Phentolaine mesylate inj 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

$293.40

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.

$489.00

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.

$20.10 with Prime Net vs $1,358.88 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 $20.10 ↓ -93%
Capital Blue Cross Medicare Advantage $30.00 ↓ -90%
Keystone Health Plan Medicare Advantage $30.00 ↓ -90%
UPMC Work Partners Workers Comp $36.93 ↓ -87%
Prime Net Legacy Commercial $55.65 ↓ -81%
Prime Net ACO $56.10 ↓ -81%
Aetna ACO $56.10 ↓ -81%
Prime Net NonGateKeeper $66.30 ↓ -77%
Aetna Commercial $66.75 ↓ -77%
Prime Net GateKeeper $66.75 ↓ -77%
Keystone Health Plan Commercial $70.36 ↓ -76%
Capital Blue Cross CHIP $70.36 ↓ -76%
Capital Blue Cross Commercial $70.36 ↓ -76%
Preferred Healthcare System Inter County Health Plan/Lancaster General Health/Musselman Lumber/Vallorbs Jewelry $82.50 ↓ -72%
United Healthcare Commercial $92.40 ↓ -69%
Geisinger Commercial $98.22 ↓ -67%
UPMC Health Plan Commercial $105.00 ↓ -64%
Prime Net FH-Medical Rental $108.60 ↓ -63%
Preferred Healthcare System PPO $112.50 ↓ -62%
Multiplan PPO (Includes PHCS and Humana as Payers) $127.50 ↓ -57%
Highmark BCBS of PA Medicare $427.70 ↑ +46%
AmeriHealth Caritas Community HealthChoices (CHC)/Medicaid $432.02 ↑ +47%
Geisinger Medicaid/CHIP $432.02 ↑ +47%
Highmark Wholecare (prev Gateway) Medicaid $440.66 ↑ +50%
Aetna Medicare $450.60 ↑ +54%
Cigna Medicare $453.62 ↑ +55%
Geisinger Medicare $453.62 ↑ +55%
United Healthcare Medicare $462.26 ↑ +58%
UPMC Health Plan Managed Medicaid $475.22 ↑ +62%
UPMC Health Plan CHIP $531.39 ↑ +81%
Cigna Commercial $629.99 ↑ +115%
Keystone Autism Services ACAP $691.23 ↑ +136%
Highmark BCBS of PA Commercial - Children's Health Insurance $1,277.14 ↑ +335%
Highmark BCBS of PA Medicaid $1,329.84 ↑ +353%
Highmark BCBS of PA Commercial $1,358.88 ↑ +363%
Tricare East Region not published by hospital —
US Family Health Plan Tricare Prime not published by hospital —

Visitor-reported prices

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Phentolaine mesylate inj at other Pennsylvania hospitals

Hospital City Cash price Negotiated range
UPMC Altoona Altoona $383.20 $47.90 – $462.26
UPMC Carlisle Carlisle $293.40 $20.55 – $691.23
UPMC Community Osteopathic Harrisburg $293.40 $30.00 – $531.39
UPMC East Monroeville $270.40 $40.42 – $453.62
UPMC Hamot Erie $540.00 $47.90 – $466.58
UPMC Northwest Seneca $460.00 $124.32 – $466.58
UPMC Hanover Hanover $293.40 $427.70 – $691.23
UPMC Horizon-Greenville Greenville $375.20 $122.08 – $466.58

All Pennsylvania hospitals for this procedure →