Mayo adalimumab (humira) therapeutic drug level at UPMC Lititz
1500 Highlands Drive, Lititz, PA · UPMC · · NPI 1285167916
$85.80
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.
$143.00
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.
$19.16 with Prime Net vs $217.06 with UPMC Health Plan — 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 |
|---|---|---|---|
| Prime Net | Managed Medicare | $19.16 | ↓ -78% |
| United Healthcare | Commercial | $22.37 | ↓ -74% |
| Keystone Health Plan | Medicare Advantage | $28.60 | ↓ -67% |
| Capital Blue Cross | Medicare Advantage | $28.60 | ↓ -67% |
| United Healthcare Community Plan for Families | PA Medicaid | $30.82 | ↓ -64% |
| Highmark BCBS of PA | Medicare | $38.18 | ↓ -56% |
| UPMC Work Partners | Workers Comp | $39.89 | ↓ -54% |
| Aetna | Medicare | $40.23 | ↓ -53% |
| Cigna | Medicare | $40.50 | ↓ -53% |
| Geisinger | Medicare | $40.50 | ↓ -53% |
| United Healthcare | Medicare | $41.27 | ↓ -52% |
| Prime Net | Legacy Commercial | $53.05 | ↓ -38% |
| Aetna | ACO | $53.48 | ↓ -38% |
| Prime Net | ACO | $53.48 | ↓ -38% |
| Keystone Autism Services | ACAP | $61.71 | ↓ -28% |
| Prime Net | NonGateKeeper | $63.21 | ↓ -26% |
| Prime Net | GateKeeper | $63.63 | ↓ -26% |
| Aetna | Commercial | $63.63 | ↓ -26% |
| Capital Blue Cross | Commercial | $67.08 | ↓ -22% |
| Keystone Health Plan | Commercial | $67.08 | ↓ -22% |
| Capital Blue Cross | CHIP | $67.08 | ↓ -22% |
| Geisinger | Medicaid/CHIP | $78.65 | ↓ -8% |
| Preferred Healthcare System | Inter County Health Plan/Lancaster General Health/Musselman Lumber/Vallorbs Jewelry | $78.65 | ↓ -8% |
| Geisinger | Commercial | $93.64 | ↑ +9% |
| UPMC Health Plan | Commercial | $100.10 | ↑ +17% |
| Cigna | Commercial | $100.28 | ↑ +17% |
| Prime Net | FH-Medical Rental | $103.53 | ↑ +21% |
| Preferred Healthcare System | PPO | $107.25 | ↑ +25% |
| Highmark BCBS of PA | Commercial - Children's Health Insurance | $114.02 | ↑ +33% |
| Highmark BCBS of PA | Medicaid | $118.73 | ↑ +38% |
| Highmark BCBS of PA | Commercial | $121.32 | ↑ +41% |
| Multiplan | PPO (Includes PHCS and Humana as Payers) | $121.55 | ↑ +42% |
| UPMC Health Plan | CHIP | $217.06 | ↑ +153% |
Visitor-reported prices
Comments
Mayo adalimumab (humira) therapeutic drug level at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $189.00 | $21.60 – $252.00 |
| UPMC Bedford | Everett | $144.60 | $13.92 – $216.90 |
| UPMC Carlisle | Carlisle | $85.80 | $19.59 – $121.55 |
| UPMC Community Osteopathic | Harrisburg | $85.80 | $28.60 – $217.06 |
| UPMC East | Monroeville | $171.00 | $18.48 – $44.80 |
| UPMC Hamot | Erie | $155.40 | $21.60 – $41.66 |
| UPMC Northwest | Seneca | $141.00 | $34.98 – $41.66 |
| UPMC Hanover | Hanover | $85.80 | $22.37 – $217.06 |