Pr incision & drainage abscess simple/single at UPMC Lititz
1500 Highlands Drive, Lititz, PA · UPMC · · NPI 1285167916
$510.60
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.
$851.00
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.
$29.84 with AmeriHealth Caritas vs $810.89 with United Healthcare Community Plan for Families — 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 | $29.84 | ↓ -94% |
| Highmark Wholecare (prev Gateway) | Medicaid | $29.84 | ↓ -94% |
| UPMC Health Plan | Managed Medicaid | $30.55 | ↓ -94% |
| Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $32.01 | ↓ -94% |
| Geisinger | Medicaid/CHIP | $34.23 | ↓ -93% |
| Prime Net | Managed Medicare | $114.03 | ↓ -78% |
| UPMC Work Partners | Workers Comp | $145.50 | ↓ -72% |
| Keystone Health Plan | Medicare Advantage | $170.20 | ↓ -67% |
| Capital Blue Cross | Medicare Advantage | $170.20 | ↓ -67% |
| Highmark BCBS of PA | Medicare | $188.93 | ↓ -63% |
| Aetna | Medicare | $199.05 | ↓ -61% |
| Geisinger | Medicare | $200.38 | ↓ -61% |
| Cigna | Medicare | $200.38 | ↓ -61% |
| United Healthcare | Medicare | $204.20 | ↓ -60% |
| Keystone Autism Services | ACAP | $305.34 | ↓ -40% |
| Prime Net | Legacy Commercial | $315.72 | ↓ -38% |
| Prime Net | ACO | $318.27 | ↓ -38% |
| Aetna | ACO | $318.27 | ↓ -38% |
| Prime Net | NonGateKeeper | $376.14 | ↓ -26% |
| Prime Net | GateKeeper | $378.69 | ↓ -26% |
| Aetna | Commercial | $378.69 | ↓ -26% |
| Keystone Health Plan | Commercial | $399.20 | ↓ -22% |
| Capital Blue Cross | CHIP | $399.20 | ↓ -22% |
| Capital Blue Cross | Commercial | $399.20 | ↓ -22% |
| UPMC Health Plan | CHIP | $402.14 | ↓ -21% |
| Preferred Healthcare System | Inter County Health Plan/Lancaster General Health/Musselman Lumber/Vallorbs Jewelry | $468.05 | ↓ -8% |
| Geisinger | Commercial | $557.23 | ↑ +9% |
| Highmark BCBS of PA | Commercial - Children's Health Insurance | $564.16 | ↑ +10% |
| Highmark BCBS of PA | Medicaid | $587.44 | ↑ +15% |
| UPMC Health Plan | Commercial | $595.70 | ↑ +17% |
| Highmark BCBS of PA | Commercial | $600.27 | ↑ +18% |
| Prime Net | FH-Medical Rental | $616.12 | ↑ +21% |
| Preferred Healthcare System | PPO | $638.25 | ↑ +25% |
| Cigna | Commercial | $663.78 | ↑ +30% |
| Multiplan | PPO (Includes PHCS and Humana as Payers) | $723.35 | ↑ +42% |
| United Healthcare Community Plan for Families | PA Medicaid | $810.89 | ↑ +59% |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
| Tricare | East Region | not published by hospital | — |
| United Healthcare | Commercial | not published by hospital | — |
Visitor-reported prices
Comments
Pr incision & drainage abscess simple/single at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $518.40 | $23.50 – $691.20 |
| UPMC Bedford | Everett | $324.00 | $24.68 – $486.00 |
| UPMC Carlisle | Carlisle | $510.60 | $29.84 – $810.89 |
| UPMC Cole | Coudersport | $371.40 | $24.39 – $2,094.25 |
| UPMC Community Osteopathic | Harrisburg | $510.60 | $29.84 – $810.89 |
| UPMC East | Monroeville | $543.60 | $25.85 – $724.80 |
| UPMC Hamot | Erie | $543.00 | $25.85 – $275.52 |
| UPMC Northwest | Seneca | $431.40 | $25.85 – $198.91 |