Amitriptyline (elavil) -sendout at UPMC Lititz

1500 Highlands Drive, Lititz, PA · UPMC · · NPI 1285167916

Source: hospital's published price file ↗ · Published Mar 6, 2026 · Ingested Aug 13, 2026

$63.00

Cash price

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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.

Full explanation →

What you pay up front if you don't use insurance.

$105.00

Gross charge

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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.

Full explanation →

The hospital's undiscounted list price — almost no one pays this.

$0.01 with Aetna vs $89.25 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 →

Payer
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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
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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
Aetna Medicare $0.01 ↓ -100%
Prime Net Managed Medicare $14.07 ↓ -78%
AmeriHealth Caritas Community HealthChoices (CHC)/Medicaid $14.75 ↓ -77%
Highmark Wholecare (prev Gateway) Medicaid $18.73 ↓ -70%
UPMC Health Plan Managed Medicaid $19.18 ↓ -70%
United Healthcare Community Plan for Families PA Medicaid $19.32 ↓ -69%
Health Partners Plans (Jefferson Health Plan) Medicaid/CHIP $20.09 ↓ -68%
Keystone Health Plan Medicare Advantage $21.00 ↓ -67%
Capital Blue Cross Medicare Advantage $21.00 ↓ -67%
Geisinger Medicaid/CHIP $21.48 ↓ -66%
Prime Net Legacy Commercial $38.95 ↓ -38%
Aetna ACO $39.27 ↓ -38%
Prime Net ACO $39.27 ↓ -38%
Prime Net NonGateKeeper $46.41 ↓ -26%
Aetna Commercial $46.73 ↓ -26%
Prime Net GateKeeper $46.73 ↓ -26%
Keystone Health Plan Commercial $49.26 ↓ -22%
Capital Blue Cross CHIP $49.26 ↓ -22%
Capital Blue Cross Commercial $49.26 ↓ -22%
Preferred Healthcare System Inter County Health Plan/Lancaster General Health/Musselman Lumber/Vallorbs Jewelry $57.75 ↓ -8%
Geisinger Commercial $68.75 ↑ +9%
UPMC Health Plan Commercial $73.50 ↑ +17%
UPMC Health Plan CHIP $73.50 ↑ +17%
Prime Net FH-Medical Rental $76.02 ↑ +21%
Preferred Healthcare System PPO $78.75 ↑ +25%
Cigna Commercial $81.90 ↑ +30%
Multiplan PPO (Includes PHCS and Humana as Payers) $89.25 ↑ +42%
UPMC Work Partners Workers Comp not published by hospital

Visitor-reported prices

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Amitriptyline (elavil) -sendout at other Pennsylvania hospitals

Hospital City Cash price Negotiated range
UPMC Carlisle Carlisle $63.00 $14.38 – $89.25
UPMC Community Osteopathic Harrisburg $63.00 $14.75 – $89.25
UPMC Hanover Hanover $63.00 $14.75 – $25.14
UPMC Kane Kane $199.20 $16.23 – $56.32
UPMC Memorial York $63.00 $0.01 – $21.48
UPMC Passavant-McCandless Pittsburgh $348.60 $9.21 – $25.14
UPMC Somerset Somerset $63.00 $9.03 – $20.50
Uniontown Hospital Uniontown $29.50 $16.23 – $18.44

All Pennsylvania hospitals for this procedure →