Eculizumab 300 mg/30 ml intravenous solution at UPMC Lititz
1500 Highlands Drive, Lititz, PA · UPMC · · NPI 1285167916
$130.20
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.
$217.00
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.
$29.08 with Prime Net vs $184.45 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 | $29.08 | ↓ -78% |
| Capital Blue Cross | Medicare Advantage | $43.40 | ↓ -67% |
| Keystone Health Plan | Medicare Advantage | $43.40 | ↓ -67% |
| Highmark BCBS of PA | Medicare | $44.37 | ↓ -66% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $44.82 | ↓ -66% |
| Geisinger | Medicaid/CHIP | $44.82 | ↓ -66% |
| Highmark Wholecare (prev Gateway) | Medicaid | $45.72 | ↓ -65% |
| Aetna | Medicare | $46.75 | ↓ -64% |
| Geisinger | Medicare | $47.06 | ↓ -64% |
| Cigna | Medicare | $47.06 | ↓ -64% |
| United Healthcare | Medicare | $47.96 | ↓ -63% |
| UPMC Health Plan | Managed Medicaid | $49.30 | ↓ -62% |
| UPMC Work Partners | Workers Comp | $53.43 | ↓ -59% |
| UPMC Health Plan | CHIP | $55.13 | ↓ -58% |
| Keystone Autism Services | ACAP | $71.71 | ↓ -45% |
| Prime Net | Legacy Commercial | $80.51 | ↓ -38% |
| Prime Net | ACO | $81.16 | ↓ -38% |
| Aetna | ACO | $81.16 | ↓ -38% |
| Prime Net | NonGateKeeper | $95.91 | ↓ -26% |
| Aetna | Commercial | $96.56 | ↓ -26% |
| Prime Net | GateKeeper | $96.56 | ↓ -26% |
| Keystone Health Plan | Commercial | $101.79 | ↓ -22% |
| Capital Blue Cross | CHIP | $101.79 | ↓ -22% |
| Capital Blue Cross | Commercial | $101.79 | ↓ -22% |
| Preferred Healthcare System | Inter County Health Plan/Lancaster General Health/Musselman Lumber/Vallorbs Jewelry | $119.35 | ↓ -8% |
| Highmark BCBS of PA | Commercial - Children's Health Insurance | $132.50 | ↑ +2% |
| United Healthcare | Commercial | $133.67 | ↑ +3% |
| Highmark BCBS of PA | Medicaid | $137.96 | ↑ +6% |
| Highmark BCBS of PA | Commercial | $140.98 | ↑ +8% |
| Geisinger | Commercial | $142.09 | ↑ +9% |
| UPMC Health Plan | Commercial | $151.90 | ↑ +17% |
| Prime Net | FH-Medical Rental | $157.11 | ↑ +21% |
| Preferred Healthcare System | PPO | $162.75 | ↑ +25% |
| Cigna | Commercial | $169.26 | ↑ +30% |
| Multiplan | PPO (Includes PHCS and Humana as Payers) | $184.45 | ↑ +42% |
Visitor-reported prices
Comments
Eculizumab 300 mg/30 ml intravenous solution at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Cole | Coudersport | $16,242.00 | $44.82 – $21,656.00 |