Certolizumab pegol 400 mg (200 mg x 2 vials) subcutaneous kit at UPMC Lititz
1500 Highlands Drive, Lititz, PA · UPMC · · NPI 1285167916
$3,431.40
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.
$5,719.00
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.
$3.87 with Highmark BCBS of PA vs $5,783.35 with Health Partners Plans (Jefferson 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 |
|---|---|---|---|
| Highmark BCBS of PA | Medicare | $3.87 | ↓ -100% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $3.91 | ↓ -100% |
| Geisinger | Medicaid/CHIP | $3.91 | ↓ -100% |
| Highmark Wholecare (prev Gateway) | Medicaid | $3.99 | ↓ -100% |
| Aetna | Medicare | $4.08 | ↓ -100% |
| Cigna | Medicare | $4.11 | ↓ -100% |
| Geisinger | Medicare | $4.11 | ↓ -100% |
| United Healthcare | Medicare | $4.18 | ↓ -100% |
| UPMC Health Plan | Managed Medicaid | $4.30 | ↓ -100% |
| UPMC Health Plan | CHIP | $4.81 | ↓ -100% |
| Keystone Autism Services | ACAP | $6.26 | ↓ -100% |
| Cigna | Commercial | $6.80 | ↓ -100% |
| Highmark BCBS of PA | Commercial - Children's Health Insurance | $11.56 | ↓ -100% |
| Highmark BCBS of PA | Medicaid | $12.04 | ↓ -100% |
| Highmark BCBS of PA | Commercial | $12.30 | ↓ -100% |
| United Healthcare | Commercial | $33.84 | ↓ -99% |
| Prime Net | Managed Medicare | $766.35 | ↓ -78% |
| Keystone Health Plan | Medicare Advantage | $1,143.80 | ↓ -67% |
| Capital Blue Cross | Medicare Advantage | $1,143.80 | ↓ -67% |
| UPMC Work Partners | Workers Comp | $1,408.02 | ↓ -59% |
| Prime Net | Legacy Commercial | $2,121.75 | ↓ -38% |
| Prime Net | ACO | $2,138.91 | ↓ -38% |
| Aetna | ACO | $2,138.91 | ↓ -38% |
| Prime Net | NonGateKeeper | $2,527.80 | ↓ -26% |
| Aetna | Commercial | $2,544.95 | ↓ -26% |
| Prime Net | GateKeeper | $2,544.95 | ↓ -26% |
| Keystone Health Plan | Commercial | $2,682.78 | ↓ -22% |
| Capital Blue Cross | Commercial | $2,682.78 | ↓ -22% |
| Capital Blue Cross | CHIP | $2,682.78 | ↓ -22% |
| Preferred Healthcare System | Inter County Health Plan/Lancaster General Health/Musselman Lumber/Vallorbs Jewelry | $3,145.45 | ↓ -8% |
| Geisinger | Commercial | $3,744.80 | ↑ +9% |
| UPMC Health Plan | Commercial | $4,003.30 | ↑ +17% |
| Prime Net | FH-Medical Rental | $4,140.56 | ↑ +21% |
| Preferred Healthcare System | PPO | $4,289.25 | ↑ +25% |
| Multiplan | PPO (Includes PHCS and Humana as Payers) | $4,861.15 | ↑ +42% |
| Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $5,783.35 | ↑ +69% |
| Tricare | East Region | not published by hospital | — |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
Visitor-reported prices
Comments
Certolizumab pegol 400 mg (200 mg x 2 vials) subcutaneous kit at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Carlisle | Carlisle | $3,431.40 | $3.87 – $5,783.35 |
| UPMC Cole | Coudersport | $14,938.20 | $3.91 – $19,917.60 |
| UPMC Community Osteopathic | Harrisburg | $3,431.40 | $3.87 – $5,783.35 |
| UPMC Hanover | Hanover | $3,431.40 | $3.87 – $5,783.35 |
| UPMC Magee | Pittsburgh | $4,964.40 | $2.47 – $6,403.90 |
| UPMC Memorial | York | $3,431.40 | $3.91 – $5,783.35 |
| UPMC Passavant-McCandless | Pittsburgh | $5,262.00 | $2.47 – $6,112.81 |
| UPMC Presbyterian | Pittsburgh | $14,237.40 | $2.47 – $5,821.73 |