Treatment missed abortion completed surgically 1st trimester at UPMC Lititz
1500 Highlands Drive, Lititz, PA · UPMC · · NPI 1285167916
$5,405.40
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.
$9,009.00
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.
$766.35 with United Healthcare Community Plan for Families vs $9,605.45 with Highmark BCBS of PA — 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 | $766.35 | ↓ -86% |
| UPMC Work Partners | Workers Comp | $777.83 | ↓ -86% |
| Prime Net | Managed Medicare | $1,207.21 | ↓ -78% |
| Capital Blue Cross | Medicare Advantage | $1,801.80 | ↓ -67% |
| Keystone Health Plan | Medicare Advantage | $1,801.80 | ↓ -67% |
| Highmark BCBS of PA | Medicare | $3,023.27 | ↓ -44% |
| Aetna | Medicare | $3,185.12 | ↓ -41% |
| Geisinger | Medicare | $3,206.50 | ↓ -41% |
| Cigna | Medicare | $3,206.50 | ↓ -41% |
| United Healthcare | Medicare | $3,267.58 | ↓ -40% |
| Prime Net | Legacy Commercial | $3,342.34 | ↓ -38% |
| Aetna | ACO | $3,369.37 | ↓ -38% |
| Prime Net | ACO | $3,369.37 | ↓ -38% |
| Prime Net | NonGateKeeper | $3,981.98 | ↓ -26% |
| Aetna | Commercial | $4,009.01 | ↓ -26% |
| Prime Net | GateKeeper | $4,009.01 | ↓ -26% |
| Capital Blue Cross | Commercial | $4,226.12 | ↓ -22% |
| Keystone Health Plan | Commercial | $4,226.12 | ↓ -22% |
| Capital Blue Cross | CHIP | $4,226.12 | ↓ -22% |
| UPMC Health Plan | CHIP | $4,255.83 | ↓ -21% |
| Keystone Autism Services | ACAP | $4,886.10 | ↓ -10% |
| Geisinger | Medicaid/CHIP | $4,954.95 | ↓ -8% |
| Preferred Healthcare System | Inter County Health Plan/Lancaster General Health/Musselman Lumber/Vallorbs Jewelry | $4,954.95 | ↓ -8% |
| Geisinger | Commercial | $5,899.09 | ↑ +9% |
| UPMC Health Plan | Commercial | $6,306.30 | ↑ +17% |
| Prime Net | FH-Medical Rental | $6,522.52 | ↑ +21% |
| Preferred Healthcare System | PPO | $6,756.75 | ↑ +25% |
| Cigna | Commercial | $7,027.02 | ↑ +30% |
| Multiplan | PPO (Includes PHCS and Humana as Payers) | $7,657.65 | ↑ +42% |
| Highmark BCBS of PA | Commercial - Children's Health Insurance | $9,027.67 | ↑ +67% |
| Highmark BCBS of PA | Medicaid | $9,400.24 | ↑ +74% |
| Highmark BCBS of PA | Commercial | $9,605.45 | ↑ +78% |
| 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
Treatment missed abortion completed surgically 1st trimester at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $8,746.80 | $743.25 – $11,662.40 |
| UPMC Carlisle | Carlisle | $5,405.40 | $766.35 – $7,657.65 |
| UPMC Cole | Coudersport | $3,126.00 | $294.39 – $1,458.80 |
| UPMC Community Osteopathic | Harrisburg | $5,405.40 | $766.35 – $7,657.65 |
| UPMC Northwest | Seneca | $8,491.80 | $829.74 – $3,273.80 |
| UPMC Hanover | Hanover | $5,405.40 | $766.35 – $4,859.86 |
| UPMC Magee | Pittsburgh | $1,804.80 | $860.24 – $3,334.43 |
| UPMC Memorial | York | $5,405.40 | $766.35 – $4,878.16 |