Pr split-thickness autograft trunk/arm/leg 1st 100 sq cm/<tbsa infant/child at UPMC Lititz
1500 Highlands Drive, Lititz, PA · UPMC · · NPI 1285167916
$6,954.00
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.
$11,590.00
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.
$748.01 with United Healthcare Community Plan for Families vs $9,851.50 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 |
|---|---|---|---|
| United Healthcare Community Plan for Families | PA Medicaid | $748.01 | ↓ -89% |
| Prime Net | Managed Medicare | $1,553.06 | ↓ -78% |
| UPMC Work Partners | Workers Comp | $1,653.60 | ↓ -76% |
| Highmark BCBS of PA | Medicare | $1,739.33 | ↓ -75% |
| Aetna | Medicare | $1,832.45 | ↓ -74% |
| Cigna | Medicare | $1,844.74 | ↓ -73% |
| Geisinger | Medicare | $1,844.74 | ↓ -73% |
| United Healthcare | Medicare | $1,879.88 | ↓ -73% |
| UPMC Health Plan | CHIP | $2,314.98 | ↓ -67% |
| Keystone Health Plan | Medicare Advantage | $2,318.00 | ↓ -67% |
| Capital Blue Cross | Medicare Advantage | $2,318.00 | ↓ -67% |
| Keystone Autism Services | ACAP | $2,811.04 | ↓ -60% |
| Prime Net | Legacy Commercial | $4,299.89 | ↓ -38% |
| Prime Net | ACO | $4,334.66 | ↓ -38% |
| Aetna | ACO | $4,334.66 | ↓ -38% |
| Cigna | Commercial | $5,035.00 | ↓ -28% |
| Prime Net | NonGateKeeper | $5,122.78 | ↓ -26% |
| Prime Net | GateKeeper | $5,157.55 | ↓ -26% |
| Aetna | Commercial | $5,157.55 | ↓ -26% |
| Highmark BCBS of PA | Commercial - Children's Health Insurance | $5,193.75 | ↓ -25% |
| Highmark BCBS of PA | Medicaid | $5,408.09 | ↓ -22% |
| Capital Blue Cross | Commercial | $5,436.87 | ↓ -22% |
| Keystone Health Plan | Commercial | $5,436.87 | ↓ -22% |
| Capital Blue Cross | CHIP | $5,436.87 | ↓ -22% |
| Highmark BCBS of PA | Commercial | $5,526.15 | ↓ -21% |
| Preferred Healthcare System | Inter County Health Plan/Lancaster General Health/Musselman Lumber/Vallorbs Jewelry | $6,374.50 | ↓ -8% |
| Geisinger | Medicaid/CHIP | $6,374.50 | ↓ -8% |
| Geisinger | Commercial | $7,589.13 | ↑ +9% |
| UPMC Health Plan | Commercial | $8,113.00 | ↑ +17% |
| Prime Net | FH-Medical Rental | $8,391.16 | ↑ +21% |
| Preferred Healthcare System | PPO | $8,692.50 | ↑ +25% |
| Multiplan | PPO (Includes PHCS and Humana as Payers) | $9,851.50 | ↑ +42% |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
| United Healthcare | Commercial | not published by hospital | — |
| Tricare | East Region | not published by hospital | — |
Visitor-reported prices
Comments
Pr split-thickness autograft trunk/arm/leg 1st 100 sq cm/<tbsa infant/child at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $4,695.00 | $729.80 – $6,260.00 |
| UPMC Carlisle | Carlisle | $6,954.00 | $748.01 – $9,851.50 |
| UPMC Cole | Coudersport | $2,722.80 | $187.39 – $1,580.10 |
| UPMC Hamot | Erie | $5,721.60 | $729.80 – $2,536.45 |
| UPMC Hanover | Hanover | $6,954.00 | $748.01 – $2,795.94 |
| UPMC Kane | Kane | $1,872.60 | $1,580.10 – $3,646.98 |
| UPMC Community Osteopathic | Harrisburg | not published | $748.01 – $5,805.45 |
| UPMC Memorial | York | not published | $594.82 – $2,806.48 |