Rmvl icd gen w/rplc icd gen dual lead sys at UPMC Lititz
1500 Highlands Drive, Lititz, PA · UPMC · · NPI 1285167916
$34,564.20
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.
$57,607.00
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.
$588.20 with UPMC Work Partners vs $67,810.64 with Highmark BCBS of PA — 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 |
|---|---|---|---|
| UPMC Work Partners | Workers Comp | $588.20 | ↓ -98% |
| United Healthcare Community Plan for Families | PA Medicaid | $1,016.56 | ↓ -97% |
| Prime Net | Managed Medicare | $7,719.34 | ↓ -78% |
| Capital Blue Cross | Medicare Advantage | $11,521.40 | ↓ -67% |
| Keystone Health Plan | Medicare Advantage | $11,521.40 | ↓ -67% |
| Cigna | Commercial | $17,298.00 | ↓ -50% |
| Highmark BCBS of PA | Medicare | $21,343.08 | ↓ -38% |
| Prime Net | Legacy Commercial | $21,372.20 | ↓ -38% |
| Aetna | ACO | $21,545.02 | ↓ -38% |
| Prime Net | ACO | $21,545.02 | ↓ -38% |
| Aetna | Medicare | $22,485.69 | ↓ -35% |
| Geisinger | Medicare | $22,636.60 | ↓ -35% |
| Cigna | Medicare | $22,636.60 | ↓ -35% |
| United Healthcare | Medicare | $23,067.78 | ↓ -33% |
| Prime Net | NonGateKeeper | $25,462.29 | ↓ -26% |
| Aetna | Commercial | $25,635.12 | ↓ -26% |
| Prime Net | GateKeeper | $25,635.12 | ↓ -26% |
| Keystone Health Plan | Commercial | $27,023.44 | ↓ -22% |
| Capital Blue Cross | CHIP | $27,023.44 | ↓ -22% |
| Capital Blue Cross | Commercial | $27,023.44 | ↓ -22% |
| Geisinger | Medicaid/CHIP | $31,683.85 | ↓ -8% |
| Preferred Healthcare System | Inter County Health Plan/Lancaster General Health/Musselman Lumber/Vallorbs Jewelry | $31,683.85 | ↓ -8% |
| Keystone Autism Services | ACAP | $34,493.87 | ↓ -0% |
| Geisinger | Commercial | $37,721.06 | ↑ +9% |
| UPMC Health Plan | Commercial | $40,324.90 | ↑ +17% |
| Prime Net | FH-Medical Rental | $41,707.47 | ↑ +21% |
| Preferred Healthcare System | PPO | $43,205.25 | ↑ +25% |
| UPMC Health Plan | CHIP | $44,742.49 | ↑ +29% |
| Multiplan | PPO (Includes PHCS and Humana as Payers) | $48,965.95 | ↑ +42% |
| Highmark BCBS of PA | Commercial - Children's Health Insurance | $63,731.74 | ↑ +84% |
| Highmark BCBS of PA | Medicaid | $66,361.90 | ↑ +92% |
| Highmark BCBS of PA | Commercial | $67,810.64 | ↑ +96% |
| 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
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Rmvl icd gen w/rplc icd gen dual lead sys at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $10,107.60 | $485.56 – $23,111.73 |
| UPMC Carlisle | Carlisle | $34,564.20 | $588.20 – $48,965.95 |
| UPMC Community Osteopathic | Harrisburg | $34,564.20 | $588.20 – $48,965.95 |
| UPMC East | Monroeville | $51,008.40 | $490.18 – $68,011.20 |
| UPMC Hamot | Erie | $32,186.40 | $485.56 – $31,124.41 |
| UPMC Hanover | Hanover | $34,564.20 | $588.20 – $44,742.49 |
| UPMC Memorial | York | $34,564.20 | $395.75 – $44,742.49 |
| UPMC Mercy | Pittsburgh | $36,067.20 | $485.56 – $23,539.72 |