Ultrasound breast unilateral limited (both sides) at UPMC Lititz
1500 Highlands Drive, Lititz, PA · UPMC · · NPI 1285167916
$280.20
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.
?
What you pay up front if you don't use insurance.
$467.00
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.
$16.08 with Prime Net vs $419.44 with Cigna — 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 |
|---|---|---|---|
| Prime Net | Managed Medicare | $16.08 | ↓ -94% |
| Capital Blue Cross | Medicare Advantage | $24.00 | ↓ -91% |
| Keystone Health Plan | Medicare Advantage | $24.00 | ↓ -91% |
| Prime Net | Legacy Commercial | $44.52 | ↓ -84% |
| Aetna | ACO | $44.88 | ↓ -84% |
| Prime Net | ACO | $44.88 | ↓ -84% |
| Prime Net | NonGateKeeper | $53.04 | ↓ -81% |
| Prime Net | GateKeeper | $53.40 | ↓ -81% |
| Aetna | Commercial | $53.40 | ↓ -81% |
| United Healthcare Community Plan for Families | PA Medicaid | $53.63 | ↓ -81% |
| Capital Blue Cross | CHIP | $56.29 | ↓ -80% |
| Keystone Health Plan | Commercial | $56.29 | ↓ -80% |
| Capital Blue Cross | Commercial | $56.29 | ↓ -80% |
| Preferred Healthcare System | Inter County Health Plan/Lancaster General Health/Musselman Lumber/Vallorbs Jewelry | $66.00 | ↓ -76% |
| Geisinger | Medicaid/CHIP | $66.00 | ↓ -76% |
| Aetna | Medicare | $74.66 | ↓ -73% |
| Geisinger | Commercial | $78.58 | ↓ -72% |
| Highmark BCBS of PA | Medicare | $83.72 | ↓ -70% |
| UPMC Health Plan | Commercial | $84.00 | ↓ -70% |
| Prime Net | FH-Medical Rental | $86.88 | ↓ -69% |
| Highmark Wholecare (prev Gateway) | Medicaid | $86.92 | ↓ -69% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $86.92 | ↓ -69% |
| United Healthcare | Commercial | $88.32 | ↓ -68% |
| Geisinger | Medicare | $88.80 | ↓ -68% |
| Cigna | Medicare | $88.80 | ↓ -68% |
| UPMC Health Plan | Managed Medicaid | $88.97 | ↓ -68% |
| Preferred Healthcare System | PPO | $90.00 | ↓ -68% |
| United Healthcare | Medicare | $90.49 | ↓ -68% |
| Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $93.22 | ↓ -67% |
| Multiplan | PPO (Includes PHCS and Humana as Payers) | $102.00 | ↓ -64% |
| Premier Comp Solutions | Worker's Comp | $121.46 | ↓ -57% |
| UPMC Work Partners | Workers Comp | $121.46 | ↓ -57% |
| Keystone Autism Services | ACAP | $135.31 | ↓ -52% |
| UPMC Health Plan | CHIP | $196.39 | ↓ -30% |
| Highmark BCBS of PA | Commercial - Children's Health Insurance | $250.01 | ↓ -11% |
| Highmark BCBS of PA | Medicaid | $260.32 | ↓ -7% |
| Highmark BCBS of PA | Commercial | $266.01 | ↓ -5% |
| Cigna | Commercial | $419.44 | ↑ +50% |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
| Tricare | East Region | not published by hospital | — |
Visitor-reported prices
Comments
Ultrasound breast unilateral limited (both sides) at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $253.80 | $34.59 – $338.40 |
| UPMC Bedford | Everett | $291.00 | $30.29 – $436.50 |
| UPMC Carlisle | Carlisle | $280.20 | $16.44 – $134.77 |
| UPMC Cole | Coudersport | $209.40 | $87.12 – $279.20 |
| UPMC Community Osteopathic | Harrisburg | $372.60 | $24.00 – $196.39 |
| UPMC East | Monroeville | $727.80 | $34.92 – $970.40 |
| UPMC Hamot | Erie | $616.80 | $34.59 – $118.50 |
| UPMC Northwest | Seneca | $400.20 | $54.53 – $116.07 |