Sec art mech thrmbc non-intracranial add-on at UPMC Lititz
1500 Highlands Drive, Lititz, PA · UPMC · · NPI 1285167916
$12,577.80
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.
$20,963.00
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.
$258.87 with Aetna vs $17,818.55 with Multiplan — 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 |
|---|---|---|---|
| Aetna | Medicare | $258.87 | ↓ -98% |
| United Healthcare Community Plan for Families | PA Medicaid | $265.12 | ↓ -98% |
| Prime Net | Managed Medicare | $2,809.04 | ↓ -78% |
| UPMC Work Partners | Workers Comp | $3,318.05 | ↓ -74% |
| Capital Blue Cross | Medicare Advantage | $4,192.60 | ↓ -67% |
| Keystone Health Plan | Medicare Advantage | $4,192.60 | ↓ -67% |
| UPMC Health Plan | CHIP | $6,301.51 | ↓ -50% |
| Prime Net | Legacy Commercial | $7,777.27 | ↓ -38% |
| Aetna | ACO | $7,840.16 | ↓ -38% |
| Prime Net | ACO | $7,840.16 | ↓ -38% |
| Prime Net | NonGateKeeper | $9,265.65 | ↓ -26% |
| Prime Net | GateKeeper | $9,328.53 | ↓ -26% |
| Aetna | Commercial | $9,328.53 | ↓ -26% |
| Cigna | Commercial | $9,539.00 | ↓ -24% |
| Capital Blue Cross | Commercial | $9,833.74 | ↓ -22% |
| Capital Blue Cross | CHIP | $9,833.74 | ↓ -22% |
| Keystone Health Plan | Commercial | $9,833.74 | ↓ -22% |
| Geisinger | Medicaid/CHIP | $11,529.65 | ↓ -8% |
| Preferred Healthcare System | Inter County Health Plan/Lancaster General Health/Musselman Lumber/Vallorbs Jewelry | $11,529.65 | ↓ -8% |
| Geisinger | Commercial | $13,726.57 | ↑ +9% |
| UPMC Health Plan | Commercial | $14,674.10 | ↑ +17% |
| Prime Net | FH-Medical Rental | $15,177.21 | ↑ +21% |
| Preferred Healthcare System | PPO | $15,722.25 | ↑ +25% |
| Multiplan | PPO (Includes PHCS and Humana as Payers) | $17,818.55 | ↑ +42% |
| United Healthcare | Commercial | not published by hospital | — |
Visitor-reported prices
Comments
Sec art mech thrmbc non-intracranial add-on at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $7,609.20 | $3,170.58 – $10,145.60 |
| UPMC Carlisle | Carlisle | $12,577.80 | $265.12 – $17,818.55 |
| UPMC Community Osteopathic | Harrisburg | $12,577.80 | $265.12 – $17,818.55 |
| UPMC East | Monroeville | $7,215.60 | $3,006.50 – $9,620.80 |
| UPMC Hamot | Erie | $7,408.20 | $3,170.58 – $7,823.55 |
| UPMC Hanover | Hanover | $12,577.80 | $265.12 – $6,301.51 |
| UPMC Memorial | York | $12,577.80 | $258.87 – $6,301.51 |
| UPMC Mercy | Pittsburgh | $8,416.80 | $3,511.91 – $3,959.04 |