Repair rpr lip full thickness vermilion only at UPMC Lititz
1500 Highlands Drive, Lititz, PA · UPMC · · NPI 1285167916
$993.00
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.
$1,655.00
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.
$221.77 with Prime Net vs $2,637.49 with UPMC Health Plan — 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 |
|---|---|---|---|
| Prime Net | Managed Medicare | $221.77 | ↓ -78% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $316.14 | ↓ -68% |
| Highmark Wholecare (prev Gateway) | Medicaid | $316.14 | ↓ -68% |
| UPMC Health Plan | Managed Medicaid | $323.61 | ↓ -67% |
| Keystone Health Plan | Medicare Advantage | $331.00 | ↓ -67% |
| Capital Blue Cross | Medicare Advantage | $331.00 | ↓ -67% |
| Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $339.04 | ↓ -66% |
| Geisinger | Medicaid/CHIP | $362.59 | ↓ -63% |
| Highmark BCBS of PA | Medicare | $484.22 | ↓ -51% |
| Aetna | Medicare | $510.14 | ↓ -49% |
| Cigna | Medicare | $513.57 | ↓ -48% |
| Geisinger | Medicare | $513.57 | ↓ -48% |
| United Healthcare | Medicare | $523.35 | ↓ -47% |
| Prime Net | Legacy Commercial | $614.00 | ↓ -38% |
| Aetna | ACO | $618.97 | ↓ -38% |
| Prime Net | ACO | $618.97 | ↓ -38% |
| Prime Net | NonGateKeeper | $731.51 | ↓ -26% |
| Prime Net | GateKeeper | $736.48 | ↓ -26% |
| Aetna | Commercial | $736.48 | ↓ -26% |
| Keystone Health Plan | Commercial | $776.36 | ↓ -22% |
| Capital Blue Cross | CHIP | $776.36 | ↓ -22% |
| Capital Blue Cross | Commercial | $776.36 | ↓ -22% |
| Keystone Autism Services | ACAP | $782.58 | ↓ -21% |
| UPMC Work Partners | Workers Comp | $809.65 | ↓ -18% |
| Preferred Healthcare System | Inter County Health Plan/Lancaster General Health/Musselman Lumber/Vallorbs Jewelry | $910.25 | ↓ -8% |
| United Healthcare Community Plan for Families | PA Medicaid | $1,016.56 | ↑ +2% |
| Geisinger | Commercial | $1,083.69 | ↑ +9% |
| UPMC Health Plan | Commercial | $1,158.50 | ↑ +17% |
| Prime Net | FH-Medical Rental | $1,198.22 | ↑ +21% |
| Preferred Healthcare System | PPO | $1,241.25 | ↑ +25% |
| Cigna | Commercial | $1,290.90 | ↑ +30% |
| Multiplan | PPO (Includes PHCS and Humana as Payers) | $1,406.75 | ↑ +42% |
| Highmark BCBS of PA | Commercial - Children's Health Insurance | $1,445.91 | ↑ +46% |
| Highmark BCBS of PA | Medicaid | $1,505.58 | ↑ +52% |
| Highmark BCBS of PA | Commercial | $1,538.45 | ↑ +55% |
| UPMC Health Plan | CHIP | $2,637.49 | ↑ +166% |
| Tricare | East Region | not published by hospital | — |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
| United Healthcare | Commercial | not published by hospital | — |
Visitor-reported prices
Comments
Repair rpr lip full thickness vermilion only at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Carlisle | Carlisle | $993.00 | $226.74 – $1,406.75 |
| UPMC Community Osteopathic | Harrisburg | $993.00 | $316.14 – $2,637.49 |
| UPMC Hamot | Erie | $3,558.60 | $273.82 – $1,188.02 |
| UPMC Hanover | Hanover | $993.00 | $316.14 – $1,443.91 |
| UPMC Jameson | New Castle | $1,159.80 | $273.82 – $1,379.73 |
| UPMC Memorial | York | $993.00 | $316.14 – $1,443.91 |
| UPMC Mercy | Pittsburgh | $2,097.00 | $273.82 – $857.21 |
| UPMC Muncy | Muncy | $3,349.80 | $273.82 – $1,270.91 |