Srs linear based at UPMC Lititz
1500 Highlands Drive, Lititz, PA · UPMC · · NPI 1285167916
$12,437.40
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.
$20,729.00
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.
$802.11 with AmeriHealth Caritas vs $41,741.23 with Cigna — 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 |
|---|---|---|---|
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $802.11 | ↓ -94% |
| Highmark Wholecare (prev Gateway) | Medicaid | $802.11 | ↓ -94% |
| UPMC Health Plan | Managed Medicaid | $821.05 | ↓ -93% |
| United Healthcare Community Plan for Families | PA Medicaid | $827.37 | ↓ -93% |
| Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $860.21 | ↓ -93% |
| Geisinger | Medicaid/CHIP | $919.96 | ↓ -93% |
| UPMC Work Partners | Workers Comp | $1,318.44 | ↓ -89% |
| Prime Net | Managed Medicare | $2,777.69 | ↓ -78% |
| Keystone Health Plan | Medicare Advantage | $4,145.80 | ↓ -67% |
| Capital Blue Cross | Medicare Advantage | $4,145.80 | ↓ -67% |
| Highmark BCBS of PA | Medicare | $7,268.81 | ↓ -42% |
| Aetna | Medicare | $7,657.95 | ↓ -38% |
| Prime Net | Legacy Commercial | $7,690.46 | ↓ -38% |
| Geisinger | Medicare | $7,709.34 | ↓ -38% |
| Cigna | Medicare | $7,709.34 | ↓ -38% |
| Prime Net | ACO | $7,752.65 | ↓ -38% |
| Aetna | ACO | $7,752.65 | ↓ -38% |
| United Healthcare | Medicare | $7,856.19 | ↓ -37% |
| Prime Net | NonGateKeeper | $9,162.22 | ↓ -26% |
| Aetna | Commercial | $9,224.41 | ↓ -26% |
| Prime Net | GateKeeper | $9,224.41 | ↓ -26% |
| Capital Blue Cross | Commercial | $9,723.97 | ↓ -22% |
| Capital Blue Cross | CHIP | $9,723.97 | ↓ -22% |
| Keystone Health Plan | Commercial | $9,723.97 | ↓ -22% |
| Preferred Healthcare System | Inter County Health Plan/Lancaster General Health/Musselman Lumber/Vallorbs Jewelry | $11,400.95 | ↓ -8% |
| Keystone Autism Services | ACAP | $11,747.57 | ↓ -6% |
| Geisinger | Commercial | $13,573.35 | ↑ +9% |
| UPMC Health Plan | Commercial | $14,510.30 | ↑ +17% |
| Prime Net | FH-Medical Rental | $15,007.80 | ↑ +21% |
| Preferred Healthcare System | PPO | $15,546.75 | ↑ +25% |
| UPMC Health Plan | CHIP | $15,614.87 | ↑ +26% |
| Multiplan | PPO (Includes PHCS and Humana as Payers) | $17,619.65 | ↑ +42% |
| Highmark BCBS of PA | Commercial - Children's Health Insurance | $21,705.10 | ↑ +75% |
| Highmark BCBS of PA | Medicaid | $22,600.85 | ↑ +82% |
| Highmark BCBS of PA | Commercial | $23,094.25 | ↑ +86% |
| United Healthcare | Commercial | $26,132.00 | ↑ +110% |
| Cigna | Commercial | $41,741.23 | ↑ +236% |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
| Tricare | East Region | not published by hospital | — |
Visitor-reported prices
Comments
Srs linear based at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $10,301.40 | $631.58 – $13,735.20 |
| UPMC Carlisle | Carlisle | $12,437.40 | $802.11 – $17,619.65 |
| UPMC Community Osteopathic | Harrisburg | $12,437.40 | $802.11 – $17,619.65 |
| UPMC Horizon-Greenville | Greenville | $6,391.80 | $694.74 – $7,871.15 |
| UPMC Magee | Pittsburgh | $6,303.60 | $694.74 – $7,871.15 |
| UPMC Memorial | York | $12,437.40 | $802.11 – $11,728.48 |
| UPMC Passavant-McCandless | Pittsburgh | $7,146.60 | $694.74 – $8,016.91 |
| UPMC Presbyterian | Pittsburgh | $19,575.60 | $694.74 – $8,016.91 |