Hospitals report these codes with terse, inconsistent chargemaster text. This plain-English title was written by an AI model from that text and has not been reviewed by a person, so it can be wrong. The prices on this page come straight from hospital filings and do not depend on it.
Original text from hospital filings
HC CLSD RX RAD SHFT FX W/O MAN
Lititz, PA
See all hospitals reporting CPT 25500 →Price type
UPMC Lititz’s median price of $278 is 25% below the median hospital's median price ($372), higher than 30% of the 1,875 hospitals reporting CPT 25500. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 7 payers, 19 plan rates. A facility fee, a professional fee, a per diem and a case rate are different bills, so each is listed on its own. Open a payer to see it across hospitals.
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| # | |||||||
|---|---|---|---|---|---|---|---|
| 1 | Amerihealth Caritas community healthchoices (chc)/medicaid facility · fee schedule · outpatient | $100 | $100 | — | — | — | $100 – $100 |
| 2 | Blue Cross Blue Shield medicare advantage facility · percent of total billed charges · outpatientfrom % of charges | $122 | $122 | — | — | — | $122 – $122 |
| 3 | Highmark medicare facility · fee schedule · outpatient | $228 | $228 | — | — | — | $228 – $228 |
| 4 | Aetna aco facility · percent of total billed charges · inpatientfrom % of charges | $229 | $229 | — | — | — | $229 – $229 |
| 5 | Aetna aco facility · percent of total billed charges · outpatientfrom % of charges | $240 | $240 | — | — | — | $240 – $240 |
| 6 | Aetna medicare facility · fee schedule · outpatient | $240 | $240 | — | — | — | $240 – $240 |
| 7 | Cigna medicare facility · fee schedule · outpatient | $242 | $242 | — | — | — | $242 – $242 |
| 8 | UnitedHealthcare medicare facility · fee schedule · outpatient | $247 | $247 | — | — | — | $247 – $247 |
| 9 | Aetna commercial facility · percent of total billed charges · inpatientfrom % of charges | $272 | $272 | — | — | — | $272 – $272 |
| 10 | Aetna commercial facility · percent of total billed charges · outpatientfrom % of charges | $286 | $286 | — | — | — | $286 – $286 |
| 11 | Blue Cross Blue Shield chip facility · percent of total billed charges · outpatientfrom % of charges | $287 | $287 | — | — | — | $287 – $287 |
| 12 | Blue Cross Blue Shield commercial facility · percent of total billed charges · outpatientfrom % of charges | $287 | $287 | — | — | — | $287 – $287 |
| 13 | Highmark medicaid facility · fee schedule · outpatient | $404 | $404 | $305 | 75% | — | $100 – $709 |
| 14 | Cigna commercial facility · percent of total billed charges · outpatientfrom % of charges | $477 | $477 | — | — | — | $477 – $477 |
| 15 | MultiPlan ppo (includes phcs and humana as payers) facility · percent of total billed charges · inpatientfrom % of charges | $519 | $519 | — | — | — | $519 – $519 |
| 16 | MultiPlan ppo (includes phcs and humana as payers) facility · percent of total billed charges · outpatientfrom % of charges | $519 | $519 | — | — | — | $519 – $519 |
| 17 | Highmark commercial - children's health insurance facility · fee schedule · outpatient | $681 | $681 | — | — | — | $681 – $681 |
| 18 | Highmark commercial facility · fee schedule · outpatient | $725 | $725 | — | — | — | $725 – $725 |
| 19 | UnitedHealthcare pa medicaid facility · fee schedule · outpatient | $1.0k | $1.0k | — | — | — | $1.0k – $1.0k |
Last updated: Mar 6, 2026
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