Special radiation treatment at UPMC Lititz
1500 Highlands Drive, Lititz, PA · UPMC · · NPI 1285167916
$2,055.00
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.
$3,425.00
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.
$28.16 with United Healthcare Community Plan for Families vs $26,132.00 with United Healthcare — 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 |
|---|---|---|---|
| United Healthcare Community Plan for Families | PA Medicaid | $28.16 | ↓ -99% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $46.35 | ↓ -98% |
| Highmark Wholecare (prev Gateway) | Medicaid | $46.35 | ↓ -98% |
| UPMC Health Plan | Managed Medicaid | $47.45 | ↓ -98% |
| Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $49.71 | ↓ -98% |
| Geisinger | Medicaid/CHIP | $53.17 | ↓ -97% |
| Prime Net | Managed Medicare | $458.95 | ↓ -78% |
| Highmark BCBS of PA | Medicare | $550.04 | ↓ -73% |
| Aetna | Medicare | $579.49 | ↓ -72% |
| Cigna | Medicare | $583.38 | ↓ -72% |
| Geisinger | Medicare | $583.38 | ↓ -72% |
| United Healthcare | Medicare | $594.49 | ↓ -71% |
| Keystone Health Plan | Medicare Advantage | $685.00 | ↓ -67% |
| Capital Blue Cross | Medicare Advantage | $685.00 | ↓ -67% |
| Keystone Autism Services | ACAP | $888.96 | ↓ -57% |
| UPMC Work Partners | Workers Comp | $1,252.58 | ↓ -39% |
| Prime Net | Legacy Commercial | $1,270.67 | ↓ -38% |
| Aetna | ACO | $1,280.95 | ↓ -38% |
| Prime Net | ACO | $1,280.95 | ↓ -38% |
| Prime Net | NonGateKeeper | $1,513.85 | ↓ -26% |
| Aetna | Commercial | $1,524.12 | ↓ -26% |
| Prime Net | GateKeeper | $1,524.12 | ↓ -26% |
| Capital Blue Cross | Commercial | $1,606.67 | ↓ -22% |
| Capital Blue Cross | CHIP | $1,606.67 | ↓ -22% |
| Keystone Health Plan | Commercial | $1,606.67 | ↓ -22% |
| Highmark BCBS of PA | Commercial - Children's Health Insurance | $1,642.46 | ↓ -20% |
| Highmark BCBS of PA | Medicaid | $1,710.25 | ↓ -17% |
| Highmark BCBS of PA | Commercial | $1,747.58 | ↓ -15% |
| Preferred Healthcare System | Inter County Health Plan/Lancaster General Health/Musselman Lumber/Vallorbs Jewelry | $1,883.75 | ↓ -8% |
| UPMC Health Plan | CHIP | $1,896.61 | ↓ -8% |
| Geisinger | Commercial | $2,242.69 | ↑ +9% |
| UPMC Health Plan | Commercial | $2,397.50 | ↑ +17% |
| Prime Net | FH-Medical Rental | $2,479.70 | ↑ +21% |
| Preferred Healthcare System | PPO | $2,568.75 | ↑ +25% |
| Cigna | Commercial | $2,831.81 | ↑ +38% |
| Multiplan | PPO (Includes PHCS and Humana as Payers) | $2,911.25 | ↑ +42% |
| United Healthcare | Commercial | $26,132.00 | ↑ +1172% |
| Tricare | East Region | not published by hospital | — |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
Visitor-reported prices
Comments
Special radiation treatment at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $1,579.80 | $21.50 – $2,106.40 |
| UPMC Carlisle | Carlisle | $2,055.00 | $28.16 – $2,911.25 |
| UPMC Community Osteopathic | Harrisburg | $2,055.00 | $28.16 – $2,911.25 |
| UPMC East | Monroeville | $2,614.20 | $40.15 – $3,485.60 |
| UPMC Northwest | Seneca | $3,791.40 | $40.15 – $1,214.81 |
| UPMC Horizon-Greenville | Greenville | $1,557.00 | $40.15 – $1,214.81 |
| UPMC Magee | Pittsburgh | $4,355.40 | $40.15 – $1,308.51 |
| UPMC McKeesport | Mckeesport | $1,986.00 | $40.15 – $1,308.51 |