Inj brixadi, more than 7 day at UPMC Lititz
1500 Highlands Drive, Lititz, PA · UPMC · · NPI 1285167916
$2,846.40
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.
$4,744.00
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.
$635.70 with Prime Net vs $5,292.29 with Highmark BCBS of PA — 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 | $635.70 | ↓ -78% |
| Capital Blue Cross | Medicare Advantage | $948.80 | ↓ -67% |
| Keystone Health Plan | Medicare Advantage | $948.80 | ↓ -67% |
| UPMC Work Partners | Workers Comp | $1,167.97 | ↓ -59% |
| Highmark BCBS of PA | Medicare | $1,665.72 | ↓ -41% |
| Geisinger | Medicaid/CHIP | $1,682.55 | ↓ -41% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $1,682.55 | ↓ -41% |
| Highmark Wholecare (prev Gateway) | Medicaid | $1,716.20 | ↓ -40% |
| Aetna | Medicare | $1,754.90 | ↓ -38% |
| Prime Net | Legacy Commercial | $1,760.02 | ↓ -38% |
| Geisinger | Medicare | $1,766.68 | ↓ -38% |
| Cigna | Medicare | $1,766.68 | ↓ -38% |
| Aetna | ACO | $1,774.26 | ↓ -38% |
| Prime Net | ACO | $1,774.26 | ↓ -38% |
| United Healthcare | Medicare | $1,800.33 | ↓ -37% |
| UPMC Health Plan | Managed Medicaid | $1,850.80 | ↓ -35% |
| UPMC Health Plan | CHIP | $2,069.53 | ↓ -27% |
| Prime Net | NonGateKeeper | $2,096.85 | ↓ -26% |
| Aetna | Commercial | $2,111.08 | ↓ -26% |
| Prime Net | GateKeeper | $2,111.08 | ↓ -26% |
| Keystone Health Plan | Commercial | $2,225.41 | ↓ -22% |
| Capital Blue Cross | CHIP | $2,225.41 | ↓ -22% |
| Capital Blue Cross | Commercial | $2,225.41 | ↓ -22% |
| Preferred Healthcare System | Inter County Health Plan/Lancaster General Health/Musselman Lumber/Vallorbs Jewelry | $2,609.20 | ↓ -8% |
| Keystone Autism Services | ACAP | $2,692.08 | ↓ -5% |
| United Healthcare | Commercial | $2,922.30 | ↑ +3% |
| Geisinger | Commercial | $3,106.37 | ↑ +9% |
| UPMC Health Plan | Commercial | $3,320.80 | ↑ +17% |
| Prime Net | FH-Medical Rental | $3,434.66 | ↑ +21% |
| Preferred Healthcare System | PPO | $3,558.00 | ↑ +25% |
| Highmark BCBS of PA | Medicaid | $3,621.69 | ↑ +27% |
| Cigna | Commercial | $3,700.32 | ↑ +30% |
| Multiplan | PPO (Includes PHCS and Humana as Payers) | $4,032.40 | ↑ +42% |
| Highmark BCBS of PA | Commercial - Children's Health Insurance | $4,973.95 | ↑ +75% |
| Highmark BCBS of PA | Commercial | $5,292.29 | ↑ +86% |
| Tricare | East Region | not published by hospital | — |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
Visitor-reported prices
Comments
Inj brixadi, more than 7 day at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Carlisle | Carlisle | $2,846.40 | $649.93 – $4,032.40 |
| UPMC Community Osteopathic | Harrisburg | $2,846.40 | $948.80 – $4,032.40 |
| UPMC Hamot | Erie | $4,344.80 | $1,062.36 – $3,716.19 |
| UPMC Hanover | Hanover | $2,846.40 | $1,665.72 – $2,692.08 |
| UPMC Magee | Pittsburgh | $4,345.20 | $1,062.36 – $2,320.05 |
| UPMC McKeesport | Mckeesport | $4,344.80 | $691.66 – $1,850.81 |
| UPMC Memorial | York | $2,846.40 | $558.41 – $2,692.08 |
| UPMC Mercy | Pittsburgh | $4,344.80 | $685.14 – $1,850.81 |