Ultrasound guide tissue ablation at UPMC Lititz
1500 Highlands Drive, Lititz, PA · UPMC · · NPI 1285167916
$649.80
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.
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What you pay up front if you don't use insurance.
$1,083.00
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.
$140.02 with Aetna vs $920.55 with Multiplan — 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 |
|---|---|---|---|
| Aetna | Medicare | $140.02 | ↓ -78% |
| Prime Net | Managed Medicare | $145.12 | ↓ -78% |
| Keystone Health Plan | Medicare Advantage | $216.60 | ↓ -67% |
| Capital Blue Cross | Medicare Advantage | $216.60 | ↓ -67% |
| UPMC Work Partners | Workers Comp | $322.52 | ↓ -50% |
| Premier Comp Solutions | Worker's Comp | $322.52 | ↓ -50% |
| Prime Net | Legacy Commercial | $401.79 | ↓ -38% |
| Aetna | ACO | $405.04 | ↓ -38% |
| Prime Net | ACO | $405.04 | ↓ -38% |
| Prime Net | NonGateKeeper | $478.69 | ↓ -26% |
| Aetna | Commercial | $481.94 | ↓ -26% |
| Prime Net | GateKeeper | $481.94 | ↓ -26% |
| Keystone Health Plan | Commercial | $508.04 | ↓ -22% |
| Capital Blue Cross | Commercial | $508.04 | ↓ -22% |
| Capital Blue Cross | CHIP | $508.04 | ↓ -22% |
| Geisinger | Medicaid/CHIP | $595.65 | ↓ -8% |
| Preferred Healthcare System | Inter County Health Plan/Lancaster General Health/Musselman Lumber/Vallorbs Jewelry | $595.65 | ↓ -8% |
| Geisinger | Commercial | $709.15 | ↑ +9% |
| UPMC Health Plan | Commercial | $758.10 | ↑ +17% |
| UPMC Health Plan | CHIP | $758.10 | ↑ +17% |
| Prime Net | FH-Medical Rental | $784.09 | ↑ +21% |
| United Healthcare | Commercial | $797.09 | ↑ +23% |
| Preferred Healthcare System | PPO | $812.25 | ↑ +25% |
| Cigna | Commercial | $844.74 | ↑ +30% |
| Multiplan | PPO (Includes PHCS and Humana as Payers) | $920.55 | ↑ +42% |
Visitor-reported prices
Comments
Ultrasound guide tissue ablation at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $1,134.00 | $116.35 – $1,512.00 |
| UPMC Carlisle | Carlisle | $649.80 | $148.37 – $920.55 |
| UPMC Community Osteopathic | Harrisburg | $649.80 | $216.60 – $920.55 |
| UPMC Hamot | Erie | $1,108.80 | $192.46 – $409.78 |
| UPMC Hanover | Hanover | $649.80 | $322.52 – $322.52 |
| UPMC Magee | Pittsburgh | $1,097.40 | $154.02 – $308.19 |
| UPMC Memorial | York | $649.80 | $140.02 – $511.38 |
| UPMC Presbyterian | Pittsburgh | $1,058.40 | $194.29 – $412.45 |