Tc-99m bicisate at UPMC Lititz
1500 Highlands Drive, Lititz, PA · UPMC · · NPI 1285167916
$6,316.80
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.
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What you pay up front if you don't use insurance.
$10,528.00
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.
$676.96 with Highmark BCBS of PA vs $8,948.80 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 | $676.96 | ↓ -89% |
| Aetna | Medicare | $713.20 | ↓ -89% |
| Cigna | Medicare | $717.99 | ↓ -89% |
| Geisinger | Medicare | $717.99 | ↓ -89% |
| United Healthcare | Medicare | $731.67 | ↓ -88% |
| Keystone Autism Services | ACAP | $1,094.08 | ↓ -83% |
| Prime Net | Managed Medicare | $1,410.75 | ↓ -78% |
| UPMC Health Plan | CHIP | $1,556.80 | ↓ -75% |
| Highmark BCBS of PA | Commercial - Children's Health Insurance | $2,021.45 | ↓ -68% |
| Highmark BCBS of PA | Medicaid | $2,104.87 | ↓ -67% |
| Capital Blue Cross | Medicare Advantage | $2,105.60 | ↓ -67% |
| Keystone Health Plan | Medicare Advantage | $2,105.60 | ↓ -67% |
| Highmark BCBS of PA | Commercial | $2,150.82 | ↓ -66% |
| Prime Net | Legacy Commercial | $3,905.89 | ↓ -38% |
| Aetna | ACO | $3,937.47 | ↓ -38% |
| Prime Net | ACO | $3,937.47 | ↓ -38% |
| Prime Net | NonGateKeeper | $4,653.38 | ↓ -26% |
| Aetna | Commercial | $4,684.96 | ↓ -26% |
| Prime Net | GateKeeper | $4,684.96 | ↓ -26% |
| Keystone Health Plan | Commercial | $4,938.68 | ↓ -22% |
| Capital Blue Cross | CHIP | $4,938.68 | ↓ -22% |
| Capital Blue Cross | Commercial | $4,938.68 | ↓ -22% |
| Cigna | Commercial | $5,119.33 | ↓ -19% |
| Preferred Healthcare System | Inter County Health Plan/Lancaster General Health/Musselman Lumber/Vallorbs Jewelry | $5,790.40 | ↓ -8% |
| Geisinger | Medicaid/CHIP | $5,790.40 | ↓ -8% |
| United Healthcare | Commercial | $6,485.25 | ↑ +3% |
| Geisinger | Commercial | $6,893.73 | ↑ +9% |
| UPMC Health Plan | Commercial | $7,369.60 | ↑ +17% |
| Prime Net | FH-Medical Rental | $7,622.27 | ↑ +21% |
| Preferred Healthcare System | PPO | $7,896.00 | ↑ +25% |
| Multiplan | PPO (Includes PHCS and Humana as Payers) | $8,948.80 | ↑ +42% |
| UPMC Work Partners | Workers Comp | not published by hospital | — |
Visitor-reported prices
Comments
Tc-99m bicisate at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $1,556.40 | $697.34 – $2,075.20 |
| UPMC Hanover | Hanover | $6,316.80 | $676.96 – $1,556.80 |
| UPMC Jameson | New Castle | $1,984.80 | $683.80 – $854.75 |
| UPMC Magee | Pittsburgh | $1,872.60 | $639.97 – $795.97 |
| UPMC Mercy | Pittsburgh | $1,984.80 | $570.02 – $788.47 |
| UPMC Muncy | Muncy | $697.80 | $174.45 – $1,046.70 |
| UPMC Presbyterian | Pittsburgh | $2,040.00 | $738.50 – $2,517.07 |
| UPMC Wellsboro | Wellsboro | $844.00 | $189.90 – $949.50 |