Butorphanol tartrate 1 mg at UPMC Lititz
1500 Highlands Drive, Lititz, PA · UPMC · · NPI 1285167916
$4.80
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.
$8.00
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.
$0.13 with Prime Net vs $7.91 with UPMC Health Plan — 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 |
|---|---|---|---|
| Prime Net | Managed Medicare | $0.13 | ↓ -97% |
| Keystone Health Plan | Medicare Advantage | $0.20 | ↓ -96% |
| Capital Blue Cross | Medicare Advantage | $0.20 | ↓ -96% |
| UPMC Work Partners | Workers Comp | $0.25 | ↓ -95% |
| Prime Net | ACO | $0.37 | ↓ -92% |
| Prime Net | Legacy Commercial | $0.37 | ↓ -92% |
| Aetna | ACO | $0.37 | ↓ -92% |
| Prime Net | NonGateKeeper | $0.44 | ↓ -91% |
| Prime Net | GateKeeper | $0.45 | ↓ -91% |
| Aetna | Commercial | $0.45 | ↓ -91% |
| Capital Blue Cross | CHIP | $0.47 | ↓ -90% |
| Keystone Health Plan | Commercial | $0.47 | ↓ -90% |
| Capital Blue Cross | Commercial | $0.47 | ↓ -90% |
| Preferred Healthcare System | Inter County Health Plan/Lancaster General Health/Musselman Lumber/Vallorbs Jewelry | $0.55 | ↓ -89% |
| United Healthcare | Commercial | $0.62 | ↓ -87% |
| Geisinger | Commercial | $0.65 | ↓ -86% |
| UPMC Health Plan | Commercial | $0.70 | ↓ -85% |
| Prime Net | FH-Medical Rental | $0.72 | ↓ -85% |
| Preferred Healthcare System | PPO | $0.75 | ↓ -84% |
| Multiplan | PPO (Includes PHCS and Humana as Payers) | $0.85 | ↓ -82% |
| Cigna | Commercial | $3.95 | ↓ -18% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $6.43 | ↑ +34% |
| Geisinger | Medicaid/CHIP | $6.43 | ↑ +34% |
| Aetna | Medicare | $6.50 | ↑ +35% |
| Highmark Wholecare (prev Gateway) | Medicaid | $6.56 | ↑ +37% |
| UPMC Health Plan | Managed Medicaid | $7.08 | ↑ +48% |
| UPMC Health Plan | CHIP | $7.91 | ↑ +65% |
Visitor-reported prices
Comments
Butorphanol tartrate 1 mg at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Carlisle | Carlisle | $4.80 | $0.14 – $6.56 |
| UPMC Cole | Coudersport | $6.00 | $2.77 – $8.00 |
| UPMC Community Osteopathic | Harrisburg | $4.80 | $0.20 – $24.79 |
| UPMC Hamot | Erie | $101.60 | $2.92 – $8.46 |
| UPMC Northwest | Seneca | $89.40 | $4.06 – $38.64 |
| UPMC Hanover | Hanover | $4.80 | $3.95 – $7.08 |
| UPMC Horizon-Greenville | Greenville | $94.80 | $3.25 – $37.95 |
| UPMC Magee | Pittsburgh | $166.20 | $3.25 – $15.03 |