Tpmt gene com vrnts at UPMC Lititz
1500 Highlands Drive, Lititz, PA · UPMC · · NPI 1285167916
$1,009.80
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.
?
What you pay up front if you don't use insurance.
$1,683.00
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.
?
The hospital's undiscounted list price — almost no one pays this.
$139.69 with United Healthcare Community Plan for Families vs $1,430.55 with Multiplan — same scan, same building. Share
Negotiated rates by payer
?
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 →
?
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 | $139.69 | ↓ -86% |
| Highmark BCBS of PA | Medicare | $173.06 | ↓ -83% |
| UPMC Work Partners | Workers Comp | $180.81 | ↓ -82% |
| Aetna | Medicare | $182.33 | ↓ -82% |
| Geisinger | Medicare | $183.55 | ↓ -82% |
| Cigna | Medicare | $183.55 | ↓ -82% |
| United Healthcare | Medicare | $187.05 | ↓ -81% |
| Prime Net | Managed Medicare | $225.52 | ↓ -78% |
| Keystone Autism Services | ACAP | $279.70 | ↓ -72% |
| Capital Blue Cross | Medicare Advantage | $336.60 | ↓ -67% |
| Keystone Health Plan | Medicare Advantage | $336.60 | ↓ -67% |
| Cigna | Commercial | $454.52 | ↓ -55% |
| Highmark BCBS of PA | Commercial - Children's Health Insurance | $516.77 | ↓ -49% |
| Highmark BCBS of PA | Medicaid | $538.10 | ↓ -47% |
| Highmark BCBS of PA | Commercial | $549.85 | ↓ -46% |
| Prime Net | Legacy Commercial | $624.39 | ↓ -38% |
| Aetna | ACO | $629.44 | ↓ -38% |
| Prime Net | ACO | $629.44 | ↓ -38% |
| Prime Net | NonGateKeeper | $743.89 | ↓ -26% |
| Aetna | Commercial | $748.93 | ↓ -26% |
| Prime Net | GateKeeper | $748.93 | ↓ -26% |
| Capital Blue Cross | Commercial | $789.50 | ↓ -22% |
| Keystone Health Plan | Commercial | $789.50 | ↓ -22% |
| Capital Blue Cross | CHIP | $789.50 | ↓ -22% |
| Geisinger | Medicaid/CHIP | $925.65 | ↓ -8% |
| Preferred Healthcare System | Inter County Health Plan/Lancaster General Health/Musselman Lumber/Vallorbs Jewelry | $925.65 | ↓ -8% |
| UPMC Health Plan | CHIP | $1,070.05 | ↑ +6% |
| Geisinger | Commercial | $1,102.03 | ↑ +9% |
| UPMC Health Plan | Commercial | $1,178.10 | ↑ +17% |
| Prime Net | FH-Medical Rental | $1,218.49 | ↑ +21% |
| Preferred Healthcare System | PPO | $1,262.25 | ↑ +25% |
| Multiplan | PPO (Includes PHCS and Humana as Payers) | $1,430.55 | ↑ +42% |
Visitor-reported prices
Comments
Tpmt gene com vrnts at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $472.80 | $110.86 – $630.40 |
| UPMC Carlisle | Carlisle | $1,009.80 | $96.15 – $1,430.55 |
| UPMC Community Osteopathic | Harrisburg | $1,009.80 | $139.69 – $1,430.55 |
| UPMC East | Monroeville | $477.00 | $111.91 – $636.00 |
| UPMC Hamot | Erie | $477.00 | $110.86 – $188.79 |
| UPMC Northwest | Seneca | $477.00 | $158.54 – $188.79 |
| UPMC Hanover | Hanover | $1,009.80 | $139.69 – $1,070.05 |
| UPMC Horizon-Greenville | Greenville | $477.00 | $156.51 – $188.79 |