Coagulation factor viia 1,000 mcg/ml inj 1 ml at UPMC Lititz
1500 Highlands Drive, Lititz, PA · UPMC · · NPI 1285167916
$8,040.00
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.
$13,400.00
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.
$2.63 with Highmark BCBS of PA vs $2,278.00 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 | $2.63 | ↓ -100% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $2.65 | ↓ -100% |
| Geisinger | Medicaid/CHIP | $2.65 | ↓ -100% |
| Highmark Wholecare (prev Gateway) | Medicaid | $2.71 | ↓ -100% |
| Aetna | Medicare | $2.77 | ↓ -100% |
| Geisinger | Medicare | $2.79 | ↓ -100% |
| Cigna | Medicare | $2.79 | ↓ -100% |
| United Healthcare | Medicare | $2.85 | ↓ -100% |
| UPMC Health Plan | Managed Medicaid | $2.92 | ↓ -100% |
| UPMC Health Plan | CHIP | $3.27 | ↓ -100% |
| Cigna | Commercial | $3.43 | ↓ -100% |
| Keystone Autism Services | ACAP | $4.26 | ↓ -100% |
| Highmark BCBS of PA | Commercial - Children's Health Insurance | $7.86 | ↓ -100% |
| Highmark BCBS of PA | Medicaid | $8.19 | ↓ -100% |
| Highmark BCBS of PA | Commercial | $8.37 | ↓ -100% |
| United Healthcare | Commercial | $17.07 | ↓ -100% |
| Prime Net | Managed Medicare | $359.12 | ↓ -96% |
| Keystone Health Plan | Medicare Advantage | $536.00 | ↓ -93% |
| Capital Blue Cross | Medicare Advantage | $536.00 | ↓ -93% |
| UPMC Work Partners | Workers Comp | $659.82 | ↓ -92% |
| Prime Net | Legacy Commercial | $994.28 | ↓ -88% |
| Aetna | ACO | $1,002.32 | ↓ -88% |
| Prime Net | ACO | $1,002.32 | ↓ -88% |
| Prime Net | NonGateKeeper | $1,184.56 | ↓ -85% |
| Aetna | Commercial | $1,192.60 | ↓ -85% |
| Prime Net | GateKeeper | $1,192.60 | ↓ -85% |
| Capital Blue Cross | CHIP | $1,257.19 | ↓ -84% |
| Capital Blue Cross | Commercial | $1,257.19 | ↓ -84% |
| Keystone Health Plan | Commercial | $1,257.19 | ↓ -84% |
| Preferred Healthcare System | Inter County Health Plan/Lancaster General Health/Musselman Lumber/Vallorbs Jewelry | $1,474.00 | ↓ -82% |
| Geisinger | Commercial | $1,754.86 | ↓ -78% |
| UPMC Health Plan | Commercial | $1,876.00 | ↓ -77% |
| Prime Net | FH-Medical Rental | $1,940.32 | ↓ -76% |
| Preferred Healthcare System | PPO | $2,010.00 | ↓ -75% |
| Multiplan | PPO (Includes PHCS and Humana as Payers) | $2,278.00 | ↓ -72% |
| Tricare | East Region | not published by hospital | — |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
Visitor-reported prices
Comments
Coagulation factor viia 1,000 mcg/ml inj 1 ml at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Carlisle | Carlisle | $8,040.00 | $2.63 – $2,278.00 |
| UPMC Community Osteopathic | Harrisburg | $8,040.00 | $2.63 – $2,278.00 |
| UPMC Hanover | Hanover | $8,040.00 | $2.63 – $4.26 |
| UPMC Magee | Pittsburgh | $21,409.80 | $1.68 – $2.87 |
| UPMC Memorial | York | $8,040.00 | $2.21 – $4.26 |
| UPMC Muncy | Muncy | $32,266.20 | $2.65 – $2.92 |
| UPMC Somerset | Somerset | $8,040.00 | $2.63 – $2.66 |
| UPMC Wellsboro | Wellsboro | $32,266.20 | $2.65 – $2.92 |