Ultrasound pregnant uterus detailed fetal exam single/1st gestation at UPMC Lititz
1500 Highlands Drive, Lititz, PA · UPMC · · NPI 1285167916
$819.60
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.
$1,366.00
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.
$119.76 with United Healthcare Community Plan for Families vs $1,224.77 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 |
|---|---|---|---|
| United Healthcare Community Plan for Families | PA Medicaid | $119.76 | ↓ -85% |
| Prime Net | Managed Medicare | $183.04 | ↓ -78% |
| Highmark BCBS of PA | Medicare | $229.84 | ↓ -72% |
| Highmark Wholecare (prev Gateway) | Medicaid | $233.82 | ↓ -71% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $233.82 | ↓ -71% |
| UPMC Health Plan | Managed Medicaid | $239.34 | ↓ -71% |
| Aetna | Medicare | $242.14 | ↓ -70% |
| Geisinger | Medicare | $243.77 | ↓ -70% |
| Cigna | Medicare | $243.77 | ↓ -70% |
| United Healthcare | Medicare | $248.41 | ↓ -70% |
| Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $250.76 | ↓ -69% |
| Geisinger | Medicaid/CHIP | $268.17 | ↓ -67% |
| Keystone Health Plan | Medicare Advantage | $273.20 | ↓ -67% |
| Capital Blue Cross | Medicare Advantage | $273.20 | ↓ -67% |
| Keystone Autism Services | ACAP | $371.46 | ↓ -55% |
| Premier Comp Solutions | Worker's Comp | $460.59 | ↓ -44% |
| UPMC Work Partners | Workers Comp | $460.59 | ↓ -44% |
| Prime Net | Legacy Commercial | $506.79 | ↓ -38% |
| Aetna | ACO | $510.88 | ↓ -38% |
| Prime Net | ACO | $510.88 | ↓ -38% |
| Prime Net | NonGateKeeper | $603.77 | ↓ -26% |
| Prime Net | GateKeeper | $607.87 | ↓ -26% |
| Aetna | Commercial | $607.87 | ↓ -26% |
| Keystone Health Plan | Commercial | $640.79 | ↓ -22% |
| Capital Blue Cross | Commercial | $640.79 | ↓ -22% |
| Capital Blue Cross | CHIP | $640.79 | ↓ -22% |
| UPMC Health Plan | CHIP | $679.67 | ↓ -17% |
| Highmark BCBS of PA | Commercial - Children's Health Insurance | $686.31 | ↓ -16% |
| Highmark BCBS of PA | Medicaid | $714.63 | ↓ -13% |
| Highmark BCBS of PA | Commercial | $730.24 | ↓ -11% |
| Preferred Healthcare System | Inter County Health Plan/Lancaster General Health/Musselman Lumber/Vallorbs Jewelry | $751.30 | ↓ -8% |
| Geisinger | Commercial | $894.46 | ↑ +9% |
| UPMC Health Plan | Commercial | $956.20 | ↑ +17% |
| Prime Net | FH-Medical Rental | $988.98 | ↑ +21% |
| United Healthcare | Commercial | $1,005.38 | ↑ +23% |
| Preferred Healthcare System | PPO | $1,024.50 | ↑ +25% |
| Multiplan | PPO (Includes PHCS and Humana as Payers) | $1,161.10 | ↑ +42% |
| Cigna | Commercial | $1,224.77 | ↑ +49% |
| Tricare | East Region | not published by hospital | — |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
Visitor-reported prices
Comments
Ultrasound pregnant uterus detailed fetal exam single/1st gestation at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $1,995.60 | $91.42 – $2,660.80 |
| UPMC Bedford | Everett | $2,256.60 | $83.15 – $3,384.90 |
| UPMC Carlisle | Carlisle | $819.60 | $119.76 – $1,161.10 |
| UPMC Community Osteopathic | Harrisburg | $819.60 | $119.76 – $1,161.10 |
| UPMC Hamot | Erie | $828.60 | $202.52 – $440.12 |
| UPMC Hanover | Hanover | $819.60 | $119.76 – $460.59 |
| UPMC Horizon-Greenville | Greenville | $1,582.80 | $189.31 – $440.12 |
| UPMC Jameson | New Castle | $1,582.80 | $105.13 – $561.45 |