Thrombin time at UPMC Lititz
1500 Highlands Drive, Lititz, PA · UPMC · · NPI 1285167916
$29.40
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.
$49.00
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.
$5.71 with Highmark BCBS of PA vs $41.65 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 | $5.71 | ↓ -81% |
| UPMC Work Partners | Workers Comp | $5.97 | ↓ -80% |
| Aetna | Medicare | $6.02 | ↓ -80% |
| Geisinger | Medicare | $6.06 | ↓ -79% |
| Cigna | Medicare | $6.06 | ↓ -79% |
| United Healthcare | Medicare | $6.17 | ↓ -79% |
| Prime Net | Managed Medicare | $6.57 | ↓ -78% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $7.99 | ↓ -73% |
| United Healthcare | Commercial | $8.16 | ↓ -72% |
| Keystone Autism Services | ACAP | $9.23 | ↓ -69% |
| Keystone Health Plan | Medicare Advantage | $9.80 | ↓ -67% |
| Capital Blue Cross | Medicare Advantage | $9.80 | ↓ -67% |
| Highmark Wholecare (prev Gateway) | Medicaid | $10.15 | ↓ -65% |
| UPMC Health Plan | Managed Medicaid | $10.39 | ↓ -65% |
| United Healthcare Community Plan for Families | PA Medicaid | $10.47 | ↓ -64% |
| Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $10.88 | ↓ -63% |
| Geisinger | Medicaid/CHIP | $11.64 | ↓ -60% |
| Cigna | Commercial | $15.00 | ↓ -49% |
| Highmark BCBS of PA | Commercial - Children's Health Insurance | $17.06 | ↓ -42% |
| Highmark BCBS of PA | Medicaid | $17.76 | ↓ -40% |
| Highmark BCBS of PA | Commercial | $18.15 | ↓ -38% |
| Prime Net | Legacy Commercial | $18.18 | ↓ -38% |
| Aetna | ACO | $18.33 | ↓ -38% |
| Prime Net | ACO | $18.33 | ↓ -38% |
| Prime Net | NonGateKeeper | $21.66 | ↓ -26% |
| Aetna | Commercial | $21.80 | ↓ -26% |
| Prime Net | GateKeeper | $21.80 | ↓ -26% |
| Capital Blue Cross | Commercial | $22.99 | ↓ -22% |
| Capital Blue Cross | CHIP | $22.99 | ↓ -22% |
| Keystone Health Plan | Commercial | $22.99 | ↓ -22% |
| Preferred Healthcare System | Inter County Health Plan/Lancaster General Health/Musselman Lumber/Vallorbs Jewelry | $26.95 | ↓ -8% |
| Geisinger | Commercial | $32.09 | ↑ +9% |
| UPMC Health Plan | Commercial | $34.30 | ↑ +17% |
| Prime Net | FH-Medical Rental | $35.48 | ↑ +21% |
| Preferred Healthcare System | PPO | $36.75 | ↑ +25% |
| UPMC Health Plan | CHIP | $36.90 | ↑ +26% |
| Multiplan | PPO (Includes PHCS and Humana as Payers) | $41.65 | ↑ +42% |
Visitor-reported prices
Comments
Thrombin time at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $139.20 | $5.70 – $185.60 |
| UPMC Bedford | Everett | $168.00 | $2.08 – $252.00 |
| UPMC Carlisle | Carlisle | $29.40 | $5.71 – $41.65 |
| UPMC Community Osteopathic | Harrisburg | $29.40 | $5.71 – $41.65 |
| UPMC East | Monroeville | $122.40 | $5.70 – $160.80 |
| UPMC Hamot | Erie | $89.40 | $5.70 – $15.71 |
| UPMC Northwest | Seneca | $39.00 | $5.23 – $9.19 |
| UPMC Hanover | Hanover | $29.40 | $5.71 – $10.88 |