healthcosts.net
Urine Culture Test at UPMC Lititz
1500 Highlands Drive, Lititz, PA · UPMC · · NPI 1285167916
$45.00
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.
?
What you pay up front if you don't use insurance.
$75.00
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.
$7.99 with Highmark BCBS of PA vs $63.75 with Multiplan — 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 |
|---|---|---|---|
| Highmark BCBS of PA | Medicare | $7.99 | ↓ -82% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $8.00 | ↓ -82% |
| UPMC Work Partners | Workers Comp | $8.35 | ↓ -81% |
| Aetna | Medicare | $8.42 | ↓ -81% |
| Cigna | Medicare | $8.47 | ↓ -81% |
| Geisinger | Medicare | $8.47 | ↓ -81% |
| United Healthcare | Medicare | $8.63 | ↓ -81% |
| Prime Net | Managed Medicare | $10.05 | ↓ -78% |
| Highmark Wholecare (prev Gateway) | Medicaid | $10.16 | ↓ -77% |
| UPMC Health Plan | Managed Medicaid | $10.40 | ↓ -77% |
| United Healthcare Community Plan for Families | PA Medicaid | $10.48 | ↓ -77% |
| Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $10.90 | ↓ -76% |
| Geisinger | Medicaid/CHIP | $11.65 | ↓ -74% |
| Keystone Autism Services | ACAP | $12.91 | ↓ -71% |
| Keystone Health Plan | Medicare Advantage | $15.00 | ↓ -67% |
| Capital Blue Cross | Medicare Advantage | $15.00 | ↓ -67% |
| Cigna | Commercial | $21.00 | ↓ -53% |
| Highmark BCBS of PA | Commercial - Children's Health Insurance | $23.86 | ↓ -47% |
| Highmark BCBS of PA | Medicaid | $24.84 | ↓ -45% |
| Highmark BCBS of PA | Commercial | $25.38 | ↓ -44% |
| Prime Net | Legacy Commercial | $27.82 | ↓ -38% |
| Aetna | ACO | $28.05 | ↓ -38% |
| Prime Net | ACO | $28.05 | ↓ -38% |
| United Healthcare | Commercial | $32.48 | ↓ -28% |
| Prime Net | NonGateKeeper | $33.15 | ↓ -26% |
| Prime Net | GateKeeper | $33.38 | ↓ -26% |
| Aetna | Commercial | $33.38 | ↓ -26% |
| Capital Blue Cross | CHIP | $35.18 | ↓ -22% |
| Keystone Health Plan | Commercial | $35.18 | ↓ -22% |
| Capital Blue Cross | Commercial | $35.18 | ↓ -22% |
| Preferred Healthcare System | Inter County Health Plan/Lancaster General Health/Musselman Lumber/Vallorbs Jewelry | $41.25 | ↓ -8% |
| Geisinger | Commercial | $49.11 | ↑ +9% |
| UPMC Health Plan | CHIP | $49.45 | ↑ +10% |
| UPMC Health Plan | Commercial | $52.50 | ↑ +17% |
| Prime Net | FH-Medical Rental | $54.30 | ↑ +21% |
| Preferred Healthcare System | PPO | $56.25 | ↑ +25% |
| Multiplan | PPO (Includes PHCS and Humana as Payers) | $63.75 | ↑ +42% |
Visitor-reported prices
Comments
Urine Culture Test at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC East | Monroeville | $118.20 | $7.98 – $157.60 |
| UPMC Passavant-McCandless | Pittsburgh | $255.60 | $7.50 – $342.55 |
| UPMC Hamot | Erie | $62.40 | $7.98 – $72.80 |
| UPMC Carlisle | Carlisle | $45.00 | $7.99 – $63.75 |
| UPMC Altoona | Altoona | $103.20 | $7.98 – $137.60 |
| UPMC Bedford | Everett | $58.80 | $2.91 – $88.20 |
| UPMC Cole | Coudersport | $57.60 | $5.25 – $76.80 |
| UPMC Community Osteopathic | Harrisburg | $45.00 | $7.99 – $63.75 |