Place duod/jej tube perc at UPMC Lititz
1500 Highlands Drive, Lititz, PA · UPMC · · NPI 1285167916
$7,209.00
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.
$12,015.00
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.
$244.14 with Highmark Wholecare (prev Gateway) vs $14,384.33 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 |
|---|---|---|---|
| Highmark Wholecare (prev Gateway) | Medicaid | $244.14 | ↓ -97% |
| UPMC Health Plan | Managed Medicaid | $249.91 | ↓ -97% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $259.52 | ↓ -96% |
| Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $261.83 | ↓ -96% |
| Geisinger | Medicaid/CHIP | $280.02 | ↓ -96% |
| United Healthcare Community Plan for Families | PA Medicaid | $1,016.56 | ↓ -86% |
| Prime Net | Managed Medicare | $1,610.01 | ↓ -78% |
| Highmark BCBS of PA | Medicare | $1,803.76 | ↓ -75% |
| Aetna | Medicare | $1,900.33 | ↓ -74% |
| Cigna | Medicare | $1,913.08 | ↓ -73% |
| Geisinger | Medicare | $1,913.08 | ↓ -73% |
| United Healthcare | Medicare | $1,949.52 | ↓ -73% |
| UPMC Work Partners | Workers Comp | $2,069.80 | ↓ -71% |
| Keystone Health Plan | Medicare Advantage | $2,403.00 | ↓ -67% |
| Capital Blue Cross | Medicare Advantage | $2,403.00 | ↓ -67% |
| Keystone Autism Services | ACAP | $2,915.17 | ↓ -60% |
| Cigna | Commercial | $3,397.00 | ↓ -53% |
| Prime Net | Legacy Commercial | $4,457.56 | ↓ -38% |
| Prime Net | ACO | $4,493.61 | ↓ -38% |
| Aetna | ACO | $4,493.61 | ↓ -38% |
| Prime Net | NonGateKeeper | $5,310.63 | ↓ -26% |
| Aetna | Commercial | $5,346.68 | ↓ -26% |
| Prime Net | GateKeeper | $5,346.68 | ↓ -26% |
| Highmark BCBS of PA | Commercial - Children's Health Insurance | $5,386.14 | ↓ -25% |
| Highmark BCBS of PA | Medicaid | $5,608.42 | ↓ -22% |
| Keystone Health Plan | Commercial | $5,636.24 | ↓ -22% |
| Capital Blue Cross | Commercial | $5,636.24 | ↓ -22% |
| Capital Blue Cross | CHIP | $5,636.24 | ↓ -22% |
| Highmark BCBS of PA | Commercial | $5,730.86 | ↓ -21% |
| Preferred Healthcare System | Inter County Health Plan/Lancaster General Health/Musselman Lumber/Vallorbs Jewelry | $6,608.25 | ↓ -8% |
| Geisinger | Commercial | $7,867.42 | ↑ +9% |
| UPMC Health Plan | Commercial | $8,410.50 | ↑ +17% |
| Prime Net | FH-Medical Rental | $8,698.86 | ↑ +21% |
| Preferred Healthcare System | PPO | $9,011.25 | ↑ +25% |
| Multiplan | PPO (Includes PHCS and Humana as Payers) | $10,212.75 | ↑ +42% |
| UPMC Health Plan | CHIP | $14,384.33 | ↑ +100% |
| Tricare | East Region | not published by hospital | — |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
| United Healthcare | Commercial | not published by hospital | — |
Visitor-reported prices
Comments
Place duod/jej tube perc at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $4,937.40 | $192.24 – $6,583.20 |
| UPMC Carlisle | Carlisle | $7,209.00 | $244.14 – $10,212.75 |
| UPMC Community Osteopathic | Harrisburg | $7,209.00 | $259.52 – $14,384.33 |
| UPMC East | Monroeville | $9,489.60 | $211.46 – $12,652.80 |
| UPMC Hamot | Erie | $5,066.40 | $211.46 – $2,630.42 |
| UPMC Hanover | Hanover | $7,209.00 | $244.14 – $2,899.50 |
| UPMC Magee | Pittsburgh | $5,186.40 | $211.46 – $2,287.83 |
| UPMC Memorial | York | $7,209.00 | $244.14 – $2,910.43 |