Replace g/c tube perc at UPMC Lititz
1500 Highlands Drive, Lititz, PA · UPMC · · NPI 1285167916
$3,972.00
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.
?
What you pay up front if you don't use insurance.
$6,620.00
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.
?
The hospital's undiscounted list price — almost no one pays this.
$64.90 with Highmark Wholecare (prev Gateway) vs $5,627.00 with Multiplan — same scan, same building. Share
Negotiated rates by payer
?
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 →
?
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 | $64.90 | ↓ -98% |
| UPMC Health Plan | Managed Medicaid | $66.43 | ↓ -98% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $68.98 | ↓ -98% |
| Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $69.60 | ↓ -98% |
| Geisinger | Medicaid/CHIP | $74.43 | ↓ -98% |
| Prime Net | Managed Medicare | $887.08 | ↓ -78% |
| Highmark BCBS of PA | Medicare | $891.49 | ↓ -78% |
| Aetna | Medicare | $939.21 | ↓ -76% |
| Geisinger | Medicare | $945.51 | ↓ -76% |
| Cigna | Medicare | $945.51 | ↓ -76% |
| United Healthcare | Medicare | $963.52 | ↓ -76% |
| United Healthcare Community Plan for Families | PA Medicaid | $1,016.56 | ↓ -74% |
| UPMC Work Partners | Workers Comp | $1,203.58 | ↓ -70% |
| Keystone Health Plan | Medicare Advantage | $1,324.00 | ↓ -67% |
| Capital Blue Cross | Medicare Advantage | $1,324.00 | ↓ -67% |
| Keystone Autism Services | ACAP | $1,440.78 | ↓ -64% |
| UPMC Health Plan | CHIP | $1,739.81 | ↓ -56% |
| Prime Net | Legacy Commercial | $2,456.02 | ↓ -38% |
| Aetna | ACO | $2,475.88 | ↓ -38% |
| Prime Net | ACO | $2,475.88 | ↓ -38% |
| Highmark BCBS of PA | Commercial - Children's Health Insurance | $2,662.03 | ↓ -33% |
| Highmark BCBS of PA | Medicaid | $2,771.89 | ↓ -30% |
| Highmark BCBS of PA | Commercial | $2,832.40 | ↓ -29% |
| Prime Net | NonGateKeeper | $2,926.04 | ↓ -26% |
| Aetna | Commercial | $2,945.90 | ↓ -26% |
| Prime Net | GateKeeper | $2,945.90 | ↓ -26% |
| Keystone Health Plan | Commercial | $3,105.44 | ↓ -22% |
| Capital Blue Cross | CHIP | $3,105.44 | ↓ -22% |
| Capital Blue Cross | Commercial | $3,105.44 | ↓ -22% |
| Cigna | Commercial | $3,397.00 | ↓ -14% |
| Preferred Healthcare System | Inter County Health Plan/Lancaster General Health/Musselman Lumber/Vallorbs Jewelry | $3,641.00 | ↓ -8% |
| Geisinger | Commercial | $4,334.78 | ↑ +9% |
| UPMC Health Plan | Commercial | $4,634.00 | ↑ +17% |
| Prime Net | FH-Medical Rental | $4,792.88 | ↑ +21% |
| Preferred Healthcare System | PPO | $4,965.00 | ↑ +25% |
| Multiplan | PPO (Includes PHCS and Humana as Payers) | $5,627.00 | ↑ +42% |
| 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
Replace g/c tube perc at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $2,872.20 | $51.10 – $3,829.60 |
| UPMC Bedford | Everett | $8,557.80 | $53.66 – $12,836.70 |
| UPMC Carlisle | Carlisle | $3,972.00 | $64.90 – $5,627.00 |
| UPMC Community Osteopathic | Harrisburg | $3,972.00 | $68.98 – $5,627.00 |
| UPMC East | Monroeville | $5,715.00 | $56.21 – $7,620.00 |
| UPMC Hamot | Erie | $2,828.40 | $56.21 – $1,317.78 |
| UPMC Northwest | Seneca | $2,695.80 | $56.21 – $1,150.09 |
| UPMC Hanover | Hanover | $3,972.00 | $64.90 – $1,433.04 |