Fomepizole 1 gram/ml intravenous solution at UPMC Lititz
1500 Highlands Drive, Lititz, PA · UPMC · · NPI 1285167916
$600.00
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.
$1,000.00
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.
$6.22 with Highmark BCBS of PA vs $558.45 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 |
|---|---|---|---|
| Highmark BCBS of PA | Medicare | $6.22 | ↓ -99% |
| Aetna | Medicare | $6.55 | ↓ -99% |
| Geisinger | Medicare | $6.59 | ↓ -99% |
| Cigna | Medicare | $6.59 | ↓ -99% |
| United Healthcare | Medicare | $6.72 | ↓ -99% |
| Keystone Autism Services | ACAP | $10.05 | ↓ -98% |
| Highmark BCBS of PA | Commercial - Children's Health Insurance | $18.56 | ↓ -97% |
| Highmark BCBS of PA | Medicaid | $19.33 | ↓ -97% |
| Highmark BCBS of PA | Commercial | $19.75 | ↓ -97% |
| Cigna | Commercial | $21.57 | ↓ -96% |
| United Healthcare | Commercial | $42.56 | ↓ -93% |
| Prime Net | Managed Medicare | $88.04 | ↓ -85% |
| Keystone Health Plan | Medicare Advantage | $131.40 | ↓ -78% |
| Capital Blue Cross | Medicare Advantage | $131.40 | ↓ -78% |
| UPMC Work Partners | Workers Comp | $161.75 | ↓ -73% |
| Prime Net | Legacy Commercial | $243.75 | ↓ -59% |
| Aetna | ACO | $245.72 | ↓ -59% |
| Prime Net | ACO | $245.72 | ↓ -59% |
| Prime Net | NonGateKeeper | $290.39 | ↓ -52% |
| Prime Net | GateKeeper | $292.37 | ↓ -51% |
| Aetna | Commercial | $292.37 | ↓ -51% |
| Keystone Health Plan | Commercial | $308.20 | ↓ -49% |
| Capital Blue Cross | Commercial | $308.20 | ↓ -49% |
| Capital Blue Cross | CHIP | $308.20 | ↓ -49% |
| Geisinger | Medicaid/CHIP | $361.35 | ↓ -40% |
| Preferred Healthcare System | Inter County Health Plan/Lancaster General Health/Musselman Lumber/Vallorbs Jewelry | $361.35 | ↓ -40% |
| Geisinger | Commercial | $430.20 | ↓ -28% |
| UPMC Health Plan | CHIP | $459.90 | ↓ -23% |
| UPMC Health Plan | Commercial | $459.90 | ↓ -23% |
| Prime Net | FH-Medical Rental | $475.67 | ↓ -21% |
| Preferred Healthcare System | PPO | $492.75 | ↓ -18% |
| Multiplan | PPO (Includes PHCS and Humana as Payers) | $558.45 | ↓ -7% |
| Tricare | East Region | not published by hospital | — |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
Visitor-reported prices
Comments
Fomepizole 1 gram/ml intravenous solution at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $1,671.60 | $6.40 – $23.46 |
| UPMC Carlisle | Carlisle | $600.00 | $3.45 – $558.45 |
| UPMC Cole | Coudersport | $2,265.60 | $14.40 – $3,020.80 |
| UPMC Community Osteopathic | Harrisburg | $600.00 | $6.22 – $558.45 |
| UPMC East | Monroeville | $6,012.60 | $6.16 – $80.00 |
| UPMC Hamot | Erie | $3,905.40 | $6.28 – $15.30 |
| UPMC Hanover | Hanover | $600.00 | $6.22 – $10.05 |
| UPMC Horizon-Greenville | Greenville | $6,093.60 | $5.62 – $11.78 |