Sincalide 5 mcg solution for injection at UPMC Lititz
1500 Highlands Drive, Lititz, PA · UPMC · · NPI 1285167916
$81.60
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.
$136.00
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.
$16.62 with Prime Net vs $187.67 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 | $16.62 | ↓ -80% |
| Capital Blue Cross | Medicare Advantage | $24.80 | ↓ -70% |
| Keystone Health Plan | Medicare Advantage | $24.80 | ↓ -70% |
| UPMC Work Partners | Workers Comp | $30.53 | ↓ -63% |
| Prime Net | Legacy Commercial | $46.00 | ↓ -44% |
| Aetna | ACO | $46.38 | ↓ -43% |
| Prime Net | ACO | $46.38 | ↓ -43% |
| Prime Net | NonGateKeeper | $54.81 | ↓ -33% |
| Prime Net | GateKeeper | $55.18 | ↓ -32% |
| Aetna | Commercial | $55.18 | ↓ -32% |
| Keystone Health Plan | Commercial | $58.17 | ↓ -29% |
| Capital Blue Cross | CHIP | $58.17 | ↓ -29% |
| Capital Blue Cross | Commercial | $58.17 | ↓ -29% |
| Preferred Healthcare System | Inter County Health Plan/Lancaster General Health/Musselman Lumber/Vallorbs Jewelry | $68.20 | ↓ -16% |
| United Healthcare | Commercial | $76.38 | ↓ -6% |
| Geisinger | Commercial | $81.20 | ↓ -0% |
| UPMC Health Plan | Commercial | $86.80 | ↑ +6% |
| Prime Net | FH-Medical Rental | $89.78 | ↑ +10% |
| Preferred Healthcare System | PPO | $93.00 | ↑ +14% |
| Multiplan | PPO (Includes PHCS and Humana as Payers) | $105.40 | ↑ +29% |
| Geisinger | Medicaid/CHIP | $123.36 | ↑ +51% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $123.36 | ↑ +51% |
| Aetna | Medicare | $124.60 | ↑ +53% |
| Highmark Wholecare (prev Gateway) | Medicaid | $125.83 | ↑ +54% |
| UPMC Health Plan | Managed Medicaid | $135.70 | ↑ +66% |
| UPMC Health Plan | CHIP | $151.74 | ↑ +86% |
| Cigna | Commercial | $187.67 | ↑ +130% |
Visitor-reported prices
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Sincalide 5 mcg solution for injection at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $430.40 | $77.89 – $430.40 |
| UPMC Bedford | Everett | $384.80 | $77.89 – $432.90 |
| UPMC Carlisle | Carlisle | $81.60 | $16.99 – $187.67 |
| UPMC Cole | Coudersport | $422.40 | $123.36 – $563.20 |
| UPMC Community Osteopathic | Harrisburg | $81.60 | $24.80 – $161.40 |
| UPMC East | Monroeville | $578.40 | $77.89 – $578.40 |
| UPMC Hamot | Erie | $890.40 | $77.89 – $362.37 |
| UPMC Northwest | Seneca | $475.20 | $77.89 – $251.59 |