Cidofovir injection 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

$118.20

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.

$197.00

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.

$19.83 with Prime Net vs $1,718.30 with Highmark BCBS of PA — 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
Prime Net Managed Medicare $19.83 ↓ -83%
Capital Blue Cross Medicare Advantage $29.60 ↓ -75%
Keystone Health Plan Medicare Advantage $29.60 ↓ -75%
UPMC Work Partners Workers Comp $36.44 ↓ -69%
Prime Net Legacy Commercial $54.91 ↓ -54%
Prime Net ACO $55.35 ↓ -53%
Aetna ACO $55.35 ↓ -53%
Prime Net NonGateKeeper $65.42 ↓ -45%
Aetna Commercial $65.86 ↓ -44%
Prime Net GateKeeper $65.86 ↓ -44%
Keystone Health Plan Commercial $69.43 ↓ -41%
Capital Blue Cross CHIP $69.43 ↓ -41%
Capital Blue Cross Commercial $69.43 ↓ -41%
Preferred Healthcare System Inter County Health Plan/Lancaster General Health/Musselman Lumber/Vallorbs Jewelry $81.40 ↓ -31%
United Healthcare Commercial $91.17 ↓ -23%
Geisinger Commercial $96.91 ↓ -18%
UPMC Health Plan Commercial $103.60 ↓ -12%
Prime Net FH-Medical Rental $107.15 ↓ -9%
Preferred Healthcare System PPO $111.00 ↓ -6%
Multiplan PPO (Includes PHCS and Humana as Payers) $125.80 ↑ +6%
Highmark BCBS of PA Medicare $540.83 ↑ +358%
AmeriHealth Caritas Community HealthChoices (CHC)/Medicaid $546.29 ↑ +362%
Geisinger Medicaid/CHIP $546.29 ↑ +362%
Highmark Wholecare (prev Gateway) Medicaid $557.22 ↑ +371%
Aetna Medicare $569.78 ↑ +382%
Cigna Medicare $573.60 ↑ +385%
Geisinger Medicare $573.60 ↑ +385%
United Healthcare Medicare $584.53 ↑ +395%
UPMC Health Plan Managed Medicaid $600.92 ↑ +408%
UPMC Health Plan CHIP $671.94 ↑ +468%
Cigna Commercial $781.41 ↑ +561%
Keystone Autism Services ACAP $874.06 ↑ +639%
Highmark BCBS of PA Commercial - Children's Health Insurance $1,614.94 ↑ +1266%
Highmark BCBS of PA Medicaid $1,681.59 ↑ +1323%
Highmark BCBS of PA Commercial $1,718.30 ↑ +1354%
Tricare East Region not published by hospital —
US Family Health Plan Tricare Prime not published by hospital —

Visitor-reported prices

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Cidofovir injection at other Pennsylvania hospitals

Hospital City Cash price Negotiated range
UPMC Carlisle Carlisle $118.20 $20.28 – $874.06
UPMC Community Osteopathic Harrisburg $118.20 $29.60 – $671.94
UPMC Hamot Erie $2,428.80 $344.93 – $985.37
UPMC Hanover Hanover $118.20 $540.83 – $874.06
UPMC Memorial York $118.20 $373.87 – $1,070.80
UPMC Mercy Pittsburgh $2,980.80 $344.93 – $1,313.80
UPMC Somerset Somerset $118.20 $540.83 – $546.29

All Pennsylvania hospitals for this procedure →