Durvalumab 50 mg/ml intravenous solution at UPMC Lititz
1500 Highlands Drive, Lititz, PA · UPMC · · NPI 1285167916
$241.20
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.
$402.00
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.
$53.87 with Prime Net vs $341.70 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 | $53.87 | ↓ -78% |
| Capital Blue Cross | Medicare Advantage | $80.40 | ↓ -67% |
| Keystone Health Plan | Medicare Advantage | $80.40 | ↓ -67% |
| Highmark BCBS of PA | Medicare | $84.27 | ↓ -65% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $85.12 | ↓ -65% |
| Geisinger | Medicaid/CHIP | $85.12 | ↓ -65% |
| Highmark Wholecare (prev Gateway) | Medicaid | $86.82 | ↓ -64% |
| Aetna | Medicare | $88.78 | ↓ -63% |
| Geisinger | Medicare | $89.38 | ↓ -63% |
| Cigna | Medicare | $89.38 | ↓ -63% |
| United Healthcare | Medicare | $91.08 | ↓ -62% |
| UPMC Health Plan | Managed Medicaid | $93.63 | ↓ -61% |
| UPMC Work Partners | Workers Comp | $98.97 | ↓ -59% |
| UPMC Health Plan | CHIP | $104.70 | ↓ -57% |
| Cigna | Commercial | $113.80 | ↓ -53% |
| Keystone Autism Services | ACAP | $136.19 | ↓ -44% |
| Prime Net | Legacy Commercial | $149.14 | ↓ -38% |
| Prime Net | ACO | $150.35 | ↓ -38% |
| Aetna | ACO | $150.35 | ↓ -38% |
| Prime Net | NonGateKeeper | $177.68 | ↓ -26% |
| Prime Net | GateKeeper | $178.89 | ↓ -26% |
| Aetna | Commercial | $178.89 | ↓ -26% |
| Keystone Health Plan | Commercial | $188.58 | ↓ -22% |
| Capital Blue Cross | CHIP | $188.58 | ↓ -22% |
| Capital Blue Cross | Commercial | $188.58 | ↓ -22% |
| Preferred Healthcare System | Inter County Health Plan/Lancaster General Health/Musselman Lumber/Vallorbs Jewelry | $221.10 | ↓ -8% |
| United Healthcare | Commercial | $247.63 | ↑ +3% |
| Highmark BCBS of PA | Commercial - Children's Health Insurance | $251.63 | ↑ +4% |
| Highmark BCBS of PA | Medicaid | $262.02 | ↑ +9% |
| Geisinger | Commercial | $263.23 | ↑ +9% |
| Highmark BCBS of PA | Commercial | $267.74 | ↑ +11% |
| UPMC Health Plan | Commercial | $281.40 | ↑ +17% |
| Prime Net | FH-Medical Rental | $291.05 | ↑ +21% |
| Preferred Healthcare System | PPO | $301.50 | ↑ +25% |
| Multiplan | PPO (Includes PHCS and Humana as Payers) | $341.70 | ↑ +42% |
| Tricare | East Region | not published by hospital | — |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
Visitor-reported prices
Comments
Durvalumab 50 mg/ml intravenous solution at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $7,687.20 | $46.67 – $247.20 |
| UPMC Cole | Coudersport | $10,483.80 | $85.12 – $3,354.40 |
| Uniontown Hospital | Uniontown | $25,767.96 | $87.95 – $204.92 |
| UPMC St. Margaret | Pittsburgh | not published | $47.12 – $93.63 |