Prq card angio/athrect addl at UPMC Lititz
1500 Highlands Drive, Lititz, PA · UPMC · · NPI 1285167916
$9,672.00
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.
$16,120.00
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.
$175.66 with United Healthcare Community Plan for Families vs $17,298.00 with Cigna — 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 | $175.66 | ↓ -98% |
| Prime Net | Managed Medicare | $2,160.08 | ↓ -78% |
| Aetna | Medicare | $2,595.32 | ↓ -73% |
| Keystone Health Plan | Medicare Advantage | $3,224.00 | ↓ -67% |
| Capital Blue Cross | Medicare Advantage | $3,224.00 | ↓ -67% |
| Prime Net | Legacy Commercial | $5,980.52 | ↓ -38% |
| Prime Net | ACO | $6,028.88 | ↓ -38% |
| Aetna | ACO | $6,028.88 | ↓ -38% |
| Prime Net | NonGateKeeper | $7,125.04 | ↓ -26% |
| Aetna | Commercial | $7,173.40 | ↓ -26% |
| Prime Net | GateKeeper | $7,173.40 | ↓ -26% |
| Capital Blue Cross | CHIP | $7,561.89 | ↓ -22% |
| Keystone Health Plan | Commercial | $7,561.89 | ↓ -22% |
| Capital Blue Cross | Commercial | $7,561.89 | ↓ -22% |
| Geisinger | Medicaid/CHIP | $8,866.00 | ↓ -8% |
| Preferred Healthcare System | Inter County Health Plan/Lancaster General Health/Musselman Lumber/Vallorbs Jewelry | $8,866.00 | ↓ -8% |
| Geisinger | Commercial | $10,555.38 | ↑ +9% |
| UPMC Health Plan | CHIP | $11,284.00 | ↑ +17% |
| UPMC Health Plan | Commercial | $11,284.00 | ↑ +17% |
| Prime Net | FH-Medical Rental | $11,670.88 | ↑ +21% |
| Preferred Healthcare System | PPO | $12,090.00 | ↑ +25% |
| Multiplan | PPO (Includes PHCS and Humana as Payers) | $13,702.00 | ↑ +42% |
| Cigna | Commercial | $17,298.00 | ↑ +79% |
| UPMC Work Partners | Workers Comp | not published by hospital | — |
| United Healthcare | Commercial | not published by hospital | — |
Visitor-reported prices
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Prq card angio/athrect addl at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $8,632.80 | $134.06 – $11,510.40 |
| UPMC Carlisle | Carlisle | $9,672.00 | $175.66 – $17,298.00 |
| UPMC Community Osteopathic | Harrisburg | $9,672.00 | $175.66 – $13,702.00 |
| UPMC Hamot | Erie | $33,667.20 | $134.06 – $134.06 |
| UPMC Hanover | Hanover | $9,672.00 | $175.66 – $175.66 |
| UPMC Memorial | York | $9,672.00 | $109.26 – $175.66 |
| UPMC Presbyterian | Pittsburgh | $40,864.80 | $135.33 – $160.91 |
| UPMC Somerset | Somerset | $9,672.00 | $132.70 – $154.20 |