▸ Hospital · PA · CCN 390068
UPMC Lititz
1500 HIGHLAND DRIVE, LITITZ, PA, 17543
36 bedsAcute Care Hospitals2
Compliance grade
B
82/100
Procedures tracked
69
of 209 target codes
Payers
11
with negotiated rates
Rates published
3,419
last crawl 2026-05-24
Procedures & rates
| Procedure | Type | Code | Payers | Gross | Cash | Neg min | Neg median | Neg max |
|---|---|---|---|---|---|---|---|---|
| behavioral | ||||||||
| Psychoses | MS-DRG | 885 | 8 | — | — | $11,765 | $13,720 | $32,825 |
| inpatient | ||||||||
| Intracranial hemorrhage/CVA w MCC | MS-DRG | 064 | 9 | — | — | $11,290 | $28,613 | $47,259 |
| Intracranial hemorrhage/CVA w CC | MS-DRG | 065 | 9 | — | — | $5,009.66 | $14,375 | $23,742 |
| Intracranial hemorrhage/CVA w/o CC/MCC | MS-DRG | 066 | 9 | — | — | $5,018.55 | $9,737.77 | $17,843 |
| Respiratory infections & inflammations w MCC | MS-DRG | 177 | 9 | — | — | $7,970.76 | $22,234 | $36,723 |
| COPD w MCC | MS-DRG | 190 | 9 | — | — | $6,631.1 | $15,761 | $26,031 |
| COPD w CC | MS-DRG | 191 | 9 | — | — | $7,926.57 | $12,811 | $43,676 |
| COPD w/o CC/MCC | MS-DRG | 192 | 9 | — | — | $6,152.81 | $9,943.94 | $17,410 |
| Simple pneumonia & pleurisy w CC | MS-DRG | 194 | 9 | — | — | $7,599.16 | $12,281 | $18,939 |
| Simple pneumonia & pleurisy w/o CC/MCC | MS-DRG | 195 | 9 | — | — | $6,033.68 | $9,751.41 | $24,298 |
| AMI discharged alive w MCC | MS-DRG | 280 | 9 | — | — | $6,652.85 | $22,823 | $37,696 |
| AMI discharged alive w CC | MS-DRG | 281 | 9 | — | — | $4,294.84 | $13,077 | $21,599 |
| AMI discharged alive w/o CC/MCC | MS-DRG | 282 | 9 | — | — | $3,525.64 | $10,288 | $17,227 |
| Heart failure & shock w MCC | MS-DRG | 291 | 9 | — | — | $5,044.26 | $18,266 | $30,169 |
| Heart failure & shock w CC | MS-DRG | 292 | 9 | — | — | $7,979.5 | $12,896 | $26,889 |
| Heart failure & shock w/o CC/MCC | MS-DRG | 293 | 9 | — | — | $5,482.13 | $8,860.02 | $13,301 |
| Cardiac arrhythmia w MCC | MS-DRG | 308 | 9 | — | — | $11,112 | $17,131 | $28,294 |
| Cardiac arrhythmia w CC | MS-DRG | 309 | 9 | — | — | $6,979.67 | $10,468 | $17,289 |
| Cardiac arrhythmia w/o CC/MCC | MS-DRG | 310 | 9 | — | — | $5,483.03 | $8,861.46 | $13,303 |
| GI hemorrhage w CC | MS-DRG | 378 | 9 | — | — | $6,972.19 | $13,954 | $23,046 |
| GI hemorrhage w/o CC/MCC | MS-DRG | 379 | 9 | — | — | $3,167.74 | $8,969.44 | $14,814 |
| Esophagitis/gastroenteritis w/o MCC | MS-DRG | 392 | 9 | — | — | $7,367.07 | $11,906 | $31,659 |
| Fractures of femur w/o MCC | MS-DRG | 533 | 8 | — | — | $14,322 | $22,726 | $38,598 |
| Kidney/UTI w MCC | MS-DRG | 689 | 8 | — | — | $10,727 | $16,922 | $27,267 |
| Kidney/UTI w/o MCC | MS-DRG | 690 | 8 | — | — | $7,630.93 | $11,571 | $19,023 |
| Septicemia or severe sepsis w MV 96+ hrs | MS-DRG | 871 | 8 | — | — | $17,629 | $28,065 | $45,649 |
| Septicemia or severe sepsis w/o MV 96+ hrs | MS-DRG | 872 | 8 | — | — | $9,517.64 | $14,971 | $24,048 |
| preventive | ||||||||
| Upper GI endoscopy diagnostic | CPT | 43235 | 10 | — | — | $159.03 | $942.36 | $3,397 |
| Upper GI endoscopy with biopsy | CPT | 43239 | 10 | — | — | $188.7 | $942.36 | $5,035 |
| Sigmoidoscopy diagnostic | CPT | 45330 | 10 | — | — | $67.5 | $916.38 | $3,397 |
| Sigmoidoscopy with biopsy | CPT | 45331 | 10 | — | — | $80.86 | $916.38 | $3,397 |
| Colonoscopy diagnostic | CPT | 45378 | 10 | — | — | $229.24 | $916.38 | $5,035 |
| Colonoscopy with biopsy | CPT | 45380 | 10 | — | — | $286.28 | $1,185.12 | $5,035 |
| Colonoscopy with polyp removal | CPT | 45385 | 10 | — | — | $340.46 | $1,189.08 | $5,035 |
| surgery | ||||||||
| Total shoulder arthroplasty | CPT | 23472 | 8 | — | — | $1,016.56 | $18,546 | $55,557 |
| PCI w drug-eluting stent w MCC | MS-DRG | 246 | 1 | — | — | $5,466.43 | $5,466.43 | $5,466.43 |
| PCI w drug-eluting stent w/o MCC | MS-DRG | 247 | 1 | — | — | $5,469.39 | $5,469.39 | $5,469.39 |
