Thoracentesis pleural space needle/catheter aspiration with imaging guidance (both sides) at UPMC Lititz
1500 Highlands Drive, Lititz, PA · UPMC · · NPI 1285167916
$2,304.60
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.
$3,841.00
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.
$62.98 with Prime Net vs $3,397.00 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 |
|---|---|---|---|
| Prime Net | Managed Medicare | $62.98 | ↓ -97% |
| Capital Blue Cross | Medicare Advantage | $94.00 | ↓ -96% |
| Keystone Health Plan | Medicare Advantage | $94.00 | ↓ -96% |
| Prime Net | Legacy Commercial | $174.37 | ↓ -92% |
| Aetna | ACO | $175.78 | ↓ -92% |
| Prime Net | ACO | $175.78 | ↓ -92% |
| Prime Net | NonGateKeeper | $207.74 | ↓ -91% |
| Aetna | Commercial | $209.15 | ↓ -91% |
| Prime Net | GateKeeper | $209.15 | ↓ -91% |
| Keystone Health Plan | Commercial | $220.48 | ↓ -90% |
| Capital Blue Cross | Commercial | $220.48 | ↓ -90% |
| Capital Blue Cross | CHIP | $220.48 | ↓ -90% |
| Geisinger | Medicaid/CHIP | $258.50 | ↓ -89% |
| Preferred Healthcare System | Inter County Health Plan/Lancaster General Health/Musselman Lumber/Vallorbs Jewelry | $258.50 | ↓ -89% |
| Geisinger | Commercial | $307.76 | ↓ -87% |
| UPMC Health Plan | Commercial | $329.00 | ↓ -86% |
| Prime Net | FH-Medical Rental | $340.28 | ↓ -85% |
| Preferred Healthcare System | PPO | $352.50 | ↓ -85% |
| Multiplan | PPO (Includes PHCS and Humana as Payers) | $399.50 | ↓ -83% |
| Highmark BCBS of PA | Medicare | $587.87 | ↓ -74% |
| Aetna | Medicare | $619.34 | ↓ -73% |
| Cigna | Medicare | $623.50 | ↓ -73% |
| Geisinger | Medicare | $623.50 | ↓ -73% |
| United Healthcare | Medicare | $635.38 | ↓ -72% |
| UPMC Work Partners | Workers Comp | $903.30 | ↓ -61% |
| Keystone Autism Services | ACAP | $950.10 | ↓ -59% |
| United Healthcare Community Plan for Families | PA Medicaid | $1,016.56 | ↓ -56% |
| UPMC Health Plan | CHIP | $1,221.53 | ↓ -47% |
| Highmark BCBS of PA | Commercial - Children's Health Insurance | $1,755.42 | ↓ -24% |
| Highmark BCBS of PA | Medicaid | $1,827.87 | ↓ -21% |
| Highmark BCBS of PA | Commercial | $1,867.77 | ↓ -19% |
| Cigna | Commercial | $3,397.00 | ↑ +47% |
| United Healthcare | Commercial | not published by hospital | — |
| Tricare | East Region | not published by hospital | — |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
Visitor-reported prices
Comments
Thoracentesis pleural space needle/catheter aspiration with imaging guidance (both sides) at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $1,635.00 | $403.71 – $2,180.00 |
| UPMC Bedford | Everett | $2,040.00 | $212.67 – $3,060.00 |
| UPMC Carlisle | Carlisle | $2,304.60 | $64.39 – $1,016.56 |
| UPMC Cole | Coudersport | $1,092.60 | $42.41 – $863.16 |
| UPMC Community Osteopathic | Harrisburg | $2,304.60 | $94.00 – $1,221.53 |
| UPMC East | Monroeville | $2,153.40 | $407.56 – $2,871.20 |
| UPMC Hamot | Erie | $1,974.60 | $403.71 – $863.16 |
| UPMC Northwest | Seneca | $1,509.00 | $534.56 – $863.16 |