.00 – $7,584.17 |