Natalizumab 300 mg/15 ml intravenous solution at UPMC Lititz
1500 Highlands Drive, Lititz, PA · UPMC · · NPI 1285167916
$328.20
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.
$547.00
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.
$23.76 with Highmark BCBS of PA vs $249.90 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 |
|---|---|---|---|
| Highmark BCBS of PA | Medicare | $23.76 | ↓ -93% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $24.00 | ↓ -93% |
| Geisinger | Medicaid/CHIP | $24.00 | ↓ -93% |
| Highmark Wholecare (prev Gateway) | Medicaid | $24.48 | ↓ -93% |
| Aetna | Medicare | $25.03 | ↓ -92% |
| Cigna | Medicare | $25.20 | ↓ -92% |
| Geisinger | Medicare | $25.20 | ↓ -92% |
| United Healthcare | Medicare | $25.68 | ↓ -92% |
| UPMC Health Plan | Managed Medicaid | $26.40 | ↓ -92% |
| UPMC Health Plan | CHIP | $29.52 | ↓ -91% |
| Cigna | Commercial | $34.47 | ↓ -89% |
| Keystone Autism Services | ACAP | $38.40 | ↓ -88% |
| Prime Net | Managed Medicare | $39.40 | ↓ -88% |
| Capital Blue Cross | Medicare Advantage | $58.80 | ↓ -82% |
| Keystone Health Plan | Medicare Advantage | $58.80 | ↓ -82% |
| Highmark BCBS of PA | Commercial - Children's Health Insurance | $70.95 | ↓ -78% |
| UPMC Work Partners | Workers Comp | $72.38 | ↓ -78% |
| Highmark BCBS of PA | Medicaid | $73.88 | ↓ -77% |
| Highmark BCBS of PA | Commercial | $75.49 | ↓ -77% |
| Prime Net | Legacy Commercial | $109.07 | ↓ -67% |
| Aetna | ACO | $109.96 | ↓ -66% |
| Prime Net | ACO | $109.96 | ↓ -66% |
| Prime Net | NonGateKeeper | $129.95 | ↓ -60% |
| Aetna | Commercial | $130.83 | ↓ -60% |
| Prime Net | GateKeeper | $130.83 | ↓ -60% |
| Keystone Health Plan | Commercial | $137.92 | ↓ -58% |
| Capital Blue Cross | CHIP | $137.92 | ↓ -58% |
| Capital Blue Cross | Commercial | $137.92 | ↓ -58% |
| Preferred Healthcare System | Inter County Health Plan/Lancaster General Health/Musselman Lumber/Vallorbs Jewelry | $161.70 | ↓ -51% |
| United Healthcare | Commercial | $171.69 | ↓ -48% |
| Geisinger | Commercial | $192.51 | ↓ -41% |
| UPMC Health Plan | Commercial | $205.80 | ↓ -37% |
| Prime Net | FH-Medical Rental | $212.86 | ↓ -35% |
| Preferred Healthcare System | PPO | $220.50 | ↓ -33% |
| Multiplan | PPO (Includes PHCS and Humana as Payers) | $249.90 | ↓ -24% |
| Tricare | East Region | not published by hospital | — |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
Visitor-reported prices
Comments
Natalizumab 300 mg/15 ml intravenous solution at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $17,766.00 | $15.15 – $78.40 |
| UPMC Cole | Coudersport | $21,258.60 | $24.00 – $28,344.80 |
| UPMC Hamot | Erie | $15,331.80 | $15.15 – $37.26 |
| UPMC Jameson | New Castle | $14,370.60 | $15.15 – $30.00 |
| UPMC Magee | Pittsburgh | $11,202.60 | $15.15 – $25.92 |
| UPMC Muncy | Muncy | $28,621.80 | $24.00 – $26.40 |
| UPMC Wellsboro | Wellsboro | $28,621.80 | $24.00 – $26.40 |
| UPMC Williamsport | Williamsport | $28,621.80 | $24.00 – $25.68 |