| Total hip replacement | CPT | 27130 | 8 | — | — | $1,016.56 | $13,223 | $38,871 |
| Total knee replacement | CPT | 27447 | 8 | — | — | $1,016.56 | $14,056 | $38,871 |
| Knee revision arthroplasty single component | CPT | 27486 | 4 | — | — | $1,016.56 | $3,273.11 | $9,539 |
| Knee revision arthroplasty all components | CPT | 27487 | 4 | — | — | $1,140.36 | $3,968.87 | $9,539 |
| Shoulder arthroscopy with decompression | CPT | 29826 | 5 | — | — | $155.61 | $2,238.66 | $6,413 |
| Shoulder arthroscopy with rotator cuff repair | CPT | 29827 | 8 | — | — | $1,016.56 | $7,204.33 | $21,581 |
| Knee arthroscopy with meniscectomy | CPT | 29881 | 10 | — | — | $690.25 | $3,250.31 | $9,802.07 |
| Major small/large bowel procedures w MCC | MS-DRG | 329 | 9 | — | — | $4,242.44 | $65,400 | $108,018 |
| Major small/large bowel procedures w CC | MS-DRG | 330 | 9 | — | — | $2,870.15 | $34,108 | $56,334 |
| Major small/large bowel procedures w/o CC/MCC | MS-DRG | 331 | 9 | — | — | $9,830.48 | $23,945 | $39,548 |
| Laparoscopic cholecystectomy w/o CDE w MCC | MS-DRG | 418 | 9 | — | — | $9,519.04 | $24,068 | $39,753 |
| Laparoscopic cholecystectomy w/o CDE w CC | MS-DRG | 419 | 9 | — | — | $9,187.83 | $19,433 | $32,096 |
| Laparoscopic cholecystectomy w/o CDE w/o CC/MCC | MS-DRG | 420 | 9 | — | — | $6,295.93 | $48,477 | $84,419 |
| Laparoscopic appendectomy | CPT | 44970 | 8 | — | — | $1,016.56 | $5,883.85 | $17,626 |
| Spinal fusion (non-cervical) w MCC | MS-DRG | 459 | 1 | — | — | $17,344 | $17,344 | $17,344 |
| Spinal fusion (non-cervical) w/o MCC | MS-DRG | 460 | 1 | — | — | $9,909.57 | $9,909.57 | $9,909.57 |
| Major joint replacement w MCC | MS-DRG | 469 | 8 | — | — | $27,254 | $43,602 | $71,280 |
| Major joint replacement w/o MCC | MS-DRG | 470 | 8 | — | — | $17,509 | $27,871 | $45,329 |
| Laparoscopic cholecystectomy | CPT | 47562 | 8 | — | — | $1,016.56 | $5,883.85 | $17,626 |
| Hip & femur procedures except major joint w MCC | MS-DRG | 480 | 9 | — | — | $26,187 | $42,323 | $180,515 |
| Hip & femur procedures except major joint w CC | MS-DRG | 481 | 9 | — | — | $18,971 | $30,659 | $151,344 |
| Hip & femur procedures except major joint w/o CC/MCC | MS-DRG | 482 | 9 | — | — | $14,880 | $24,049 | $38,329 |
| Lap inguinal hernia repair | CPT | 49650 | 8 | — | — | $856.39 | $5,883.85 | $17,626 |
| Total abdominal hysterectomy | CPT | 58150 | 5 | — | — | $679.24 | $2,331.19 | $9,539 |
| Vaginal hysterectomy | CPT | 58260 | 8 | — | — | $1,016.56 | $5,073.15 | $16,693 |
| Lap-assisted vaginal hysterectomy >250g | CPT | 58552 | 8 | — | — | $1,016.56 | $10,500 | $31,453 |
| Lap salpingo-oophorectomy | CPT | 58661 | 8 | — | — | $1,016.56 | $5,883.85 | $17,626 |
| OR procedure for obesity w MCC | MS-DRG | 619 | 8 | — | — | $25,968 | $41,525 | $67,854 |
| OR procedure for obesity w CC | MS-DRG | 620 | 8 | — | — | $14,609 | $23,190 | $37,607 |
| OR procedure for obesity w/o CC/MCC | MS-DRG | 621 | 8 | — | — | $13,798 | $21,881 | $35,447 |
| Uterine & adnexa procedures w CC/MCC | MS-DRG | 743 | 8 | — | — | $11,436 | $18,068 | $29,156 |
| Uterine & adnexa procedures w/o CC/MCC | MS-DRG | 744 | 8 | — | — | $18,570 | $23,915 | $48,154 |
Rate history available after the next quarterly refresh. We re-crawl all hospital MRFs each quarter to track rate changes over time.
Payer mix (top 11)
| Payer | Codes covered | Median rate |
|---|---|---|
| Cigna | 65 | $14,792 |
| Aetna | 65 | $9,631.1 |
| UnitedHealthcare | 65 | $13,256 |
| upmc health plan | 63 | $13,210 |
| keystone autism services | 61 | $15,382 |
| geisinger | 61 | $8,463.1 |
| Blue Cross Blue Shield | 61 | $17,626 |
| upmc work partners | 56 | $5,375.03 |
| keystone health plan | 43 | $16,911 |
| health partners plans (jefferson health plan) | 8 | $224.11 |
| amerihealth caritas | 8 | $222.13 |