Cyclophosphamide 1 gram intravenous powder for solution at UPMC Lititz
1500 Highlands Drive, Lititz, PA · UPMC · · NPI 1285167916
$439.20
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.
$732.00
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.
$0.48 with Geisinger vs $157.25 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 |
|---|---|---|---|
| Geisinger | Medicaid/CHIP | $0.48 | ↓ -100% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $0.48 | ↓ -100% |
| Highmark BCBS of PA | Medicare | $0.48 | ↓ -100% |
| Highmark Wholecare (prev Gateway) | Medicaid | $0.49 | ↓ -100% |
| Geisinger | Medicare | $0.50 | ↓ -100% |
| Cigna | Medicare | $0.50 | ↓ -100% |
| Aetna | Medicare | $0.50 | ↓ -100% |
| United Healthcare | Medicare | $0.51 | ↓ -100% |
| UPMC Health Plan | Managed Medicaid | $0.53 | ↓ -100% |
| UPMC Health Plan | CHIP | $0.59 | ↓ -100% |
| Keystone Autism Services | ACAP | $0.77 | ↓ -100% |
| Highmark BCBS of PA | Commercial - Children's Health Insurance | $1.42 | ↓ -100% |
| Highmark BCBS of PA | Medicaid | $1.48 | ↓ -100% |
| Highmark BCBS of PA | Commercial | $1.51 | ↓ -100% |
| Prime Net | Managed Medicare | $24.79 | ↓ -94% |
| Keystone Health Plan | Medicare Advantage | $37.00 | ↓ -92% |
| Capital Blue Cross | Medicare Advantage | $37.00 | ↓ -92% |
| UPMC Work Partners | Workers Comp | $45.55 | ↓ -90% |
| Prime Net | Legacy Commercial | $68.64 | ↓ -84% |
| Prime Net | ACO | $69.19 | ↓ -84% |
| Aetna | ACO | $69.19 | ↓ -84% |
| Prime Net | NonGateKeeper | $81.77 | ↓ -81% |
| Aetna | Commercial | $82.33 | ↓ -81% |
| Prime Net | GateKeeper | $82.33 | ↓ -81% |
| Capital Blue Cross | Commercial | $86.78 | ↓ -80% |
| Keystone Health Plan | Commercial | $86.78 | ↓ -80% |
| Capital Blue Cross | CHIP | $86.78 | ↓ -80% |
| Preferred Healthcare System | Inter County Health Plan/Lancaster General Health/Musselman Lumber/Vallorbs Jewelry | $101.75 | ↓ -77% |
| United Healthcare | Commercial | $113.96 | ↓ -74% |
| Geisinger | Commercial | $121.14 | ↓ -72% |
| UPMC Health Plan | Commercial | $129.50 | ↓ -71% |
| Prime Net | FH-Medical Rental | $133.94 | ↓ -70% |
| Preferred Healthcare System | PPO | $138.75 | ↓ -68% |
| Cigna | Commercial | $144.30 | ↓ -67% |
| Multiplan | PPO (Includes PHCS and Humana as Payers) | $157.25 | ↓ -64% |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
| Tricare | East Region | not published by hospital | — |
Visitor-reported prices
Comments
Cyclophosphamide 1 gram intravenous powder for solution at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Carlisle | Carlisle | $439.20 | $0.48 – $157.25 |
| UPMC Community Osteopathic | Harrisburg | $439.20 | $0.48 – $157.25 |
| UPMC Hanover | Hanover | $439.20 | $0.48 – $0.77 |
| UPMC Memorial | York | $439.20 | $0.48 – $1.09 |
| UPMC Somerset | Somerset | $439.20 | $0.48 – $0.48 |
| Uniontown Hospital | Uniontown | $617.67 | $0.57 – $1.33 |
| WellSpan Gettysburg Hospital | Gettysburg | $1,045.00 | $0.57 – $280.00 |
| UPMC Mercy | Pittsburgh | not published | $0.30 – $0.74 |