Inj. fe derisomaltose 10 mg at UPMC Lititz
1500 Highlands Drive, Lititz, PA · UPMC · · NPI 1285167916
$194.40
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.
?
What you pay up front if you don't use insurance.
$324.00
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.
?
The hospital's undiscounted list price — almost no one pays this.
$21.80 with Highmark BCBS of PA vs $275.40 with Multiplan — same scan, same building. Share
Negotiated rates by payer
?
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 →
?
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 | $21.80 | ↓ -89% |
| Geisinger | Medicaid/CHIP | $22.02 | ↓ -89% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $22.02 | ↓ -89% |
| Highmark Wholecare (prev Gateway) | Medicaid | $22.46 | ↓ -88% |
| Aetna | Medicare | $22.97 | ↓ -88% |
| Cigna | Medicare | $23.12 | ↓ -88% |
| Geisinger | Medicare | $23.12 | ↓ -88% |
| United Healthcare | Medicare | $23.56 | ↓ -88% |
| UPMC Health Plan | Managed Medicaid | $24.22 | ↓ -88% |
| Cigna | Commercial | $26.59 | ↓ -86% |
| UPMC Health Plan | CHIP | $27.08 | ↓ -86% |
| Keystone Autism Services | ACAP | $35.23 | ↓ -82% |
| Prime Net | Managed Medicare | $43.42 | ↓ -78% |
| Highmark BCBS of PA | Commercial - Children's Health Insurance | $45.52 | ↓ -77% |
| Highmark BCBS of PA | Commercial | $48.43 | ↓ -75% |
| Keystone Health Plan | Medicare Advantage | $64.80 | ↓ -67% |
| Capital Blue Cross | Medicare Advantage | $64.80 | ↓ -67% |
| Highmark BCBS of PA | Medicaid | $67.78 | ↓ -65% |
| UPMC Work Partners | Workers Comp | $79.77 | ↓ -59% |
| Prime Net | Legacy Commercial | $120.20 | ↓ -38% |
| Aetna | ACO | $121.18 | ↓ -38% |
| Prime Net | ACO | $121.18 | ↓ -38% |
| United Healthcare | Commercial | $132.45 | ↓ -32% |
| Prime Net | NonGateKeeper | $143.21 | ↓ -26% |
| Aetna | Commercial | $144.18 | ↓ -26% |
| Prime Net | GateKeeper | $144.18 | ↓ -26% |
| Keystone Health Plan | Commercial | $151.99 | ↓ -22% |
| Capital Blue Cross | CHIP | $151.99 | ↓ -22% |
| Capital Blue Cross | Commercial | $151.99 | ↓ -22% |
| Preferred Healthcare System | Inter County Health Plan/Lancaster General Health/Musselman Lumber/Vallorbs Jewelry | $178.20 | ↓ -8% |
| Geisinger | Commercial | $212.16 | ↑ +9% |
| UPMC Health Plan | Commercial | $226.80 | ↑ +17% |
| Prime Net | FH-Medical Rental | $234.58 | ↑ +21% |
| Preferred Healthcare System | PPO | $243.00 | ↑ +25% |
| Multiplan | PPO (Includes PHCS and Humana as Payers) | $275.40 | ↑ +42% |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
| Tricare | East Region | not published by hospital | — |
Visitor-reported prices
Comments
Inj. fe derisomaltose 10 mg at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Carlisle | Carlisle | $194.40 | $21.80 – $275.40 |
| UPMC Community Osteopathic | Harrisburg | $194.40 | $21.80 – $275.40 |
| UPMC Hanover | Hanover | $194.40 | $21.80 – $35.23 |
| UPMC Magee | Pittsburgh | $181.20 | $13.90 – $23.78 |
| UPMC McKeesport | Mckeesport | $236.00 | $13.90 – $24.22 |
| UPMC Memorial | York | $194.40 | $15.29 – $35.23 |
| UPMC Muncy | Muncy | $141.60 | $22.02 – $24.22 |
| UPMC Passavant-McCandless | Pittsburgh | $181.20 | $13.90 – $24.22 |