Placement localization device(s) breast percutaneous mammographic guidance 1st lesion (both sides) at UPMC Lititz
1500 Highlands Drive, Lititz, PA · UPMC · · NPI 1285167916
$924.60
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.
$1,541.00
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.
$104.89 with Highmark Wholecare (prev Gateway) vs $4,894.81 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 |
|---|---|---|---|
| Highmark Wholecare (prev Gateway) | Medicaid | $104.89 | ↓ -89% |
| UPMC Health Plan | Managed Medicaid | $107.37 | ↓ -88% |
| United Healthcare Community Plan for Families | PA Medicaid | $108.19 | ↓ -88% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $111.50 | ↓ -88% |
| Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $112.49 | ↓ -88% |
| Geisinger | Medicaid/CHIP | $120.30 | ↓ -87% |
| Prime Net | Managed Medicare | $206.49 | ↓ -78% |
| Keystone Health Plan | Medicare Advantage | $308.20 | ↓ -67% |
| Capital Blue Cross | Medicare Advantage | $308.20 | ↓ -67% |
| UPMC Work Partners | Workers Comp | $342.40 | ↓ -63% |
| Prime Net | Legacy Commercial | $571.71 | ↓ -38% |
| Aetna | ACO | $576.33 | ↓ -38% |
| Prime Net | ACO | $576.33 | ↓ -38% |
| Prime Net | NonGateKeeper | $681.12 | ↓ -26% |
| Aetna | Commercial | $685.75 | ↓ -26% |
| Prime Net | GateKeeper | $685.75 | ↓ -26% |
| Keystone Health Plan | Commercial | $722.88 | ↓ -22% |
| Capital Blue Cross | CHIP | $722.88 | ↓ -22% |
| Capital Blue Cross | Commercial | $722.88 | ↓ -22% |
| Preferred Healthcare System | Inter County Health Plan/Lancaster General Health/Musselman Lumber/Vallorbs Jewelry | $847.55 | ↓ -8% |
| Geisinger | Commercial | $1,009.05 | ↑ +9% |
| UPMC Health Plan | Commercial | $1,078.70 | ↑ +17% |
| Prime Net | FH-Medical Rental | $1,115.68 | ↑ +21% |
| Preferred Healthcare System | PPO | $1,155.75 | ↑ +25% |
| Multiplan | PPO (Includes PHCS and Humana as Payers) | $1,309.85 | ↑ +42% |
| UPMC Health Plan | CHIP | $1,533.39 | ↑ +66% |
| Highmark BCBS of PA | Medicare | $1,540.62 | ↑ +67% |
| Aetna | Medicare | $1,623.10 | ↑ +76% |
| Cigna | Medicare | $1,633.99 | ↑ +77% |
| Geisinger | Medicare | $1,633.99 | ↑ +77% |
| United Healthcare | Medicare | $1,665.11 | ↑ +80% |
| Keystone Autism Services | ACAP | $2,489.89 | ↑ +169% |
| Cigna | Commercial | $3,397.00 | ↑ +267% |
| Highmark BCBS of PA | Commercial - Children's Health Insurance | $4,600.38 | ↑ +398% |
| Highmark BCBS of PA | Medicaid | $4,790.23 | ↑ +418% |
| Highmark BCBS of PA | Commercial | $4,894.81 | ↑ +429% |
| United Healthcare | Commercial | not published by hospital | — |
| Tricare | East Region | not published by hospital | — |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
Visitor-reported prices
Comments
Placement localization device(s) breast percutaneous mammographic guidance 1st lesion (both sides) at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $1,150.20 | $82.59 – $1,533.60 |
| UPMC Carlisle | Carlisle | $924.60 | $104.89 – $2,479.92 |
| UPMC Cole | Coudersport | $751.20 | $85.10 – $771.51 |
| UPMC Community Osteopathic | Harrisburg | $924.60 | $108.19 – $1,705.37 |
| UPMC East | Monroeville | $2,069.40 | $90.85 – $2,759.20 |
| UPMC Hamot | Erie | $1,692.00 | $90.85 – $327.19 |
| UPMC Hanover | Hanover | $924.60 | $104.89 – $2,476.51 |
| UPMC Jameson | New Castle | $575.40 | $86.36 – $2,085.34 |