Serpina1 gene at UPMC Lititz
1500 Highlands Drive, Lititz, PA · UPMC · · NPI 1285167916
$252.00
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.
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What you pay up front if you don't use insurance.
$420.00
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.
$43.21 with Highmark BCBS of PA vs $357.00 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 |
|---|---|---|---|
| Highmark BCBS of PA | Medicare | $43.21 | ↓ -83% |
| UPMC Work Partners | Workers Comp | $45.14 | ↓ -82% |
| Aetna | Medicare | $45.53 | ↓ -82% |
| Geisinger | Medicare | $45.83 | ↓ -82% |
| Cigna | Medicare | $45.83 | ↓ -82% |
| United Healthcare | Medicare | $46.71 | ↓ -81% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $47.57 | ↓ -81% |
| Prime Net | Managed Medicare | $56.28 | ↓ -78% |
| Highmark Wholecare (prev Gateway) | Medicaid | $60.41 | ↓ -76% |
| UPMC Health Plan | Managed Medicaid | $61.84 | ↓ -75% |
| United Healthcare Community Plan for Families | PA Medicaid | $62.32 | ↓ -75% |
| Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $64.79 | ↓ -74% |
| Geisinger | Medicaid/CHIP | $69.29 | ↓ -73% |
| Keystone Autism Services | ACAP | $69.84 | ↓ -72% |
| Keystone Health Plan | Medicare Advantage | $84.00 | ↓ -67% |
| Capital Blue Cross | Medicare Advantage | $84.00 | ↓ -67% |
| Cigna | Commercial | $113.48 | ↓ -55% |
| Highmark BCBS of PA | Commercial - Children's Health Insurance | $129.04 | ↓ -49% |
| Highmark BCBS of PA | Medicaid | $134.36 | ↓ -47% |
| Highmark BCBS of PA | Commercial | $137.30 | ↓ -46% |
| Prime Net | Legacy Commercial | $155.82 | ↓ -38% |
| Aetna | ACO | $157.08 | ↓ -38% |
| Prime Net | ACO | $157.08 | ↓ -38% |
| Prime Net | NonGateKeeper | $185.64 | ↓ -26% |
| Aetna | Commercial | $186.90 | ↓ -26% |
| Prime Net | GateKeeper | $186.90 | ↓ -26% |
| Keystone Health Plan | Commercial | $197.02 | ↓ -22% |
| Capital Blue Cross | CHIP | $197.02 | ↓ -22% |
| Capital Blue Cross | Commercial | $197.02 | ↓ -22% |
| Preferred Healthcare System | Inter County Health Plan/Lancaster General Health/Musselman Lumber/Vallorbs Jewelry | $231.00 | ↓ -8% |
| Geisinger | Commercial | $275.02 | ↑ +9% |
| UPMC Health Plan | Commercial | $294.00 | ↑ +17% |
| Prime Net | FH-Medical Rental | $304.08 | ↑ +21% |
| Preferred Healthcare System | PPO | $315.00 | ↑ +25% |
| UPMC Health Plan | CHIP | $334.38 | ↑ +33% |
| Multiplan | PPO (Includes PHCS and Humana as Payers) | $357.00 | ↑ +42% |
Visitor-reported prices
Comments
Serpina1 gene at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $330.00 | $43.14 – $426.40 |
| UPMC Bedford | Everett | $345.60 | $15.75 – $518.40 |
| UPMC Carlisle | Carlisle | $252.00 | $43.21 – $357.00 |
| UPMC Community Osteopathic | Harrisburg | $252.00 | $43.21 – $357.00 |
| UPMC East | Monroeville | $345.60 | $43.14 – $460.80 |
| UPMC Hamot | Erie | $520.80 | $43.14 – $79.22 |
| UPMC Northwest | Seneca | $345.60 | $39.59 – $54.71 |
| UPMC Hanover | Hanover | $252.00 | $43.21 – $69.84 |