Covid-19 administration immunization im inj 1st/only component at UPMC Lititz
1500 Highlands Drive, Lititz, PA · UPMC · · NPI 1285167916
$24.00
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.
$40.00
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.
$5.36 with Prime Net vs $125.44 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 →
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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 | $5.36 | ↓ -78% |
| Capital Blue Cross | Medicare Advantage | $8.00 | ↓ -67% |
| Keystone Health Plan | Medicare Advantage | $8.00 | ↓ -67% |
| Prime Net | Legacy Commercial | $14.84 | ↓ -38% |
| Aetna | ACO | $14.96 | ↓ -38% |
| Prime Net | ACO | $14.96 | ↓ -38% |
| Prime Net | NonGateKeeper | $17.68 | ↓ -26% |
| Aetna | Commercial | $17.80 | ↓ -26% |
| Prime Net | GateKeeper | $17.80 | ↓ -26% |
| Capital Blue Cross | CHIP | $18.76 | ↓ -22% |
| Capital Blue Cross | Commercial | $18.76 | ↓ -22% |
| Keystone Health Plan | Commercial | $18.76 | ↓ -22% |
| Preferred Healthcare System | Inter County Health Plan/Lancaster General Health/Musselman Lumber/Vallorbs Jewelry | $22.00 | ↓ -8% |
| Geisinger | Medicaid/CHIP | $22.00 | ↓ -8% |
| Geisinger | Commercial | $26.19 | ↑ +9% |
| UPMC Health Plan | Commercial | $28.00 | ↑ +17% |
| UPMC Health Plan | CHIP | $28.00 | ↑ +17% |
| Prime Net | FH-Medical Rental | $28.96 | ↑ +21% |
| United Healthcare | Commercial | $29.44 | ↑ +23% |
| Preferred Healthcare System | PPO | $30.00 | ↑ +25% |
| Cigna | Commercial | $31.20 | ↑ +30% |
| Multiplan | PPO (Includes PHCS and Humana as Payers) | $34.00 | ↑ +42% |
| Highmark BCBS of PA | Medicare | $39.48 | ↑ +65% |
| Aetna | Medicare | $41.59 | ↑ +73% |
| Cigna | Medicare | $41.87 | ↑ +74% |
| Geisinger | Medicare | $41.87 | ↑ +74% |
| United Healthcare | Medicare | $42.67 | ↑ +78% |
| Keystone Autism Services | ACAP | $63.81 | ↑ +166% |
| Highmark BCBS of PA | Commercial - Children's Health Insurance | $117.89 | ↑ +391% |
| Highmark BCBS of PA | Medicaid | $122.76 | ↑ +412% |
| Highmark BCBS of PA | Commercial | $125.44 | ↑ +423% |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
| UPMC Work Partners | Workers Comp | not published by hospital | — |
| Tricare | East Region | not published by hospital | — |
Visitor-reported prices
Comments
Covid-19 administration immunization im inj 1st/only component at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $24.00 | $14.00 – $84.17 |
| UPMC Bedford | Everett | $24.00 | $14.00 – $42.75 |
| UPMC Carlisle | Carlisle | $24.00 | $5.48 – $63.55 |
| UPMC Community Osteopathic | Harrisburg | $24.00 | $8.00 – $44.11 |
| UPMC East | Monroeville | $24.00 | $13.20 – $84.97 |
| UPMC Hamot | Erie | $24.00 | $45.28 – $49.35 |
| UPMC Northwest | Seneca | $24.00 | $35.90 – $42.75 |
| UPMC Hanover | Hanover | $24.00 | $39.26 – $63.46 |