Anti-inhibitor at UPMC Lititz
1500 Highlands Drive, Lititz, PA · UPMC · · NPI 1285167916
$1,248.00
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.
$2,080.00
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.
$2.39 with Highmark BCBS of PA vs $1,113.50 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 | $2.39 | ↓ -100% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $2.41 | ↓ -100% |
| Geisinger | Medicaid/CHIP | $2.41 | ↓ -100% |
| Highmark Wholecare (prev Gateway) | Medicaid | $2.46 | ↓ -100% |
| Aetna | Medicare | $2.51 | ↓ -100% |
| Cigna | Medicare | $2.53 | ↓ -100% |
| Geisinger | Medicare | $2.53 | ↓ -100% |
| United Healthcare | Medicare | $2.58 | ↓ -100% |
| UPMC Health Plan | Managed Medicaid | $2.65 | ↓ -100% |
| UPMC Health Plan | CHIP | $2.97 | ↓ -100% |
| Cigna | Commercial | $3.20 | ↓ -100% |
| Keystone Autism Services | ACAP | $3.86 | ↓ -100% |
| Highmark BCBS of PA | Commercial - Children's Health Insurance | $7.12 | ↓ -99% |
| Highmark BCBS of PA | Medicaid | $7.42 | ↓ -99% |
| Highmark BCBS of PA | Commercial | $7.58 | ↓ -99% |
| United Healthcare | Commercial | $15.95 | ↓ -99% |
| Prime Net | Managed Medicare | $175.54 | ↓ -86% |
| Keystone Health Plan | Medicare Advantage | $262.00 | ↓ -79% |
| Capital Blue Cross | Medicare Advantage | $262.00 | ↓ -79% |
| UPMC Work Partners | Workers Comp | $322.52 | ↓ -74% |
| Prime Net | Legacy Commercial | $486.01 | ↓ -61% |
| Aetna | ACO | $489.94 | ↓ -61% |
| Prime Net | ACO | $489.94 | ↓ -61% |
| Prime Net | NonGateKeeper | $579.02 | ↓ -54% |
| Aetna | Commercial | $582.95 | ↓ -53% |
| Prime Net | GateKeeper | $582.95 | ↓ -53% |
| Keystone Health Plan | Commercial | $614.52 | ↓ -51% |
| Capital Blue Cross | CHIP | $614.52 | ↓ -51% |
| Capital Blue Cross | Commercial | $614.52 | ↓ -51% |
| Preferred Healthcare System | Inter County Health Plan/Lancaster General Health/Musselman Lumber/Vallorbs Jewelry | $720.50 | ↓ -42% |
| Geisinger | Commercial | $857.79 | ↓ -31% |
| UPMC Health Plan | Commercial | $917.00 | ↓ -27% |
| Prime Net | FH-Medical Rental | $948.44 | ↓ -24% |
| Preferred Healthcare System | PPO | $982.50 | ↓ -21% |
| Multiplan | PPO (Includes PHCS and Humana as Payers) | $1,113.50 | ↓ -11% |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
| Tricare | East Region | not published by hospital | — |
Visitor-reported prices
Comments
Anti-inhibitor at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Magee | Pittsburgh | $8.70 | $1.52 – $2.68 |
| UPMC McKeesport | Mckeesport | $11.60 | $1.52 – $2.68 |
| UPMC Mercy | Pittsburgh | $11.60 | $1.52 – $2.66 |
| UPMC Passavant-McCandless | Pittsburgh | $8.70 | $1.52 – $2.68 |
| UPMC Presbyterian | Pittsburgh | $8.70 | $1.52 – $2.68 |
| UPMC Western Psychiatric | Pittsburgh | $8.70 | $2.41 – $2.65 |