Dexametha opth insert 0.1 mg at UPMC Lititz
1500 Highlands Drive, Lititz, PA · UPMC · · NPI 1285167916
$354.00
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.
$590.00
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.
$79.06 with Prime Net vs $501.50 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 |
|---|---|---|---|
| Prime Net | Managed Medicare | $79.06 | ↓ -78% |
| Highmark BCBS of PA | Medicare | $97.87 | ↓ -72% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $102.94 | ↓ -71% |
| Geisinger | Medicaid/CHIP | $102.94 | ↓ -71% |
| Aetna | Medicare | $103.11 | ↓ -71% |
| Geisinger | Medicare | $103.80 | ↓ -71% |
| Cigna | Medicare | $103.80 | ↓ -71% |
| Highmark Wholecare (prev Gateway) | Medicaid | $104.99 | ↓ -70% |
| United Healthcare | Medicare | $105.78 | ↓ -70% |
| UPMC Health Plan | Managed Medicaid | $113.23 | ↓ -68% |
| Capital Blue Cross | Medicare Advantage | $118.00 | ↓ -67% |
| Keystone Health Plan | Medicare Advantage | $118.00 | ↓ -67% |
| UPMC Health Plan | CHIP | $126.61 | ↓ -64% |
| UPMC Work Partners | Workers Comp | $145.26 | ↓ -59% |
| Keystone Autism Services | ACAP | $158.18 | ↓ -55% |
| Cigna | Commercial | $199.56 | ↓ -44% |
| Prime Net | Legacy Commercial | $218.89 | ↓ -38% |
| Prime Net | ACO | $220.66 | ↓ -38% |
| Aetna | ACO | $220.66 | ↓ -38% |
| Prime Net | NonGateKeeper | $260.78 | ↓ -26% |
| Aetna | Commercial | $262.55 | ↓ -26% |
| Prime Net | GateKeeper | $262.55 | ↓ -26% |
| Keystone Health Plan | Commercial | $276.77 | ↓ -22% |
| Capital Blue Cross | CHIP | $276.77 | ↓ -22% |
| Capital Blue Cross | Commercial | $276.77 | ↓ -22% |
| Highmark BCBS of PA | Commercial - Children's Health Insurance | $292.25 | ↓ -17% |
| Highmark BCBS of PA | Medicaid | $304.31 | ↓ -14% |
| Highmark BCBS of PA | Commercial | $310.95 | ↓ -12% |
| Preferred Healthcare System | Inter County Health Plan/Lancaster General Health/Musselman Lumber/Vallorbs Jewelry | $324.50 | ↓ -8% |
| United Healthcare | Commercial | $363.44 | ↑ +3% |
| Geisinger | Commercial | $386.33 | ↑ +9% |
| UPMC Health Plan | Commercial | $413.00 | ↑ +17% |
| Prime Net | FH-Medical Rental | $427.16 | ↑ +21% |
| Preferred Healthcare System | PPO | $442.50 | ↑ +25% |
| Multiplan | PPO (Includes PHCS and Humana as Payers) | $501.50 | ↑ +42% |
Visitor-reported prices
Comments
Dexametha opth insert 0.1 mg at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $477.60 | $64.99 – $477.60 |
| UPMC Bedford | Everett | $505.60 | $35.41 – $568.80 |
| UPMC Carlisle | Carlisle | $354.00 | $80.83 – $501.50 |
| UPMC Community Osteopathic | Harrisburg | $354.00 | $100.25 – $501.50 |
| UPMC East | Monroeville | $505.60 | $64.99 – $505.60 |
| UPMC Hamot | Erie | $528.00 | $64.99 – $122.32 |
| UPMC Northwest | Seneca | $505.60 | $64.99 – $105.99 |
| UPMC Hanover | Hanover | $354.00 | $97.35 – $157.33 |