Prep skin to 100cm2 trk/ext at UPMC Lititz
1500 Highlands Drive, Lititz, PA · UPMC · · NPI 1285167916
$2,460.00
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.
$4,100.00
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.
$466.25 with UPMC Work Partners vs $5,526.15 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 |
|---|---|---|---|
| UPMC Work Partners | Workers Comp | $466.25 | ↓ -81% |
| Prime Net | Managed Medicare | $549.40 | ↓ -78% |
| Keystone Health Plan | Medicare Advantage | $820.00 | ↓ -67% |
| Capital Blue Cross | Medicare Advantage | $820.00 | ↓ -67% |
| United Healthcare Community Plan for Families | PA Medicaid | $1,016.56 | ↓ -59% |
| Prime Net | Legacy Commercial | $1,521.10 | ↓ -38% |
| Aetna | ACO | $1,533.40 | ↓ -38% |
| Prime Net | ACO | $1,533.40 | ↓ -38% |
| Highmark BCBS of PA | Medicare | $1,739.33 | ↓ -29% |
| Prime Net | NonGateKeeper | $1,812.20 | ↓ -26% |
| Aetna | Commercial | $1,824.50 | ↓ -26% |
| Prime Net | GateKeeper | $1,824.50 | ↓ -26% |
| Aetna | Medicare | $1,832.45 | ↓ -26% |
| Geisinger | Medicare | $1,844.74 | ↓ -25% |
| Cigna | Medicare | $1,844.74 | ↓ -25% |
| United Healthcare | Medicare | $1,879.88 | ↓ -24% |
| Capital Blue Cross | Commercial | $1,923.31 | ↓ -22% |
| Keystone Health Plan | Commercial | $1,923.31 | ↓ -22% |
| Capital Blue Cross | CHIP | $1,923.31 | ↓ -22% |
| Geisinger | Medicaid/CHIP | $2,255.00 | ↓ -8% |
| Preferred Healthcare System | Inter County Health Plan/Lancaster General Health/Musselman Lumber/Vallorbs Jewelry | $2,255.00 | ↓ -8% |
| Geisinger | Commercial | $2,684.68 | ↑ +9% |
| Keystone Autism Services | ACAP | $2,811.04 | ↑ +14% |
| UPMC Health Plan | Commercial | $2,870.00 | ↑ +17% |
| Prime Net | FH-Medical Rental | $2,968.40 | ↑ +21% |
| Preferred Healthcare System | PPO | $3,075.00 | ↑ +25% |
| UPMC Health Plan | CHIP | $3,395.00 | ↑ +38% |
| Multiplan | PPO (Includes PHCS and Humana as Payers) | $3,485.00 | ↑ +42% |
| Cigna | Commercial | $5,035.00 | ↑ +105% |
| Highmark BCBS of PA | Commercial - Children's Health Insurance | $5,193.75 | ↑ +111% |
| Highmark BCBS of PA | Medicaid | $5,408.09 | ↑ +120% |
| Highmark BCBS of PA | Commercial | $5,526.15 | ↑ +125% |
| 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
Prep skin to 100cm2 trk/ext at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Carlisle | Carlisle | $2,460.00 | $466.25 – $3,485.00 |
| UPMC Cole | Coudersport | $1,098.60 | $179.63 – $1,041.88 |
| UPMC Hanover | Hanover | $2,460.00 | $466.25 – $3,395.00 |
| UPMC Williamsport | Williamsport | $5,034.60 | $445.52 – $1,883.47 |
| UPMC Altoona | Altoona | not published | $445.52 – $1,883.47 |
| UPMC Community Osteopathic | Harrisburg | not published | $466.25 – $3,395.00 |
| UPMC East | Monroeville | not published | $445.52 – $1,918.35 |
| UPMC Hamot | Erie | not published | $445.52 – $2,536.45 |