Renal function panel at UPMC Lititz
1500 Highlands Drive, Lititz, PA · UPMC · · NPI 1285167916
$56.40
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.
$94.00
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.
$8.59 with Highmark BCBS of PA vs $79.90 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 |
|---|---|---|---|
| Highmark BCBS of PA | Medicare | $8.59 | ↓ -85% |
| UPMC Work Partners | Workers Comp | $8.98 | ↓ -84% |
| Aetna | Medicare | $9.05 | ↓ -84% |
| Cigna | Medicare | $9.11 | ↓ -84% |
| Geisinger | Medicare | $9.11 | ↓ -84% |
| United Healthcare | Medicare | $9.29 | ↓ -84% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $9.60 | ↓ -83% |
| Highmark Wholecare (prev Gateway) | Medicaid | $12.19 | ↓ -78% |
| UPMC Health Plan | Managed Medicaid | $12.48 | ↓ -78% |
| United Healthcare Community Plan for Families | PA Medicaid | $12.58 | ↓ -78% |
| Prime Net | Managed Medicare | $12.60 | ↓ -78% |
| Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $13.08 | ↓ -77% |
| Keystone Autism Services | ACAP | $13.89 | ↓ -75% |
| Geisinger | Medicaid/CHIP | $13.98 | ↓ -75% |
| Keystone Health Plan | Medicare Advantage | $18.80 | ↓ -67% |
| Capital Blue Cross | Medicare Advantage | $18.80 | ↓ -67% |
| United Healthcare | Commercial | $19.84 | ↓ -65% |
| Cigna | Commercial | $22.56 | ↓ -60% |
| Highmark BCBS of PA | Commercial - Children's Health Insurance | $25.66 | ↓ -55% |
| Highmark BCBS of PA | Medicaid | $26.72 | ↓ -53% |
| Highmark BCBS of PA | Commercial | $27.30 | ↓ -52% |
| Prime Net | Legacy Commercial | $34.87 | ↓ -38% |
| Aetna | ACO | $35.16 | ↓ -38% |
| Prime Net | ACO | $35.16 | ↓ -38% |
| Prime Net | NonGateKeeper | $41.55 | ↓ -26% |
| Aetna | Commercial | $41.83 | ↓ -26% |
| Prime Net | GateKeeper | $41.83 | ↓ -26% |
| Keystone Health Plan | Commercial | $44.10 | ↓ -22% |
| Capital Blue Cross | CHIP | $44.10 | ↓ -22% |
| Capital Blue Cross | Commercial | $44.10 | ↓ -22% |
| Preferred Healthcare System | Inter County Health Plan/Lancaster General Health/Musselman Lumber/Vallorbs Jewelry | $51.70 | ↓ -8% |
| Geisinger | Commercial | $61.55 | ↑ +9% |
| UPMC Health Plan | Commercial | $65.80 | ↑ +17% |
| Prime Net | FH-Medical Rental | $68.06 | ↑ +21% |
| Preferred Healthcare System | PPO | $70.50 | ↑ +25% |
| UPMC Health Plan | CHIP | $73.64 | ↑ +31% |
| Multiplan | PPO (Includes PHCS and Humana as Payers) | $79.90 | ↑ +42% |
Visitor-reported prices
Comments
Renal function panel at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $115.80 | $8.58 – $154.40 |
| UPMC Bedford | Everett | $58.80 | $3.13 – $88.20 |
| UPMC Carlisle | Carlisle | $56.40 | $8.59 – $79.90 |
| UPMC Cole | Coudersport | $82.80 | $5.64 – $110.40 |
| UPMC Community Osteopathic | Harrisburg | $56.40 | $8.59 – $73.64 |
| UPMC East | Monroeville | $178.80 | $8.58 – $238.40 |
| UPMC Hamot | Erie | $380.40 | $8.58 – $23.05 |
| UPMC Northwest | Seneca | $105.00 | $7.87 – $11.04 |