Treatment radiation delivery level 2 at UPMC Lititz
1500 Highlands Drive, Lititz, PA · UPMC · · NPI 1285167916
$834.00
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.
$1,390.00
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.
$41.27 with Highmark Wholecare (prev Gateway) vs $26,132.00 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 |
|---|---|---|---|
| Highmark Wholecare (prev Gateway) | Medicaid | $41.27 | ↓ -95% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $41.27 | ↓ -95% |
| UPMC Health Plan | Managed Medicaid | $42.25 | ↓ -95% |
| United Healthcare Community Plan for Families | PA Medicaid | $42.58 | ↓ -95% |
| Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $44.27 | ↓ -95% |
| Geisinger | Medicaid/CHIP | $47.34 | ↓ -94% |
| UPMC Work Partners | Workers Comp | $182.36 | ↓ -78% |
| Prime Net | Managed Medicare | $186.26 | ↓ -78% |
| Highmark BCBS of PA | Medicare | $250.05 | ↓ -70% |
| Aetna | Medicare | $263.44 | ↓ -68% |
| Cigna | Medicare | $265.21 | ↓ -68% |
| Geisinger | Medicare | $265.21 | ↓ -68% |
| United Healthcare | Medicare | $270.26 | ↓ -68% |
| Keystone Health Plan | Medicare Advantage | $278.00 | ↓ -67% |
| Capital Blue Cross | Medicare Advantage | $278.00 | ↓ -67% |
| UPMC Health Plan | CHIP | $289.18 | ↓ -65% |
| Keystone Autism Services | ACAP | $404.13 | ↓ -52% |
| Prime Net | Legacy Commercial | $515.69 | ↓ -38% |
| Prime Net | ACO | $519.86 | ↓ -38% |
| Aetna | ACO | $519.86 | ↓ -38% |
| Prime Net | NonGateKeeper | $614.38 | ↓ -26% |
| Prime Net | GateKeeper | $618.55 | ↓ -26% |
| Aetna | Commercial | $618.55 | ↓ -26% |
| Capital Blue Cross | Commercial | $652.05 | ↓ -22% |
| Capital Blue Cross | CHIP | $652.05 | ↓ -22% |
| Keystone Health Plan | Commercial | $652.05 | ↓ -22% |
| Highmark BCBS of PA | Commercial - Children's Health Insurance | $746.68 | ↓ -10% |
| Preferred Healthcare System | Inter County Health Plan/Lancaster General Health/Musselman Lumber/Vallorbs Jewelry | $764.50 | ↓ -8% |
| Highmark BCBS of PA | Medicaid | $777.49 | ↓ -7% |
| Highmark BCBS of PA | Commercial | $794.47 | ↓ -5% |
| Geisinger | Commercial | $910.17 | ↑ +9% |
| UPMC Health Plan | Commercial | $973.00 | ↑ +17% |
| Prime Net | FH-Medical Rental | $1,006.36 | ↑ +21% |
| Preferred Healthcare System | PPO | $1,042.50 | ↑ +25% |
| Multiplan | PPO (Includes PHCS and Humana as Payers) | $1,181.50 | ↑ +42% |
| Cigna | Commercial | $1,242.19 | ↑ +49% |
| United Healthcare | Commercial | $26,132.00 | ↑ +3033% |
| Tricare | East Region | not published by hospital | — |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
Visitor-reported prices
Comments
Treatment radiation delivery level 2 at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $1,172.40 | $32.50 – $1,563.20 |
| UPMC Carlisle | Carlisle | $834.00 | $41.27 – $1,181.50 |
| UPMC Community Osteopathic | Harrisburg | $834.00 | $41.27 – $1,181.50 |
| UPMC Memorial | York | $834.00 | $41.27 – $1,286.88 |
| UPMC Passavant-McCandless | Pittsburgh | $1,557.60 | $35.75 – $275.79 |
| UPMC Presbyterian | Pittsburgh | $1,503.60 | $35.75 – $275.79 |
| UPMC Somerset | Somerset | $834.00 | $35.75 – $250.72 |
| UPMC St. Margaret | Pittsburgh | $659.40 | $35.75 – $275.79 |