Trnscath retrv pq vasc fb w/guide at UPMC Lititz
1500 Highlands Drive, Lititz, PA · UPMC · · NPI 1285167916
$7,288.20
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.
$12,147.00
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.
$307.72 with AmeriHealth Caritas vs $16,693.00 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 |
|---|---|---|---|
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $307.72 | ↓ -96% |
| Highmark Wholecare (prev Gateway) | Medicaid | $307.72 | ↓ -96% |
| UPMC Health Plan | Managed Medicaid | $314.99 | ↓ -96% |
| Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $330.01 | ↓ -95% |
| Geisinger | Medicaid/CHIP | $352.93 | ↓ -95% |
| United Healthcare Community Plan for Families | PA Medicaid | $1,016.56 | ↓ -86% |
| Prime Net | Managed Medicare | $1,627.70 | ↓ -78% |
| UPMC Work Partners | Workers Comp | $2,194.58 | ↓ -70% |
| Keystone Health Plan | Medicare Advantage | $2,429.40 | ↓ -67% |
| Capital Blue Cross | Medicare Advantage | $2,429.40 | ↓ -67% |
| Highmark BCBS of PA | Medicare | $2,992.82 | ↓ -59% |
| Aetna | Medicare | $3,153.04 | ↓ -57% |
| Geisinger | Medicare | $3,174.20 | ↓ -56% |
| Cigna | Medicare | $3,174.20 | ↓ -56% |
| United Healthcare | Medicare | $3,234.66 | ↓ -56% |
| Prime Net | Legacy Commercial | $4,506.54 | ↓ -38% |
| Prime Net | ACO | $4,542.98 | ↓ -38% |
| Aetna | ACO | $4,542.98 | ↓ -38% |
| Keystone Autism Services | ACAP | $4,836.88 | ↓ -34% |
| Prime Net | NonGateKeeper | $5,368.97 | ↓ -26% |
| Prime Net | GateKeeper | $5,405.41 | ↓ -26% |
| Aetna | Commercial | $5,405.41 | ↓ -26% |
| Capital Blue Cross | Commercial | $5,698.16 | ↓ -22% |
| Capital Blue Cross | CHIP | $5,698.16 | ↓ -22% |
| Keystone Health Plan | Commercial | $5,698.16 | ↓ -22% |
| Preferred Healthcare System | Inter County Health Plan/Lancaster General Health/Musselman Lumber/Vallorbs Jewelry | $6,680.85 | ↓ -8% |
| Geisinger | Commercial | $7,953.86 | ↑ +9% |
| UPMC Health Plan | Commercial | $8,502.90 | ↑ +17% |
| Prime Net | FH-Medical Rental | $8,794.43 | ↑ +21% |
| Highmark BCBS of PA | Commercial - Children's Health Insurance | $8,936.74 | ↑ +23% |
| Preferred Healthcare System | PPO | $9,110.25 | ↑ +25% |
| Highmark BCBS of PA | Medicaid | $9,305.55 | ↑ +28% |
| Highmark BCBS of PA | Commercial | $9,508.70 | ↑ +30% |
| UPMC Health Plan | CHIP | $9,879.74 | ↑ +36% |
| Multiplan | PPO (Includes PHCS and Humana as Payers) | $10,324.95 | ↑ +42% |
| Cigna | Commercial | $16,693.00 | ↑ +129% |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
| Tricare | East Region | not published by hospital | — |
| United Healthcare | Commercial | not published by hospital | — |
Visitor-reported prices
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Trnscath retrv pq vasc fb w/guide at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $5,317.20 | $242.30 – $7,089.60 |
| UPMC Carlisle | Carlisle | $7,288.20 | $307.72 – $10,324.95 |
| UPMC Community Osteopathic | Harrisburg | $7,288.20 | $307.72 – $10,324.95 |
| UPMC East | Monroeville | $13,363.80 | $266.53 – $17,818.40 |
| UPMC Hamot | Erie | $7,031.40 | $266.53 – $4,364.40 |
| UPMC Northwest | Seneca | $6,120.00 | $266.53 – $3,150.80 |
| UPMC Hanover | Hanover | $7,288.20 | $307.72 – $4,810.90 |
| UPMC Magee | Pittsburgh | $7,321.20 | $266.53 – $3,240.82 |