Punc of shunt for asp or inj at UPMC Lititz
1500 Highlands Drive, Lititz, PA · UPMC · · NPI 1285167916
$2,015.40
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.
$3,359.00
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.
$82.55 with Highmark Wholecare (prev Gateway) vs $3,397.00 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 |
|---|---|---|---|
| Highmark Wholecare (prev Gateway) | Medicaid | $82.55 | ↓ -96% |
| UPMC Health Plan | Managed Medicaid | $84.50 | ↓ -96% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $87.75 | ↓ -96% |
| Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $88.53 | ↓ -96% |
| Geisinger | Medicaid/CHIP | $94.68 | ↓ -95% |
| UPMC Work Partners | Workers Comp | $125.35 | ↓ -94% |
| Prime Net | Managed Medicare | $445.95 | ↓ -78% |
| Highmark BCBS of PA | Medicare | $658.49 | ↓ -67% |
| Keystone Health Plan | Medicare Advantage | $665.60 | ↓ -67% |
| Capital Blue Cross | Medicare Advantage | $665.60 | ↓ -67% |
| Aetna | Medicare | $693.74 | ↓ -66% |
| Geisinger | Medicare | $698.40 | ↓ -65% |
| Cigna | Medicare | $698.40 | ↓ -65% |
| United Healthcare | Medicare | $711.70 | ↓ -65% |
| United Healthcare Community Plan for Families | PA Medicaid | $1,016.56 | ↓ -50% |
| Keystone Autism Services | ACAP | $1,064.22 | ↓ -47% |
| Prime Net | Legacy Commercial | $1,234.69 | ↓ -39% |
| Aetna | ACO | $1,244.67 | ↓ -38% |
| Prime Net | ACO | $1,244.67 | ↓ -38% |
| Prime Net | NonGateKeeper | $1,470.98 | ↓ -27% |
| Prime Net | GateKeeper | $1,480.96 | ↓ -27% |
| Aetna | Commercial | $1,480.96 | ↓ -27% |
| Capital Blue Cross | CHIP | $1,561.16 | ↓ -23% |
| Capital Blue Cross | Commercial | $1,561.16 | ↓ -23% |
| Keystone Health Plan | Commercial | $1,561.16 | ↓ -23% |
| UPMC Health Plan | CHIP | $1,712.93 | ↓ -15% |
| Preferred Healthcare System | Inter County Health Plan/Lancaster General Health/Musselman Lumber/Vallorbs Jewelry | $1,830.40 | ↓ -9% |
| Highmark BCBS of PA | Commercial - Children's Health Insurance | $1,966.29 | ↓ -2% |
| Highmark BCBS of PA | Medicaid | $2,047.43 | ↑ +2% |
| Highmark BCBS of PA | Commercial | $2,092.13 | ↑ +4% |
| Geisinger | Commercial | $2,179.17 | ↑ +8% |
| UPMC Health Plan | Commercial | $2,329.60 | ↑ +16% |
| Prime Net | FH-Medical Rental | $2,409.47 | ↑ +20% |
| Preferred Healthcare System | PPO | $2,496.00 | ↑ +24% |
| Multiplan | PPO (Includes PHCS and Humana as Payers) | $2,828.80 | ↑ +40% |
| Cigna | Commercial | $3,397.00 | ↑ +69% |
| 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
Punc of shunt for asp or inj at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Carlisle | Carlisle | $2,015.40 | $82.55 – $2,828.80 |
| UPMC Cole | Coudersport | $98.40 | $45.46 – $771.51 |
| UPMC Community Osteopathic | Harrisburg | $2,015.40 | $87.75 – $2,828.80 |
| UPMC Hanover | Hanover | $2,015.40 | $82.55 – $1,058.50 |
| UPMC Magee | Pittsburgh | $3,119.40 | $71.50 – $713.05 |
| UPMC Memorial | York | $2,015.40 | $82.55 – $1,062.50 |
| UPMC Mercy | Pittsburgh | $2,098.80 | $71.50 – $726.25 |
| UPMC Presbyterian | Pittsburgh | $3,123.60 | $71.50 – $931.20 |