IV Medicine Infusion (first hour) at UPMC Lititz
1500 Highlands Drive, Lititz, PA · UPMC · · NPI 1285167916
$522.00
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.
$870.00
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.
$49.91 with AmeriHealth Caritas vs $739.50 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 |
|---|---|---|---|
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $49.91 | ↓ -90% |
| Highmark Wholecare (prev Gateway) | Medicaid | $49.91 | ↓ -90% |
| UPMC Health Plan | Managed Medicaid | $51.09 | ↓ -90% |
| United Healthcare Community Plan for Families | PA Medicaid | $51.48 | ↓ -90% |
| Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $53.53 | ↓ -90% |
| Geisinger | Medicaid/CHIP | $57.24 | ↓ -89% |
| UPMC Work Partners | Workers Comp | $105.98 | ↓ -80% |
| Prime Net | Managed Medicare | $116.58 | ↓ -78% |
| Keystone Health Plan | Medicare Advantage | $174.00 | ↓ -67% |
| Capital Blue Cross | Medicare Advantage | $174.00 | ↓ -67% |
| Highmark BCBS of PA | Medicare | $200.34 | ↓ -62% |
| Aetna | Medicare | $211.06 | ↓ -60% |
| Cigna | Medicare | $212.48 | ↓ -59% |
| Geisinger | Medicare | $212.48 | ↓ -59% |
| United Healthcare | Medicare | $216.53 | ↓ -59% |
| UPMC Health Plan | CHIP | $221.87 | ↓ -57% |
| Prime Net | Legacy Commercial | $322.77 | ↓ -38% |
| Keystone Autism Services | ACAP | $323.78 | ↓ -38% |
| Prime Net | ACO | $325.38 | ↓ -38% |
| Aetna | ACO | $325.38 | ↓ -38% |
| Prime Net | NonGateKeeper | $384.54 | ↓ -26% |
| Aetna | Commercial | $387.15 | ↓ -26% |
| Prime Net | GateKeeper | $387.15 | ↓ -26% |
| United Healthcare | Commercial | $399.00 | ↓ -24% |
| Keystone Health Plan | Commercial | $408.12 | ↓ -22% |
| Capital Blue Cross | CHIP | $408.12 | ↓ -22% |
| Capital Blue Cross | Commercial | $408.12 | ↓ -22% |
| Preferred Healthcare System | Inter County Health Plan/Lancaster General Health/Musselman Lumber/Vallorbs Jewelry | $478.50 | ↓ -8% |
| Geisinger | Commercial | $569.68 | ↑ +9% |
| Highmark BCBS of PA | Commercial - Children's Health Insurance | $598.22 | ↑ +15% |
| UPMC Health Plan | Commercial | $609.00 | ↑ +17% |
| Highmark BCBS of PA | Medicaid | $622.90 | ↑ +19% |
| Prime Net | FH-Medical Rental | $629.88 | ↑ +21% |
| Highmark BCBS of PA | Commercial | $636.50 | ↑ +22% |
| Preferred Healthcare System | PPO | $652.50 | ↑ +25% |
| Cigna | Commercial | $678.60 | ↑ +30% |
| Multiplan | PPO (Includes PHCS and Humana as Payers) | $739.50 | ↑ +42% |
| Tricare | East Region | not published by hospital | — |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
Visitor-reported prices
Comments
IV Medicine Infusion (first hour) at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $369.60 | $39.30 – $492.80 |
| UPMC Bedford | Everett | $292.80 | $41.27 – $439.20 |
| UPMC Carlisle | Carlisle | $522.00 | $49.91 – $739.50 |
| UPMC Cole | Coudersport | $477.00 | $41.27 – $222.60 |
| UPMC Community Osteopathic | Harrisburg | $522.00 | $49.91 – $549.95 |
| UPMC East | Monroeville | $745.80 | $43.23 – $994.40 |
| UPMC Hamot | Erie | $607.20 | $43.23 – $250.38 |
| UPMC Northwest | Seneca | $411.60 | $43.23 – $210.91 |