Splt agrft f/s/n/h/f/g/m ea at UPMC Lititz
1500 Highlands Drive, Lititz, PA · UPMC · · NPI 1285167916
$2,538.00
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.
?
What you pay up front if you don't use insurance.
$4,230.00
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.
$117.19 with Aetna vs $3,595.50 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 |
|---|---|---|---|
| Aetna | Medicare | $117.19 | ↓ -95% |
| United Healthcare Community Plan for Families | PA Medicaid | $205.70 | ↓ -92% |
| Prime Net | Managed Medicare | $566.82 | ↓ -78% |
| Keystone Health Plan | Medicare Advantage | $846.00 | ↓ -67% |
| Capital Blue Cross | Medicare Advantage | $846.00 | ↓ -67% |
| Prime Net | Legacy Commercial | $1,569.33 | ↓ -38% |
| Aetna | ACO | $1,582.02 | ↓ -38% |
| Prime Net | ACO | $1,582.02 | ↓ -38% |
| Prime Net | NonGateKeeper | $1,869.66 | ↓ -26% |
| Prime Net | GateKeeper | $1,882.35 | ↓ -26% |
| Aetna | Commercial | $1,882.35 | ↓ -26% |
| UPMC Work Partners | Workers Comp | $1,957.92 | ↓ -23% |
| Capital Blue Cross | CHIP | $1,984.29 | ↓ -22% |
| Capital Blue Cross | Commercial | $1,984.29 | ↓ -22% |
| Keystone Health Plan | Commercial | $1,984.29 | ↓ -22% |
| Preferred Healthcare System | Inter County Health Plan/Lancaster General Health/Musselman Lumber/Vallorbs Jewelry | $2,326.50 | ↓ -8% |
| Geisinger | Medicaid/CHIP | $2,326.50 | ↓ -8% |
| UPMC Health Plan | CHIP | $2,653.62 | ↑ +5% |
| Geisinger | Commercial | $2,769.80 | ↑ +9% |
| UPMC Health Plan | Commercial | $2,961.00 | ↑ +17% |
| Prime Net | FH-Medical Rental | $3,062.52 | ↑ +21% |
| Preferred Healthcare System | PPO | $3,172.50 | ↑ +25% |
| Multiplan | PPO (Includes PHCS and Humana as Payers) | $3,595.50 | ↑ +42% |
Visitor-reported prices
Comments
Splt agrft f/s/n/h/f/g/m ea at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Carlisle | Carlisle | $2,538.00 | $205.70 – $3,595.50 |
| UPMC Hanover | Hanover | $2,538.00 | $205.70 – $2,653.62 |