Iodine i-123 sod iodide mil at UPMC Lititz
1500 Highlands Drive, Lititz, PA · UPMC · · NPI 1285167916
$753.00
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.
$1,255.00
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.
$145.58 with Aetna vs $1,066.75 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 |
|---|---|---|---|
| Aetna | Medicare | $145.58 | ↓ -81% |
| Prime Net | Managed Medicare | $168.17 | ↓ -78% |
| Cigna | Commercial | $217.41 | ↓ -71% |
| Keystone Health Plan | Medicare Advantage | $251.00 | ↓ -67% |
| Capital Blue Cross | Medicare Advantage | $251.00 | ↓ -67% |
| Prime Net | Legacy Commercial | $465.61 | ↓ -38% |
| Prime Net | ACO | $469.37 | ↓ -38% |
| Aetna | ACO | $469.37 | ↓ -38% |
| Prime Net | NonGateKeeper | $554.71 | ↓ -26% |
| Aetna | Commercial | $558.48 | ↓ -26% |
| Prime Net | GateKeeper | $558.48 | ↓ -26% |
| Capital Blue Cross | CHIP | $588.72 | ↓ -22% |
| Keystone Health Plan | Commercial | $588.72 | ↓ -22% |
| Capital Blue Cross | Commercial | $588.72 | ↓ -22% |
| Geisinger | Medicaid/CHIP | $690.25 | ↓ -8% |
| Preferred Healthcare System | Inter County Health Plan/Lancaster General Health/Musselman Lumber/Vallorbs Jewelry | $690.25 | ↓ -8% |
| United Healthcare | Commercial | $773.08 | ↑ +3% |
| Geisinger | Commercial | $821.77 | ↑ +9% |
| UPMC Health Plan | CHIP | $874.89 | ↑ +16% |
| UPMC Health Plan | Commercial | $878.50 | ↑ +17% |
| Prime Net | FH-Medical Rental | $908.62 | ↑ +21% |
| Preferred Healthcare System | PPO | $941.25 | ↑ +25% |
| Multiplan | PPO (Includes PHCS and Humana as Payers) | $1,066.75 | ↑ +42% |
| UPMC Work Partners | Workers Comp | not published by hospital | — |
Visitor-reported prices
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Iodine i-123 sod iodide mil at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $2,604.00 | $461.91 – $3,472.00 |
| UPMC Carlisle | Carlisle | $753.00 | $171.94 – $1,066.75 |
| UPMC Community Osteopathic | Harrisburg | $753.00 | $251.00 – $1,066.75 |
| UPMC Hanover | Hanover | $753.00 | $217.41 – $874.89 |
| UPMC Memorial | York | $753.00 | $145.58 – $874.89 |
| UPMC Muncy | Muncy | $1,636.80 | $409.20 – $2,455.20 |
| UPMC Somerset | Somerset | $753.00 | $524.03 – $524.03 |
| UPMC Wellsboro | Wellsboro | $1,979.20 | $445.32 – $2,226.60 |