Pt application of modality >=1 area hot/cold packs at UPMC Lititz
1500 Highlands Drive, Lititz, PA · UPMC · · NPI 1285167916
$78.60
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.
$131.00
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.
$4.17 with Aetna vs $387.00 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 |
|---|---|---|---|
| Aetna | Medicare | $4.17 | ↓ -95% |
| Prime Net | Managed Medicare | $15.81 | ↓ -80% |
| United Healthcare Community Plan for Families | PA Medicaid | $21.94 | ↓ -72% |
| Keystone Health Plan | Medicare Advantage | $23.60 | ↓ -70% |
| Capital Blue Cross | Medicare Advantage | $23.60 | ↓ -70% |
| UPMC Work Partners | Workers Comp | $39.78 | ↓ -49% |
| Prime Net | Legacy Commercial | $43.78 | ↓ -44% |
| Aetna | ACO | $44.13 | ↓ -44% |
| Prime Net | ACO | $44.13 | ↓ -44% |
| Prime Net | NonGateKeeper | $52.16 | ↓ -34% |
| Aetna | Commercial | $52.51 | ↓ -33% |
| Prime Net | GateKeeper | $52.51 | ↓ -33% |
| Capital Blue Cross | Commercial | $55.35 | ↓ -30% |
| Keystone Health Plan | Commercial | $55.35 | ↓ -30% |
| Capital Blue Cross | CHIP | $55.35 | ↓ -30% |
| Preferred Healthcare System | Inter County Health Plan/Lancaster General Health/Musselman Lumber/Vallorbs Jewelry | $64.90 | ↓ -17% |
| Geisinger | Medicaid/CHIP | $64.90 | ↓ -17% |
| Geisinger | Commercial | $77.27 | ↓ -2% |
| UPMC Health Plan | Commercial | $82.60 | ↑ +5% |
| Prime Net | FH-Medical Rental | $85.43 | ↑ +9% |
| Preferred Healthcare System | PPO | $88.50 | ↑ +13% |
| Multiplan | PPO (Includes PHCS and Humana as Payers) | $100.30 | ↑ +28% |
| United Healthcare | Commercial | $148.00 | ↑ +88% |
| Cigna | Commercial | $387.00 | ↑ +392% |
Visitor-reported prices
Comments
Pt application of modality >=1 area hot/cold packs at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Carlisle | Carlisle | $78.60 | $16.17 – $387.00 |
| UPMC Cole | Coudersport | $64.20 | $6.25 – $85.60 |
| UPMC East | Monroeville | $70.20 | $20.59 – $93.60 |
| UPMC Northwest | Seneca | $64.80 | $37.94 – $86.74 |
| UPMC Magee | Pittsburgh | $64.20 | $4.59 – $110.73 |
| UPMC Memorial | York | $70.80 | $4.17 – $148.00 |
| UPMC Mercy | Pittsburgh | $125.40 | $20.39 – $56.60 |
| UPMC Muncy | Muncy | $38.40 | $21.44 – $43.07 |