Wound Cleaning and Dead Tissue Removal (up to 20 sq cm) at UPMC Lititz
1500 Highlands Drive, Lititz, PA · UPMC · · NPI 1285167916
$378.60
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.
$631.00
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.
$40.06 with AmeriHealth Caritas vs $600.27 with Highmark BCBS of PA — 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 | $40.06 | ↓ -89% |
| Highmark Wholecare (prev Gateway) | Medicaid | $40.06 | ↓ -89% |
| UPMC Health Plan | Managed Medicaid | $41.00 | ↓ -89% |
| United Healthcare Community Plan for Families | PA Medicaid | $41.32 | ↓ -89% |
| Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $42.96 | ↓ -89% |
| Geisinger | Medicaid/CHIP | $45.94 | ↓ -88% |
| Prime Net | Managed Medicare | $84.55 | ↓ -78% |
| UPMC Work Partners | Workers Comp | $88.85 | ↓ -77% |
| UPMC Health Plan | CHIP | $89.54 | ↓ -76% |
| Capital Blue Cross | Medicare Advantage | $126.20 | ↓ -67% |
| Keystone Health Plan | Medicare Advantage | $126.20 | ↓ -67% |
| Highmark BCBS of PA | Medicare | $188.93 | ↓ -50% |
| Aetna | Medicare | $199.05 | ↓ -47% |
| Geisinger | Medicare | $200.38 | ↓ -47% |
| Cigna | Medicare | $200.38 | ↓ -47% |
| United Healthcare | Medicare | $204.20 | ↓ -46% |
| Prime Net | Legacy Commercial | $234.10 | ↓ -38% |
| Aetna | ACO | $235.99 | ↓ -38% |
| Prime Net | ACO | $235.99 | ↓ -38% |
| Prime Net | NonGateKeeper | $278.90 | ↓ -26% |
| Aetna | Commercial | $280.80 | ↓ -26% |
| Prime Net | GateKeeper | $280.80 | ↓ -26% |
| Keystone Health Plan | Commercial | $296.00 | ↓ -22% |
| Capital Blue Cross | CHIP | $296.00 | ↓ -22% |
| Capital Blue Cross | Commercial | $296.00 | ↓ -22% |
| Keystone Autism Services | ACAP | $305.34 | ↓ -19% |
| Preferred Healthcare System | Inter County Health Plan/Lancaster General Health/Musselman Lumber/Vallorbs Jewelry | $347.05 | ↓ -8% |
| Geisinger | Commercial | $413.18 | ↑ +9% |
| UPMC Health Plan | Commercial | $441.70 | ↑ +17% |
| Prime Net | FH-Medical Rental | $456.84 | ↑ +21% |
| Preferred Healthcare System | PPO | $473.25 | ↑ +25% |
| Cigna | Commercial | $492.18 | ↑ +30% |
| Multiplan | PPO (Includes PHCS and Humana as Payers) | $536.35 | ↑ +42% |
| Highmark BCBS of PA | Commercial - Children's Health Insurance | $564.16 | ↑ +49% |
| Highmark BCBS of PA | Medicaid | $587.44 | ↑ +55% |
| Highmark BCBS of PA | Commercial | $600.27 | ↑ +59% |
| United Healthcare | Commercial | not published by hospital | — |
| Tricare | East Region | not published by hospital | — |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
Visitor-reported prices
Comments
Wound Cleaning and Dead Tissue Removal (up to 20 sq cm) at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $238.20 | $31.54 – $317.60 |
| UPMC Bedford | Everett | $210.00 | $33.12 – $315.00 |
| UPMC Carlisle | Carlisle | $378.60 | $40.06 – $536.35 |
| UPMC Cole | Coudersport | $235.20 | $13.58 – $74.04 |
| UPMC Community Osteopathic | Harrisburg | $378.60 | $40.06 – $536.35 |
| UPMC East | Monroeville | $441.60 | $34.69 – $588.80 |
| UPMC Hamot | Erie | $284.40 | $34.69 – $275.52 |
| UPMC Northwest | Seneca | $269.40 | $34.69 – $222.26 |