Methadone injection at UPMC Lititz
1500 Highlands Drive, Lititz, PA · UPMC · · NPI 1285167916
$23.40
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.
$39.00
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.
$1.47 with Prime Net vs $27.73 with Cigna — 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 | $1.47 | ↓ -94% |
| Capital Blue Cross | Medicare Advantage | $2.20 | ↓ -91% |
| Keystone Health Plan | Medicare Advantage | $2.20 | ↓ -91% |
| UPMC Work Partners | Workers Comp | $2.71 | ↓ -88% |
| Prime Net | Legacy Commercial | $4.08 | ↓ -83% |
| Aetna | ACO | $4.11 | ↓ -82% |
| Prime Net | ACO | $4.11 | ↓ -82% |
| Prime Net | NonGateKeeper | $4.86 | ↓ -79% |
| Prime Net | GateKeeper | $4.89 | ↓ -79% |
| Aetna | Commercial | $4.89 | ↓ -79% |
| Keystone Health Plan | Commercial | $5.16 | ↓ -78% |
| Capital Blue Cross | CHIP | $5.16 | ↓ -78% |
| Capital Blue Cross | Commercial | $5.16 | ↓ -78% |
| Preferred Healthcare System | Inter County Health Plan/Lancaster General Health/Musselman Lumber/Vallorbs Jewelry | $6.05 | ↓ -74% |
| United Healthcare | Commercial | $6.78 | ↓ -71% |
| Geisinger | Commercial | $7.20 | ↓ -69% |
| UPMC Health Plan | Commercial | $7.70 | ↓ -67% |
| Prime Net | FH-Medical Rental | $7.96 | ↓ -66% |
| Preferred Healthcare System | PPO | $8.25 | ↓ -65% |
| Multiplan | PPO (Includes PHCS and Humana as Payers) | $9.35 | ↓ -60% |
| Geisinger | Medicaid/CHIP | $19.33 | ↓ -17% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $19.33 | ↓ -17% |
| Aetna | Medicare | $19.52 | ↓ -17% |
| Highmark Wholecare (prev Gateway) | Medicaid | $19.71 | ↓ -16% |
| UPMC Health Plan | Managed Medicaid | $21.26 | ↓ -9% |
| UPMC Health Plan | CHIP | $23.77 | ↑ +2% |
| Cigna | Commercial | $27.73 | ↑ +19% |
Visitor-reported prices
Comments
Methadone injection at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Carlisle | Carlisle | $23.40 | $1.51 – $27.73 |
| UPMC Community Osteopathic | Harrisburg | $23.40 | $2.20 – $23.77 |
| UPMC East | Monroeville | $31.00 | $3.55 – $31.00 |
| UPMC Hanover | Hanover | $23.40 | $19.33 – $27.73 |
| UPMC Magee | Pittsburgh | $467.40 | $3.55 – $19.33 |
| UPMC Memorial | York | $23.40 | $2.86 – $27.73 |
| UPMC Mercy | Pittsburgh | $56.00 | $3.51 – $19.33 |
| UPMC Passavant-McCandless | Pittsburgh | $55.95 | $3.55 – $19.33 |