Rmvl icd gen w/rplc icd gen mlt lead sys at UPMC Lititz
1500 Highlands Drive, Lititz, PA · UPMC · · NPI 1285167916
$48,933.60
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.
$81,556.00
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.
$610.72 with UPMC Work Partners vs $96,859.04 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 | $610.72 | ↓ -99% |
| United Healthcare Community Plan for Families | PA Medicaid | $1,016.56 | ↓ -98% |
| Prime Net | Managed Medicare | $10,928.50 | ↓ -78% |
| Capital Blue Cross | Medicare Advantage | $16,311.20 | ↓ -67% |
| Keystone Health Plan | Medicare Advantage | $16,311.20 | ↓ -67% |
| Cigna | Commercial | $17,298.00 | ↓ -65% |
| Prime Net | Legacy Commercial | $30,257.28 | ↓ -38% |
| Highmark BCBS of PA | Medicare | $30,485.93 | ↓ -38% |
| Aetna | ACO | $30,501.94 | ↓ -38% |
| Prime Net | ACO | $30,501.94 | ↓ -38% |
| Aetna | Medicare | $32,118.01 | ↓ -34% |
| Geisinger | Medicare | $32,333.56 | ↓ -34% |
| Cigna | Medicare | $32,333.56 | ↓ -34% |
| United Healthcare | Medicare | $32,949.44 | ↓ -33% |
| Prime Net | NonGateKeeper | $36,047.75 | ↓ -26% |
| Aetna | Commercial | $36,292.42 | ↓ -26% |
| Prime Net | GateKeeper | $36,292.42 | ↓ -26% |
| Capital Blue Cross | CHIP | $38,257.92 | ↓ -22% |
| Keystone Health Plan | Commercial | $38,257.92 | ↓ -22% |
| Capital Blue Cross | Commercial | $38,257.92 | ↓ -22% |
| UPMC Health Plan | CHIP | $40,935.72 | ↓ -16% |
| Geisinger | Medicaid/CHIP | $44,855.80 | ↓ -8% |
| Preferred Healthcare System | Inter County Health Plan/Lancaster General Health/Musselman Lumber/Vallorbs Jewelry | $44,855.80 | ↓ -8% |
| Keystone Autism Services | ACAP | $49,270.19 | ↑ +1% |
| Geisinger | Commercial | $53,402.87 | ↑ +9% |
| UPMC Health Plan | Commercial | $57,089.20 | ↑ +17% |
| Prime Net | FH-Medical Rental | $59,046.54 | ↑ +21% |
| Preferred Healthcare System | PPO | $61,167.00 | ↑ +25% |
| Multiplan | PPO (Includes PHCS and Humana as Payers) | $69,322.60 | ↑ +42% |
| Highmark BCBS of PA | Commercial - Children's Health Insurance | $91,032.84 | ↑ +86% |
| Highmark BCBS of PA | Medicaid | $94,789.69 | ↑ +94% |
| Highmark BCBS of PA | Commercial | $96,859.04 | ↑ +98% |
| 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 mlt lead sys at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $10,107.60 | $504.14 – $33,012.22 |
| UPMC Carlisle | Carlisle | $48,933.60 | $610.72 – $69,322.60 |
| UPMC Community Osteopathic | Harrisburg | $48,933.60 | $610.72 – $69,322.60 |
| UPMC East | Monroeville | $51,008.40 | $508.94 – $68,011.20 |
| UPMC Hamot | Erie | $32,186.40 | $504.14 – $44,457.34 |
| UPMC Hanover | Hanover | $48,933.60 | $610.72 – $49,005.49 |
| UPMC Memorial | York | $48,933.60 | $410.90 – $49,190.16 |
| UPMC Mercy | Pittsburgh | $36,067.20 | $504.14 – $33,623.56 |