Therapeutic procd strg endur at UPMC Lititz
1500 Highlands Drive, Lititz, PA · UPMC · · NPI 1285167916
$186.00
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.
$310.00
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.
$19.95 with United Healthcare Community Plan for Families vs $613.00 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 | $19.95 | ↓ -89% |
| Highmark BCBS of PA | Medicare | $23.28 | ↓ -87% |
| Aetna | Medicare | $24.53 | ↓ -87% |
| Cigna | Medicare | $24.70 | ↓ -87% |
| Geisinger | Medicare | $24.70 | ↓ -87% |
| United Healthcare | Medicare | $25.17 | ↓ -86% |
| Keystone Autism Services | ACAP | $37.63 | ↓ -80% |
| Prime Net | Managed Medicare | $41.54 | ↓ -78% |
| Keystone Health Plan | Medicare Advantage | $62.00 | ↓ -67% |
| Capital Blue Cross | Medicare Advantage | $62.00 | ↓ -67% |
| Highmark BCBS of PA | Commercial - Children's Health Insurance | $69.53 | ↓ -63% |
| Highmark BCBS of PA | Medicaid | $72.40 | ↓ -61% |
| Highmark BCBS of PA | Commercial | $73.98 | ↓ -60% |
| UPMC Health Plan | CHIP | $84.11 | ↓ -55% |
| Prime Net | Legacy Commercial | $115.01 | ↓ -38% |
| Prime Net | ACO | $115.94 | ↓ -38% |
| Aetna | ACO | $115.94 | ↓ -38% |
| Prime Net | NonGateKeeper | $137.02 | ↓ -26% |
| Aetna | Commercial | $137.95 | ↓ -26% |
| Prime Net | GateKeeper | $137.95 | ↓ -26% |
| Capital Blue Cross | CHIP | $145.42 | ↓ -22% |
| Capital Blue Cross | Commercial | $145.42 | ↓ -22% |
| Keystone Health Plan | Commercial | $145.42 | ↓ -22% |
| Preferred Healthcare System | Inter County Health Plan/Lancaster General Health/Musselman Lumber/Vallorbs Jewelry | $170.50 | ↓ -8% |
| Geisinger | Medicaid/CHIP | $170.50 | ↓ -8% |
| Geisinger | Commercial | $202.99 | ↑ +9% |
| UPMC Health Plan | Commercial | $217.00 | ↑ +17% |
| Prime Net | FH-Medical Rental | $224.44 | ↑ +21% |
| Preferred Healthcare System | PPO | $232.50 | ↑ +25% |
| Cigna | Commercial | $241.80 | ↑ +30% |
| Multiplan | PPO (Includes PHCS and Humana as Payers) | $263.50 | ↑ +42% |
| United Healthcare | Commercial | $613.00 | ↑ +230% |
| UPMC Work Partners | Workers Comp | not published by hospital | — |
| Tricare | East Region | not published by hospital | — |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
Visitor-reported prices
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Therapeutic procd strg endur at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Cole | Coudersport | $45.00 | $9.26 – $60.00 |
| UPMC Community Osteopathic | Harrisburg | $186.00 | $19.95 – $263.50 |
| UPMC Hanover | Hanover | $186.00 | $19.95 – $84.11 |
| UPMC Horizon-Greenville | Greenville | $81.60 | $20.91 – $32.05 |
| UPMC Jameson | New Castle | $81.60 | $8.86 – $29.19 |
| UPMC Presbyterian | Pittsburgh | $93.60 | $13.34 – $135.99 |
| UPMC Somerset | Somerset | $186.00 | $13.08 – $25.22 |
| WellSpan Ephrata Community Hospital | Ephrata | $189.60 | $18.37 – $41.39 |