healthcosts.net
Sinus CT scan (with contrast) at UPMC Lititz
1500 Highlands Drive, Lititz, PA · UPMC · · NPI 1285167916
$1,294.80
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.
?
What you pay up front if you don't use insurance.
$2,158.00
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.
?
The hospital's undiscounted list price — almost no one pays this.
$104.80 with United Healthcare Community Plan for Families vs $1,834.30 with Multiplan — same scan, same building. Share
Negotiated rates by payer
?
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 →
?
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 |
|---|---|---|---|
| United Healthcare Community Plan for Families | PA Medicaid | $104.80 | ↓ -92% |
| Highmark BCBS of PA | Medicare | $169.27 | ↓ -87% |
| Highmark Wholecare (prev Gateway) | Medicaid | $170.18 | ↓ -87% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $170.18 | ↓ -87% |
| UPMC Health Plan | Managed Medicaid | $174.20 | ↓ -87% |
| Aetna | Medicare | $178.33 | ↓ -86% |
| Cigna | Medicare | $179.53 | ↓ -86% |
| Geisinger | Medicare | $179.53 | ↓ -86% |
| Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $182.51 | ↓ -86% |
| United Healthcare | Medicare | $182.95 | ↓ -86% |
| Geisinger | Medicaid/CHIP | $195.18 | ↓ -85% |
| Keystone Autism Services | ACAP | $273.57 | ↓ -79% |
| Premier Comp Solutions | Worker's Comp | $280.00 | ↓ -78% |
| Prime Net | Managed Medicare | $289.17 | ↓ -78% |
| OneCall | Worker's Comp | $290.00 | ↓ -78% |
| Keystone Health Plan | Medicare Advantage | $431.60 | ↓ -67% |
| Capital Blue Cross | Medicare Advantage | $431.60 | ↓ -67% |
| Highmark BCBS of PA | Commercial - Children's Health Insurance | $505.45 | ↓ -61% |
| Highmark BCBS of PA | Medicaid | $526.31 | ↓ -59% |
| Highmark BCBS of PA | Commercial | $537.80 | ↓ -58% |
| UPMC Work Partners | Workers Comp | $668.26 | ↓ -48% |
| Prime Net | Legacy Commercial | $800.62 | ↓ -38% |
| Aetna | ACO | $807.09 | ↓ -38% |
| Prime Net | ACO | $807.09 | ↓ -38% |
| Prime Net | NonGateKeeper | $953.84 | ↓ -26% |
| Cigna | Commercial | $957.68 | ↓ -26% |
| Prime Net | GateKeeper | $960.31 | ↓ -26% |
| Aetna | Commercial | $960.31 | ↓ -26% |
| UPMC Health Plan | CHIP | $1,006.21 | ↓ -22% |
| Capital Blue Cross | CHIP | $1,012.32 | ↓ -22% |
| Keystone Health Plan | Commercial | $1,012.32 | ↓ -22% |
| Capital Blue Cross | Commercial | $1,012.32 | ↓ -22% |
| Preferred Healthcare System | Inter County Health Plan/Lancaster General Health/Musselman Lumber/Vallorbs Jewelry | $1,186.90 | ↓ -8% |
| Geisinger | Commercial | $1,413.06 | ↑ +9% |
| UPMC Health Plan | Commercial | $1,510.60 | ↑ +17% |
| Prime Net | FH-Medical Rental | $1,562.39 | ↑ +21% |
| United Healthcare | Commercial | $1,588.29 | ↑ +23% |
| Preferred Healthcare System | PPO | $1,618.50 | ↑ +25% |
| Multiplan | PPO (Includes PHCS and Humana as Payers) | $1,834.30 | ↑ +42% |
| Tricare | East Region | not published by hospital | — |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
Visitor-reported prices
Comments
Sinus CT scan (with contrast) at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC East | Monroeville | $2,917.20 | $147.40 – $3,889.60 |
| UPMC Passavant-McCandless | Pittsburgh | $2,654.40 | $147.40 – $3,760.40 |
| UPMC Hamot | Erie | $1,612.80 | $129.91 – $1,881.60 |
| UPMC Carlisle | Carlisle | $1,294.80 | $104.80 – $1,834.30 |
| UPMC Altoona | Altoona | $1,204.80 | $80.00 – $1,606.40 |
| UPMC Bedford | Everett | $847.80 | $61.23 – $1,271.70 |
| UPMC Cole | Coudersport | $1,350.00 | $140.70 – $1,800.00 |
| UPMC Community Osteopathic | Harrisburg | $1,294.80 | $104.80 – $1,834.30 |