Alpha-1-proteinase inhibitor (human) 1,000 mg (+/-) IV solution at UPMC Lititz
1500 Highlands Drive, Lititz, PA · UPMC · · NPI 1285167916
$378.00
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.
$630.00
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.
$5.41 with Highmark BCBS of PA vs $267.75 with Multiplan — 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 |
|---|---|---|---|
| Highmark BCBS of PA | Medicare | $5.41 | ↓ -99% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $5.46 | ↓ -99% |
| Geisinger | Medicaid/CHIP | $5.46 | ↓ -99% |
| Highmark Wholecare (prev Gateway) | Medicaid | $5.57 | ↓ -99% |
| Aetna | Medicare | $5.69 | ↓ -98% |
| Cigna | Medicare | $5.73 | ↓ -98% |
| Geisinger | Medicare | $5.73 | ↓ -98% |
| United Healthcare | Medicare | $5.84 | ↓ -98% |
| UPMC Health Plan | Managed Medicaid | $6.00 | ↓ -98% |
| UPMC Health Plan | CHIP | $6.71 | ↓ -98% |
| Cigna | Commercial | $6.88 | ↓ -98% |
| Keystone Autism Services | ACAP | $8.74 | ↓ -98% |
| Highmark BCBS of PA | Commercial - Children's Health Insurance | $16.14 | ↓ -96% |
| Highmark BCBS of PA | Medicaid | $16.81 | ↓ -96% |
| Highmark BCBS of PA | Commercial | $17.17 | ↓ -95% |
| United Healthcare | Commercial | $34.26 | ↓ -91% |
| Prime Net | Managed Medicare | $42.21 | ↓ -89% |
| Keystone Health Plan | Medicare Advantage | $63.00 | ↓ -83% |
| Capital Blue Cross | Medicare Advantage | $63.00 | ↓ -83% |
| UPMC Work Partners | Workers Comp | $77.55 | ↓ -79% |
| Prime Net | Legacy Commercial | $116.86 | ↓ -69% |
| Aetna | ACO | $117.81 | ↓ -69% |
| Prime Net | ACO | $117.81 | ↓ -69% |
| Prime Net | NonGateKeeper | $139.23 | ↓ -63% |
| Aetna | Commercial | $140.18 | ↓ -63% |
| Prime Net | GateKeeper | $140.18 | ↓ -63% |
| Keystone Health Plan | Commercial | $147.77 | ↓ -61% |
| Capital Blue Cross | CHIP | $147.77 | ↓ -61% |
| Capital Blue Cross | Commercial | $147.77 | ↓ -61% |
| Preferred Healthcare System | Inter County Health Plan/Lancaster General Health/Musselman Lumber/Vallorbs Jewelry | $173.25 | ↓ -54% |
| Geisinger | Commercial | $206.26 | ↓ -45% |
| UPMC Health Plan | Commercial | $220.50 | ↓ -42% |
| Prime Net | FH-Medical Rental | $228.06 | ↓ -40% |
| Preferred Healthcare System | PPO | $236.25 | ↓ -38% |
| Multiplan | PPO (Includes PHCS and Humana as Payers) | $267.75 | ↓ -29% |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
| Tricare | East Region | not published by hospital | — |
Visitor-reported prices
Comments
Alpha-1-proteinase inhibitor (human) 1,000 mg (+/-) IV solution at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $36.00 | $3.45 – $36.00 |
| UPMC Carlisle | Carlisle | $378.00 | $5.41 – $267.75 |
| UPMC Community Osteopathic | Harrisburg | $378.00 | $5.41 – $267.75 |
| UPMC East | Monroeville | $38.40 | $3.45 – $38.40 |
| UPMC Hamot | Erie | $43.40 | $3.45 – $6.75 |
| UPMC Northwest | Seneca | $40.40 | $3.45 – $5.90 |
| UPMC Hanover | Hanover | $378.00 | $5.41 – $8.74 |
| UPMC Horizon-Greenville | Greenville | $40.40 | $3.45 – $10.25 |