Rpr aa hrn 1st 3-10 ncr/strn at UPMC Lititz
1500 Highlands Drive, Lititz, PA · UPMC · · NPI 1285167916
not published by hospital
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.
not published by hospital
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.
$786.32 with UPMC Work Partners vs $17,625.78 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 | $786.32 | — |
| United Healthcare Community Plan for Families | PA Medicaid | $1,016.56 | — |
| UPMC Health Plan | CHIP | $4,903.30 | — |
| Highmark BCBS of PA | Medicare | $5,547.63 | — |
| Aetna | Medicare | $5,844.63 | — |
| Geisinger | Medicare | $5,883.85 | — |
| Cigna | Medicare | $5,883.85 | — |
| United Healthcare | Medicare | $5,995.93 | — |
| Keystone Autism Services | ACAP | $8,965.87 | — |
| Highmark BCBS of PA | Commercial - Children's Health Insurance | $16,565.57 | — |
| Cigna | Commercial | $16,693.00 | — |
| Highmark BCBS of PA | Medicaid | $17,249.22 | — |
| Highmark BCBS of PA | Commercial | $17,625.78 | — |
| 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
Rpr aa hrn 1st 3-10 ncr/strn at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $9,805.80 | $291.37 – $13,074.40 |
| UPMC Cole | Coudersport | $954.60 | $441.03 – $2,325.85 |
| UPMC East | Monroeville | $1,625.40 | $294.14 – $6,007.35 |
| UPMC Hamot | Erie | $1,600.20 | $291.37 – $8,090.06 |
| UPMC Magee | Pittsburgh | $10,089.00 | $294.14 – $6,118.60 |
| UPMC Passavant-McCandless | Pittsburgh | $10,089.00 | $294.14 – $6,118.60 |
| UPMC Williamsport | Williamsport | $1,793.40 | $751.37 – $6,007.35 |
| Uniontown Hospital | Uniontown | $4,265.50 | $586.26 – $12,170.53 |