Radiation handling at UPMC Lititz
1500 Highlands Drive, Lititz, PA · UPMC · · NPI 1285167916
$296.40
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.
$494.00
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.
$13.58 with Aetna vs $26,132.00 with United Healthcare — 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 | $13.58 | ↓ -95% |
| United Healthcare Community Plan for Families | PA Medicaid | $23.19 | ↓ -92% |
| Prime Net | Managed Medicare | $66.20 | ↓ -78% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $68.83 | ↓ -77% |
| Highmark Wholecare (prev Gateway) | Medicaid | $68.83 | ↓ -77% |
| UPMC Health Plan | Managed Medicaid | $70.46 | ↓ -76% |
| Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $73.82 | ↓ -75% |
| Geisinger | Medicaid/CHIP | $78.95 | ↓ -73% |
| Keystone Health Plan | Medicare Advantage | $98.80 | ↓ -67% |
| Capital Blue Cross | Medicare Advantage | $98.80 | ↓ -67% |
| Prime Net | Legacy Commercial | $183.27 | ↓ -38% |
| Aetna | ACO | $184.76 | ↓ -38% |
| Prime Net | ACO | $184.76 | ↓ -38% |
| UPMC Work Partners | Workers Comp | $194.57 | ↓ -34% |
| Prime Net | NonGateKeeper | $218.35 | ↓ -26% |
| Aetna | Commercial | $219.83 | ↓ -26% |
| Prime Net | GateKeeper | $219.83 | ↓ -26% |
| Keystone Health Plan | Commercial | $231.74 | ↓ -22% |
| Capital Blue Cross | Commercial | $231.74 | ↓ -22% |
| Capital Blue Cross | CHIP | $231.74 | ↓ -22% |
| Preferred Healthcare System | Inter County Health Plan/Lancaster General Health/Musselman Lumber/Vallorbs Jewelry | $271.70 | ↓ -8% |
| UPMC Health Plan | CHIP | $289.69 | ↓ -2% |
| Geisinger | Commercial | $323.47 | ↑ +9% |
| UPMC Health Plan | Commercial | $345.80 | ↑ +17% |
| Prime Net | FH-Medical Rental | $357.66 | ↑ +21% |
| Preferred Healthcare System | PPO | $370.50 | ↑ +25% |
| Cigna | Commercial | $385.32 | ↑ +30% |
| Multiplan | PPO (Includes PHCS and Humana as Payers) | $419.90 | ↑ +42% |
| United Healthcare | Commercial | $26,132.00 | ↑ +8716% |
Visitor-reported prices
Comments
Radiation handling at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Carlisle | Carlisle | $296.40 | $23.19 – $26,132.00 |
| UPMC Community Osteopathic | Harrisburg | $296.40 | $23.19 – $419.90 |
| UPMC Magee | Pittsburgh | $469.80 | $14.94 – $200.06 |
| UPMC Memorial | York | $296.40 | $13.58 – $210.12 |
| UPMC Mercy | Pittsburgh | $1,174.80 | $59.62 – $200.87 |
| UPMC Somerset | Somerset | $296.40 | $20.36 – $185.92 |