Flecainide (tambocor)-sendout at UPMC Lititz
1500 Highlands Drive, Lititz, PA · UPMC · · NPI 1285167916
$124.20
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.
$207.00
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.
$14.89 with United Healthcare Community Plan for Families vs $175.95 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 |
|---|---|---|---|
| United Healthcare Community Plan for Families | PA Medicaid | $14.89 | ↓ -88% |
| Highmark BCBS of PA | Medicare | $18.45 | ↓ -85% |
| UPMC Work Partners | Workers Comp | $19.28 | ↓ -84% |
| Aetna | Medicare | $19.44 | ↓ -84% |
| Cigna | Medicare | $19.57 | ↓ -84% |
| Geisinger | Medicare | $19.57 | ↓ -84% |
| United Healthcare | Medicare | $19.94 | ↓ -84% |
| United Healthcare | Commercial | $26.74 | ↓ -78% |
| Prime Net | Managed Medicare | $27.74 | ↓ -78% |
| Keystone Autism Services | ACAP | $29.82 | ↓ -76% |
| Keystone Health Plan | Medicare Advantage | $41.40 | ↓ -67% |
| Capital Blue Cross | Medicare Advantage | $41.40 | ↓ -67% |
| Highmark BCBS of PA | Commercial - Children's Health Insurance | $55.10 | ↓ -56% |
| Highmark BCBS of PA | Medicaid | $57.38 | ↓ -54% |
| Highmark BCBS of PA | Commercial | $58.63 | ↓ -53% |
| Prime Net | Legacy Commercial | $76.80 | ↓ -38% |
| Aetna | ACO | $77.42 | ↓ -38% |
| Prime Net | ACO | $77.42 | ↓ -38% |
| UPMC Health Plan | CHIP | $87.14 | ↓ -30% |
| Prime Net | NonGateKeeper | $91.49 | ↓ -26% |
| Aetna | Commercial | $92.11 | ↓ -26% |
| Prime Net | GateKeeper | $92.11 | ↓ -26% |
| Keystone Health Plan | Commercial | $97.10 | ↓ -22% |
| Capital Blue Cross | Commercial | $97.10 | ↓ -22% |
| Capital Blue Cross | CHIP | $97.10 | ↓ -22% |
| Preferred Healthcare System | Inter County Health Plan/Lancaster General Health/Musselman Lumber/Vallorbs Jewelry | $113.85 | ↓ -8% |
| Geisinger | Medicaid/CHIP | $113.85 | ↓ -8% |
| Geisinger | Commercial | $135.54 | ↑ +9% |
| UPMC Health Plan | Commercial | $144.90 | ↑ +17% |
| Prime Net | FH-Medical Rental | $149.87 | ↑ +21% |
| Preferred Healthcare System | PPO | $155.25 | ↑ +25% |
| Cigna | Commercial | $161.46 | ↑ +30% |
| Multiplan | PPO (Includes PHCS and Humana as Payers) | $175.95 | ↑ +42% |
Visitor-reported prices
Comments
Flecainide (tambocor)-sendout at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $189.00 | $13.92 – $252.00 |
| UPMC Bedford | Everett | $91.80 | $6.73 – $137.70 |
| UPMC Carlisle | Carlisle | $124.20 | $10.25 – $175.95 |
| UPMC Community Osteopathic | Harrisburg | $124.20 | $14.89 – $175.95 |
| UPMC East | Monroeville | $171.00 | $14.05 – $228.00 |
| UPMC Northwest | Seneca | $141.00 | $16.90 – $20.13 |
| UPMC Hanover | Hanover | $124.20 | $14.89 – $87.14 |
| UPMC Horizon-Greenville | Greenville | $134.40 | $16.69 – $22.51 |