Administration chemotherapy IV push single/initial substance/drug at UPMC Lititz
1500 Highlands Drive, Lititz, PA · UPMC · · NPI 1285167916
$526.20
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.
$877.00
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.
$117.09 with AmeriHealth Caritas vs $1,002.03 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 | $117.09 | ↓ -78% |
| Highmark Wholecare (prev Gateway) | Medicaid | $117.09 | ↓ -78% |
| Prime Net | Managed Medicare | $117.52 | ↓ -78% |
| UPMC Health Plan | Managed Medicaid | $119.86 | ↓ -77% |
| United Healthcare Community Plan for Families | PA Medicaid | $120.78 | ↓ -77% |
| Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $125.58 | ↓ -76% |
| Geisinger | Medicaid/CHIP | $134.30 | ↓ -74% |
| Capital Blue Cross | Medicare Advantage | $175.40 | ↓ -67% |
| Keystone Health Plan | Medicare Advantage | $175.40 | ↓ -67% |
| UPMC Work Partners | Workers Comp | $195.07 | ↓ -63% |
| UPMC Health Plan | CHIP | $283.47 | ↓ -46% |
| Highmark BCBS of PA | Medicare | $315.38 | ↓ -40% |
| Prime Net | Legacy Commercial | $325.37 | ↓ -38% |
| Prime Net | ACO | $328.00 | ↓ -38% |
| Aetna | ACO | $328.00 | ↓ -38% |
| Aetna | Medicare | $332.27 | ↓ -37% |
| Cigna | Medicare | $334.50 | ↓ -36% |
| Geisinger | Medicare | $334.50 | ↓ -36% |
| United Healthcare | Medicare | $340.87 | ↓ -35% |
| Prime Net | NonGateKeeper | $387.63 | ↓ -26% |
| Prime Net | GateKeeper | $390.26 | ↓ -26% |
| Aetna | Commercial | $390.26 | ↓ -26% |
| Keystone Health Plan | Commercial | $411.40 | ↓ -22% |
| Capital Blue Cross | CHIP | $411.40 | ↓ -22% |
| Capital Blue Cross | Commercial | $411.40 | ↓ -22% |
| Preferred Healthcare System | Inter County Health Plan/Lancaster General Health/Musselman Lumber/Vallorbs Jewelry | $482.35 | ↓ -8% |
| Keystone Autism Services | ACAP | $509.71 | ↓ -3% |
| Geisinger | Commercial | $574.26 | ↑ +9% |
| UPMC Health Plan | Commercial | $613.90 | ↑ +17% |
| Prime Net | FH-Medical Rental | $634.95 | ↑ +21% |
| Preferred Healthcare System | PPO | $657.75 | ↑ +25% |
| Cigna | Commercial | $684.06 | ↑ +30% |
| Multiplan | PPO (Includes PHCS and Humana as Payers) | $745.45 | ↑ +42% |
| United Healthcare | Commercial | $793.00 | ↑ +51% |
| Highmark BCBS of PA | Commercial - Children's Health Insurance | $941.76 | ↑ +79% |
| Highmark BCBS of PA | Medicaid | $980.62 | ↑ +86% |
| Highmark BCBS of PA | Commercial | $1,002.03 | ↑ +90% |
| Tricare | East Region | not published by hospital | — |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
Visitor-reported prices
Comments
Administration chemotherapy IV push single/initial substance/drug at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $369.60 | $92.20 – $492.80 |
| UPMC Carlisle | Carlisle | $526.20 | $117.09 – $745.45 |
| UPMC Cole | Coudersport | $607.80 | $96.81 – $810.40 |
| UPMC Community Osteopathic | Harrisburg | $526.20 | $117.09 – $745.45 |
| UPMC East | Monroeville | $1,159.80 | $101.42 – $1,546.40 |
| UPMC Hamot | Erie | $412.80 | $101.42 – $394.17 |
| UPMC Northwest | Seneca | $652.20 | $101.42 – $332.04 |
| UPMC Hanover | Hanover | $526.20 | $117.09 – $506.98 |