Methylene blue (antidote) 5 mg/ml intravenous solution at UPMC Lititz

1500 Highlands Drive, Lititz, PA · UPMC · · NPI 1285167916

Source: hospital's published price file ↗ · Published Mar 6, 2026 · Ingested Aug 13, 2026

$133.20

Cash price

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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.

Full explanation →

What you pay up front if you don't use insurance.

$222.00

Gross charge

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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.

Full explanation →

The hospital's undiscounted list price — almost no one pays this.

$3.08 with Prime Net vs $27.46 with Highmark BCBS of PA — 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 →

Payer
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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
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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 $3.08 ↓ -98%
Keystone Health Plan Medicare Advantage $4.60 ↓ -97%
Capital Blue Cross Medicare Advantage $4.60 ↓ -97%
UPMC Work Partners Workers Comp $5.66 ↓ -96%
Prime Net Legacy Commercial $8.53 ↓ -94%
Prime Net ACO $8.60 ↓ -94%
Aetna ACO $8.60 ↓ -94%
Highmark BCBS of PA Medicare $8.64 ↓ -94%
Aetna Medicare $9.11 ↓ -93%
Geisinger Medicare $9.17 ↓ -93%
Cigna Medicare $9.17 ↓ -93%
United Healthcare Medicare $9.34 ↓ -93%
Prime Net NonGateKeeper $10.17 ↓ -92%
Prime Net GateKeeper $10.23 ↓ -92%
Aetna Commercial $10.23 ↓ -92%
Keystone Health Plan Commercial $10.79 ↓ -92%
Capital Blue Cross Commercial $10.79 ↓ -92%
Capital Blue Cross CHIP $10.79 ↓ -92%
UPMC Health Plan CHIP $12.21 ↓ -91%
Geisinger Medicaid/CHIP $12.65 ↓ -91%
Preferred Healthcare System Inter County Health Plan/Lancaster General Health/Musselman Lumber/Vallorbs Jewelry $12.65 ↓ -91%
Cigna Commercial $13.44 ↓ -90%
Keystone Autism Services ACAP $13.97 ↓ -90%
United Healthcare Commercial $14.17 ↓ -89%
Geisinger Commercial $15.06 ↓ -89%
UPMC Health Plan Commercial $16.10 ↓ -88%
Prime Net FH-Medical Rental $16.65 ↓ -88%
Preferred Healthcare System PPO $17.25 ↓ -87%
Multiplan PPO (Includes PHCS and Humana as Payers) $19.55 ↓ -85%
Highmark BCBS of PA Commercial - Children's Health Insurance $25.81 ↓ -81%
Highmark BCBS of PA Medicaid $26.87 ↓ -80%
Highmark BCBS of PA Commercial $27.46 ↓ -79%
Tricare East Region not published by hospital
US Family Health Plan Tricare Prime not published by hospital

Visitor-reported prices

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Methylene blue (antidote) 5 mg/ml intravenous solution at other Pennsylvania hospitals

Hospital City Cash price Negotiated range
UPMC Carlisle Carlisle $133.20 $3.15 – $19.55
UPMC Cole Coudersport $124.80 $5.35 – $166.40
UPMC Community Osteopathic Harrisburg $133.20 $0.90 – $19.55
UPMC Hamot Erie $424.00 $0.54 – $9.43
UPMC Hanover Hanover $133.20 $8.64 – $13.97
UPMC Horizon-Greenville Greenville $340.80 $1.37 – $9.43
UPMC Jameson New Castle $160.80 $0.55 – $10.91
UPMC Magee Pittsburgh $1,901.40 $0.54 – $9.43

All Pennsylvania hospitals for this procedure →