Pennsylvania / UPMC Lititz
CMS certification 390068 · Lititz, PA · 1 entry in CMS's price-transparency list
UPMC Lititz: charges and Medicare payments
UPMC Lititz reported 242 Medicare inpatient stays across 12 DRGs in 2024. Across them it charged 3.6 times what it was paid — among the lower ratios in Pennsylvania, number 83 of 117 hospitals with at least 100 stays (state median 4.27×, national 4.15×). Its most frequent stay was DRG 871, Septicemia or Severe Sepsis without MV >96 Hours with MCC: 53 stays at an average charge of $51,873, 43% below the national average. It also billed 672 outpatient services, charging 5.97 times what Medicare paid.
- 1Medicare inpatient stays 242
- 2Charge ÷ paid, inpatient 3.6×
- 3Rank in PA (highest ratio = 1) 83 of 117
- 4CMS price-transparency actions 1
Inpatient stays
For the 12 DRGs that can be compared with the national average, UPMC Lititz charged more than the national average in 0 (0%). Payments follow Medicare's rates, so they usually vary far less than charges.
| DRG | Stays | Avg charge | vs US | Avg paid |
|---|---|---|---|---|
| 871 Septicemia or Severe Sepsis without MV >96 Hours with MCC | 53 | $51,873 | -43% | $16,291 |
| 291 Heart Failure and Shock with MCC | 42 | $48,331 | -14% | $11,497 |
| 872 Septicemia or Severe Sepsis without MV >96 Hours without MCC | 22 | $34,187 | -30% | $8,816 |
| 309 Cardiac Arrhythmia and Conduction Disorders with CC | 17 | $20,832 | -42% | $6,404 |
| 556 Signs and Symptoms of Musculoskeletal System and Connective... | 17 | $26,782 | -34% | $7,646 |
| 470 Major Hip and Knee Joint Replacement or Reattachment of... | 16 | $48,398 | -48% | $15,824 |
| 193 Simple Pneumonia and Pleurisy with MCC | 15 | $51,227 | -14% | $10,077 |
| 177 Respiratory Infections and Inflammations with MCC | 13 | $41,818 | -41% | $12,041 |
| 065 Intracranial Hemorrhage or Cerebral Infarction with CC or... | 12 | $38,001 | -32% | $9,025 |
| 552 Medical Back Problems without MCC | 12 | $24,078 | -51% | $8,641 |
| 698 Other Kidney and Urinary Tract Diagnoses with MCC | 12 | $53,240 | -27% | $14,287 |
| 854 Infectious and Parasitic Diseases with O.R. Procedures with... | 11 | $63,251 | -36% | $17,567 |
Outpatient services
| Service (APC) | Services | Avg charge | Medicare allowed |
|---|---|---|---|
| Level 5 Musculoskeletal Procedures | 102 | $38,390 | $11,814 |
| Comprehensive Observation Services | 96 | $15,874 | $2,460 |
| Level 2 Excision/ Biopsy/ Incision and Drainage | 77 | $8,220 | $985 |
| Level 3 Vascular Procedures | 61 | $19,922 | $2,865 |
| Level 1 Laparoscopy and Related Services | 45 | $28,787 | $5,007 |
| Level 1 Endovascular Procedures | 42 | $13,936 | $2,833 |
| Level 1 Nerve Procedures | 37 | $11,236 | $1,698 |
| Level 4 Musculoskeletal Procedures | 34 | $31,898 | $6,430 |
| Level 2 Endovascular Procedures | 31 | $30,704 | $5,137 |
| Level 3 Musculoskeletal Procedures | 24 | $17,334 | $2,909 |
| Level 3 Excision/ Biopsy/ Incision and Drainage | 22 | $13,554 | $2,345 |
| Level 4 Gynecologic Procedures | 22 | $12,810 | $2,708 |
| Level 2 Musculoskeletal Procedures | 20 | $11,370 | $1,315 |
| Level 1 Breast/Lymphatic Surgery and Related Procedures | 17 | $20,956 | $3,426 |
| Level 3 Endovascular Procedures | 15 | $58,785 | $9,880 |
| Level 3 Pacemaker and Similar Procedures | 14 | $45,958 | $9,408 |
| Level 2 Breast/Lymphatic Surgery and Related Procedures | 13 | $34,285 | $5,861 |
Against the Pennsylvania average
For Septicemia or Severe Sepsis without MV >96 Hours with MCC (DRG 871), UPMC Lititz charged $51,873 on average, 41% less than the Pennsylvania average of $88,167, and was paid $16,291 against a state average of $16,881. For Heart Failure and Shock with MCC (DRG 291), UPMC Lititz charged $48,331 on average, 16% less than the Pennsylvania average of $57,362, and was paid $11,497 against a state average of $11,112. For Septicemia or Severe Sepsis without MV >96 Hours without MCC (DRG 872), UPMC Lititz charged $34,187 on average, 31% less than the Pennsylvania average of $49,758, and was paid $8,816 against a state average of $9,077. For Cardiac Arrhythmia and Conduction Disorders with CC (DRG 309), UPMC Lititz charged $20,832 on average, 42% less than the Pennsylvania average of $36,112, and was paid $6,404 against a state average of $6,780. For Level 5 Musculoskeletal Procedures (outpatient APC 5115), its average charge of $38,390 was 40% below the state average of $63,627. For Comprehensive Observation Services (outpatient APC 8011), its average charge of $15,874 was 27% below the state average of $21,732. For Level 2 Excision/ Biopsy/ Incision and Drainage (outpatient APC 5072), its average charge of $8,220 was 40% below the state average of $13,651. For Level 3 Vascular Procedures (outpatient APC 5183), its average charge of $19,922 was 13% below the state average of $22,799.
Price-transparency record
CMS's enforcement list records these actions for a hospital named UPMC Lititz in Lititz, PA, under the federal hospital price-transparency rule (45 CFR part 180), which requires hospitals to post their standard charges online:
- Met Requirements — 2025-04-02 (CMS case 3561)
A warning notice or corrective-action request is not a finding of wrongdoing; "Met Requirements" and closure notices record that CMS's review ended. Matched to this hospital by exact name, city and state.
Charges are the hospital's list prices averaged over its 2024 Medicare cases; payments are what those cases actually brought in. Neither is what you will pay. For a planned procedure, ask the hospital for its price estimate or, if you are uninsured or self-paying, a good-faith estimate.
Sources: CMS Medicare Inpatient Hospitals — by Provider and Service / by Geography and Service, data year 2024; CMS Medicare Outpatient Hospitals — by Provider and Service / by Geography and Service, data year 2024; CMS Hospital Price Transparency Enforcement Activities and Outcomes, July 2026. Checked 2026-10-24. Methodology.