UPMC · Lititz, PA
33
In-network payers
288
Disclosed rate categories
148
Beds
4
Care quality
Upmc Lititz is a 148-bed proprietary hospital in Lititz, PA, affiliated with UPMC. Below you'll find publicly disclosed negotiated rates and facility details, including 33 in-network payers and 288 disclosed rate categories.
CCN (Medicare provider number)
390068
NPI
1285167916
Type
Short Term Acute Care Hospital
Ownership
Proprietary
Beds
148
Care Quality
4
Insurance acceptance may vary by specific plan, network status, and services required. Contact your insurance provider or the hospital's billing department to confirm coverage details.
The 24 services Upmc Lititz most likely performs, ranked by likely volume and what it is paid. Each service names one insurer. * marks hidden insurer names; A, B and C rank the remaining rates from low to high and reset for each service.
Book a demo to see hidden insurer names, more payer rates, and hospital data.
Childbirth · Inpatient
MS-DRG 807
$12,280 - $15,793
from 3 insurers · median $13,271
CMS lists this service as CPT 59400, the obstetrician's global fee. The hospital bills the delivery stay as MS-DRG 807, so these are facility case rates.
Hospital reports neonatal nursery services to CMS
Childbirth · Inpatient
MS-DRG 788
$18,014 - $22,154
from 3 insurers · median $18,323
CMS lists this service as CPT 59510, the obstetrician's global fee. The hospital bills the delivery stay as MS-DRG 788, so these are facility case rates.
Hospital reports neonatal nursery services to CMS
Gynecology
CPT 58558
$2,284 - $10,238
from 3 insurers · median $6,413
22 Medicare claims in Level 4 Gynecologic Procedures (CMS 2024)
Medicine & Surgery · Inpatient
MS-DRG 470
$35,332 - $46,446
from 3 insurers · median $40,890
17 Medicare discharges for this DRG in CMS hospital data
Medicine & Surgery
CPT 47562
$3,570 - $17,315
from 3 insurers · median $16,693
45 Medicare claims in Level 1 Laparoscopy and Related Services (CMS 2024)
CT imaging
CPT 74177
$1,942 - $3,662
from 3 insurers · median $2,314
Common here, based on CMS Medicare volume
Childbirth · Inpatient
MS-DRG 807
$12,280 - $15,793
from 3 insurers · median $13,271
CMS lists this service as CPT 59610, the obstetrician's global fee. The hospital bills the delivery stay as MS-DRG 807, so these are facility case rates.
Hospital reports neonatal nursery services to CMS
Digestive procedures
CPT 49650
$6,971 - $16,105
from 3 insurers · median $11,544
45 Medicare claims in Level 1 Laparoscopy and Related Services (CMS 2024)
Cardiology and vascular testing
CPT 93306
$1,555 - $2,259
from 4 insurers · median $1,828
Common here, based on CMS Medicare volume
Digestive procedures
CPT 45385
$1,131 - $5,035
from 3 insurers · median $3,143
Common here, based on CMS Medicare volume
Nuclear imaging
CPT 78452
$3,122 - $6,470
from 3 insurers · median $5,204
Common here, based on CMS Medicare volume
Digestive procedures
CPT 43239
$565 - $3,830
from 4 insurers · median $2,561
Common here, based on CMS Medicare volume
Mammography
CPT 77067
$278 - $490
from 4 insurers · median $336
Common here, based on CMS Medicare volume
CT imaging
CPT 70450
$342 - $977
from 4 insurers · median $552
Common here, based on CMS Medicare volume
CT imaging
CPT 74176
$722 - $1,332
from 4 insurers · median $1,250
Common here, based on CMS Medicare volume
Digestive procedures
CPT 45380
$759 - $5,035
from 3 insurers · median $2,848
Common here, based on CMS Medicare volume
Gynecology
CPT 58571
$12,956 - $39,873
from 3 insurers · median $16,693
Typical for a hospital with this service line
Medicine & Surgery · Inpatient
MS-DRG 743
$18,740 - $30,323
from 3 insurers · median $25,701
Hospital reports inpatient surgical services to CMS
MRI imaging
CPT 70553
$1,942 - $3,502
from 3 insurers · median $1,963
Common here, based on CMS Medicare volume
CT imaging
CPT 71260
$552 - $1,747
from 4 insurers · median $953
Common here, based on CMS Medicare volume
Ear, nose and throat
CPT 30520
$6,971 - $39,873
from 2 insurers · median $23,422
Typical for a hospital with this service line
X-ray and bone density
CPT 71046
$130 - $406
from 4 insurers · median $213
Common here, based on CMS Medicare volume
Medicine & Surgery
CPT 29881
$2,361 - $10,048
from 3 insurers · median $6,971
24 Medicare claims in Level 3 Musculoskeletal Procedures (CMS 2024)
Gynecology
CPT 57288
$7,801 - $39,873
from 2 insurers · median $23,837
Typical for a hospital with this service line
Median rate as a percent of Medicare across the outpatient services above, and how many services sit above or below the same insurer's median at nearby hospitals. * marks hidden insurer names. These table labels track the same insurers across services; the labels on each service card reset.
| Insurer | Services | Median % of Medicare | Above nearby | Below nearby |
|---|---|---|---|---|
| Insurer A* | 15 | 467% | 7 | 5 |
| Insurer B* | 24 | 412% | 14 | 3 |
| Insurer C* | 21 | 305% | 11 | 5 |
| Insurer D* | 17 | 187% | 5 | 12 |
How we chose these services: 5 appear in this hospital's own Medicare claims, 12 are common here based on CMS Medicare volume, and 7 are typical for the service lines it reports to CMS. Rates come from insurer and hospital price transparency files as of October 2026. Rates under a quarter of Medicare or over 20 times Medicare are left out as likely physician-fee rows or file errors. Book a demo to see all 300 CMS shoppable services for Upmc Lititz.
