Removal sutr and stapl no anes at UPMC Lititz
1500 Highlands Drive, Lititz, PA · UPMC · · NPI 1285167916
$187.20
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.
$312.00
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.
$13.00 with United Healthcare Community Plan for Families vs $265.20 with Multiplan — 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 | $13.00 | ↓ -93% |
| Aetna | Medicare | $13.34 | ↓ -93% |
| UPMC Work Partners | Workers Comp | $16.31 | ↓ -91% |
| Prime Net | Managed Medicare | $41.81 | ↓ -78% |
| Keystone Health Plan | Medicare Advantage | $62.40 | ↓ -67% |
| Capital Blue Cross | Medicare Advantage | $62.40 | ↓ -67% |
| Prime Net | Legacy Commercial | $115.75 | ↓ -38% |
| Aetna | ACO | $116.69 | ↓ -38% |
| Prime Net | ACO | $116.69 | ↓ -38% |
| Prime Net | NonGateKeeper | $137.90 | ↓ -26% |
| Prime Net | GateKeeper | $138.84 | ↓ -26% |
| Aetna | Commercial | $138.84 | ↓ -26% |
| Capital Blue Cross | Commercial | $146.36 | ↓ -22% |
| Capital Blue Cross | CHIP | $146.36 | ↓ -22% |
| Keystone Health Plan | Commercial | $146.36 | ↓ -22% |
| Geisinger | Medicaid/CHIP | $171.60 | ↓ -8% |
| Preferred Healthcare System | Inter County Health Plan/Lancaster General Health/Musselman Lumber/Vallorbs Jewelry | $171.60 | ↓ -8% |
| Geisinger | Commercial | $204.30 | ↑ +9% |
| UPMC Health Plan | CHIP | $218.40 | ↑ +17% |
| UPMC Health Plan | Commercial | $218.40 | ↑ +17% |
| Prime Net | FH-Medical Rental | $225.89 | ↑ +21% |
| Preferred Healthcare System | PPO | $234.00 | ↑ +25% |
| Cigna | Commercial | $243.36 | ↑ +30% |
| Multiplan | PPO (Includes PHCS and Humana as Payers) | $265.20 | ↑ +42% |
| United Healthcare | Commercial | not published by hospital | — |
Visitor-reported prices
Comments
Removal sutr and stapl no anes at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $39.00 | $6.04 – $52.00 |
| UPMC Bedford | Everett | $40.20 | $15.58 – $60.30 |
| UPMC Carlisle | Carlisle | $187.20 | $13.00 – $265.20 |
| UPMC Cole | Coudersport | $21.00 | $9.70 – $28.00 |
| UPMC Community Osteopathic | Harrisburg | $187.20 | $13.00 – $265.20 |
| UPMC East | Monroeville | $35.40 | $6.10 – $47.20 |
| UPMC Hamot | Erie | $35.40 | $6.04 – $32.33 |
| UPMC Northwest | Seneca | $37.20 | $15.58 – $15.68 |