Golimumab 12.5 mg/ml intravenous solution at UPMC Lititz
1500 Highlands Drive, Lititz, PA · UPMC · · NPI 1285167916
$299.40
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.
$499.00
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.
$10.93 with Highmark BCBS of PA vs $424.15 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 | $10.93 | ↓ -96% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $11.04 | ↓ -96% |
| Geisinger | Medicaid/CHIP | $11.04 | ↓ -96% |
| Highmark Wholecare (prev Gateway) | Medicaid | $11.26 | ↓ -96% |
| Aetna | Medicare | $11.51 | ↓ -96% |
| Geisinger | Medicare | $11.59 | ↓ -96% |
| Cigna | Medicare | $11.59 | ↓ -96% |
| United Healthcare | Medicare | $11.81 | ↓ -96% |
| UPMC Health Plan | Managed Medicaid | $12.14 | ↓ -96% |
| UPMC Health Plan | CHIP | $13.58 | ↓ -95% |
| Cigna | Commercial | $17.40 | ↓ -94% |
| Keystone Autism Services | ACAP | $17.66 | ↓ -94% |
| Highmark BCBS of PA | Commercial - Children's Health Insurance | $32.64 | ↓ -89% |
| Highmark BCBS of PA | Medicaid | $33.98 | ↓ -89% |
| Highmark BCBS of PA | Commercial | $34.73 | ↓ -88% |
| Prime Net | Managed Medicare | $66.87 | ↓ -78% |
| United Healthcare | Commercial | $86.66 | ↓ -71% |
| Keystone Health Plan | Medicare Advantage | $99.80 | ↓ -67% |
| Capital Blue Cross | Medicare Advantage | $99.80 | ↓ -67% |
| UPMC Work Partners | Workers Comp | $122.85 | ↓ -59% |
| Prime Net | Legacy Commercial | $185.13 | ↓ -38% |
| Aetna | ACO | $186.63 | ↓ -38% |
| Prime Net | ACO | $186.63 | ↓ -38% |
| Prime Net | NonGateKeeper | $220.56 | ↓ -26% |
| Aetna | Commercial | $222.06 | ↓ -26% |
| Prime Net | GateKeeper | $222.06 | ↓ -26% |
| Capital Blue Cross | CHIP | $234.08 | ↓ -22% |
| Capital Blue Cross | Commercial | $234.08 | ↓ -22% |
| Keystone Health Plan | Commercial | $234.08 | ↓ -22% |
| Preferred Healthcare System | Inter County Health Plan/Lancaster General Health/Musselman Lumber/Vallorbs Jewelry | $274.45 | ↓ -8% |
| Geisinger | Commercial | $326.75 | ↑ +9% |
| UPMC Health Plan | Commercial | $349.30 | ↑ +17% |
| Prime Net | FH-Medical Rental | $361.28 | ↑ +21% |
| Preferred Healthcare System | PPO | $374.25 | ↑ +25% |
| Multiplan | PPO (Includes PHCS and Humana as Payers) | $424.15 | ↑ +42% |
| Tricare | East Region | not published by hospital | — |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
Visitor-reported prices
Comments
Golimumab 12.5 mg/ml intravenous solution at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Carlisle | Carlisle | $299.40 | $10.93 – $424.15 |
| UPMC Cole | Coudersport | $4,977.60 | $11.04 – $6,636.80 |
| UPMC Community Osteopathic | Harrisburg | $299.40 | $10.93 – $424.15 |
| UPMC East | Monroeville | $4,035.60 | $6.97 – $108.00 |
| UPMC Hanover | Hanover | $299.40 | $10.93 – $17.66 |
| UPMC Jameson | New Castle | $2,371.80 | $6.97 – $34.18 |
| UPMC Memorial | York | $299.40 | $11.04 – $27.38 |
| UPMC Somerset | Somerset | $299.40 | $10.93 – $11.04 |