1500 Highlands Drive, Lititz, PA 17543
(717) 625-5670
The nearest hospitals of similar type and size. Their rates are compared with Upmc Lititz for the same insurers and services above.
Wellspan Ephrata Community Hospital
▲ Rates typically 45% higher than Upmc Lititz (21 services)
Wellspan Good Samaritan Hospital
▼ Rates typically 18% lower than Upmc Lititz (20 services)
St. Joseph Medical Center
▲ Rates typically 34% higher than Upmc Lititz (21 services)
Pottstown Hospital
▼ Rates typically 19% lower than Upmc Lititz (21 services)
Lehigh Valley Hospital - Schuylkill
▼ Rates typically 6% lower than Upmc Lititz (21 services)
Lehigh Valley Hospital - Schuylkill E. Norwegian Street
▼ Rates typically 6% lower than Upmc Lititz (21 services)
Upmc Memorial
Upmc Carlisle
Upmc Outpatient Center
Upmc Hamot
About Upmc Lititz's rates and hospital price transparency.
For MRI brain before and after contrast (CPT 70553), published negotiated rates at Upmc Lititz range from $1,942 to $3,502 across 3 insurers. Aetna's rate is $1,963. The median at nearby comparable hospitals is $1,209. What a patient pays depends on their plan's deductible, coinsurance and network status.
For CT abdomen and pelvis with contrast (CPT 74177), published negotiated rates at Upmc Lititz range from $1,942 to $3,662 across 3 insurers. Aetna's rate is $2,314. The median at nearby comparable hospitals is $1,094. What a patient pays depends on their plan's deductible, coinsurance and network status.
For Colonoscopy with polyp removal (CPT 45385), published negotiated rates at Upmc Lititz range from $1,131 to $5,035 across 3 insurers. Cigna's rate is $5,035. The median at nearby comparable hospitals is $3,948. What a patient pays depends on their plan's deductible, coinsurance and network status.
For Vaginal delivery, hospital stay (MS-DRG 807), published negotiated rates at Upmc Lititz range from $12,280 to $15,793 across 3 insurers. UnitedHealthcare's rate is $13,271. What a patient pays depends on their plan's deductible, coinsurance and network status.
For Screening mammography, bilateral (CPT 77067), published negotiated rates at Upmc Lititz range from $278 to $490 across 4 insurers. UnitedHealthcare's rate is $316. The median at nearby comparable hospitals is $320. What a patient pays depends on their plan's deductible, coinsurance and network status.
For Major lower-extremity joint replacement without MCC (MS-DRG 470), published negotiated rates at Upmc Lititz range from $35,332 to $46,446 across 3 insurers. Blue Cross Blue Shield's rate is $35,332. The median at nearby comparable hospitals is $29,358. What a patient pays depends on their plan's deductible, coinsurance and network status.
Upmc Lititz has 148 beds. Facility type: Short Term Acute Care Hospital.
Upmc Lititz is located at 1500 Highlands Drive, Lititz, PA 17543. Its main phone number is (717) 625-5670.
Upmc Lititz's CMS Certification Number (CCN), also called its Medicare provider number, is 390068.
The National Provider Identifier (NPI) on file for Upmc Lititz is 1285167916.
Upmc Lititz is affiliated with UPMC.
Upmc Lititz lists 33 in-network payers, including Aetna, Ameri Health, Aspirus Health Plan, Avera Health Plans, and is Medicare-certified. Insurance acceptance may vary by plan, so confirm coverage with your insurer or the hospital's billing department.
288 disclosed rate categories. Each shows the payer, category, code type and group with its code range, and contract type, along with how the rate compares with the state average.
Under 45 CFR Part 180, every US hospital must publish a machine-readable file of its standard charges, including gross charges, discounted cash prices and payer-specific negotiated rates, in the CMS template format. PayerPrice can help hospitals publish and maintain these files.
A chargemaster (charge description master, or CDM) is a hospital's master list of billable items, with codes, descriptions and gross charges. A chargemaster review looks at those lines for accuracy and pricing. PayerPrice can help hospitals review their chargemaster; contact us to discuss your needs.
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The data on this page comes from the files hospitals and payers publish. We help hospitals publish theirs correctly, and take a fresh look at their chargemaster.
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{
"description": "MRI of brain (no contrast)",
"code_information": [
{ "code": "611", "type": "RC" },
{ "code": "70551", "type": "CPT" }
],
"standard_charges": [{
"setting": "outpatient",
"minimum": 250,
"maximum": 400,
"gross_charge": 1200,
"discounted_cash": 1080,
"payers_information": [
{
"payer_name": "Platform Health Insurance",
"plan_name": "PPO",
"methodology": "fee schedule",
"standard_charge_dollar": 400
},
{
"payer_name": "Region Health Insurance",
"plan_name": "HMO",
"methodology": "fee schedule",
"standard_charge_dollar": 250
}
]
}]
}Your chargemaster sets the gross charge on every claim, and many payer contracts base payment on it through percent-of-charge, lesser-of and stop-loss terms. We audit it line by line and show how your charges and negotiated rates compare with peer hospitals before your next negotiation.
What a review covers