Gallium illuccix 1 millicure at UPMC Lititz
1500 Highlands Drive, Lititz, PA · UPMC · · NPI 1285167916
$2,235.60
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.
$3,726.00
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.
$499.28 with Prime Net vs $3,167.10 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 | $499.28 | ↓ -78% |
| Highmark BCBS of PA | Medicare | $506.43 | ↓ -77% |
| Aetna | Medicare | $533.55 | ↓ -76% |
| Cigna | Medicare | $537.13 | ↓ -76% |
| Geisinger | Medicare | $537.13 | ↓ -76% |
| United Healthcare | Medicare | $547.36 | ↓ -76% |
| Capital Blue Cross | Medicare Advantage | $745.20 | ↓ -67% |
| Keystone Health Plan | Medicare Advantage | $745.20 | ↓ -67% |
| Keystone Autism Services | ACAP | $818.48 | ↓ -63% |
| Highmark BCBS of PA | Commercial - Children's Health Insurance | $1,057.48 | ↓ -53% |
| Highmark BCBS of PA | Commercial | $1,125.15 | ↓ -50% |
| Prime Net | Legacy Commercial | $1,382.35 | ↓ -38% |
| Prime Net | ACO | $1,393.52 | ↓ -38% |
| Aetna | ACO | $1,393.52 | ↓ -38% |
| Cigna | Commercial | $1,415.19 | ↓ -37% |
| Highmark BCBS of PA | Medicaid | $1,574.65 | ↓ -30% |
| Prime Net | NonGateKeeper | $1,646.89 | ↓ -26% |
| Aetna | Commercial | $1,658.07 | ↓ -26% |
| Prime Net | GateKeeper | $1,658.07 | ↓ -26% |
| Capital Blue Cross | Commercial | $1,747.87 | ↓ -22% |
| Capital Blue Cross | CHIP | $1,747.87 | ↓ -22% |
| Keystone Health Plan | Commercial | $1,747.87 | ↓ -22% |
| Preferred Healthcare System | Inter County Health Plan/Lancaster General Health/Musselman Lumber/Vallorbs Jewelry | $2,049.30 | ↓ -8% |
| Geisinger | Medicaid/CHIP | $2,049.30 | ↓ -8% |
| United Healthcare | Commercial | $2,295.22 | ↑ +3% |
| Geisinger | Commercial | $2,439.78 | ↑ +9% |
| UPMC Health Plan | Commercial | $2,608.20 | ↑ +17% |
| UPMC Health Plan | CHIP | $2,608.20 | ↑ +17% |
| Prime Net | FH-Medical Rental | $2,697.62 | ↑ +21% |
| Preferred Healthcare System | PPO | $2,794.50 | ↑ +25% |
| Multiplan | PPO (Includes PHCS and Humana as Payers) | $3,167.10 | ↑ +42% |
| Tricare | East Region | not published by hospital | — |
| UPMC Work Partners | Workers Comp | not published by hospital | — |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
Visitor-reported prices
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Gallium illuccix 1 millicure at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Carlisle | Carlisle | $2,235.60 | $281.35 – $3,167.10 |
| UPMC Community Osteopathic | Harrisburg | $2,235.60 | $506.43 – $3,167.10 |
| UPMC Hanover | Hanover | $2,235.60 | $506.43 – $818.48 |
| UPMC Magee | Pittsburgh | $2,142.60 | $431.18 – $562.71 |
| UPMC Memorial | York | $2,235.60 | $348.12 – $6,740.24 |
| UPMC Passavant-McCandless | Pittsburgh | $1,900.80 | $431.18 – $562.71 |
| UPMC Presbyterian | Pittsburgh | $2,848.80 | $431.18 – $562.71 |
| UPMC Somerset | Somerset | $2,235.60 | $422.80 – $552.42 |