Sipuleucel-t - su at UPMC Lititz
1500 Highlands Drive, Lititz, PA · UPMC · · NPI 1285167916
$150.00
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.
$250.00
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.
$33.50 with Prime Net vs $173,853.56 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 →
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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 | $33.50 | ↓ -78% |
| Capital Blue Cross | Medicare Advantage | $50.00 | ↓ -67% |
| Keystone Health Plan | Medicare Advantage | $50.00 | ↓ -67% |
| UPMC Work Partners | Workers Comp | $61.55 | ↓ -59% |
| Prime Net | Legacy Commercial | $92.75 | ↓ -38% |
| Prime Net | ACO | $93.50 | ↓ -38% |
| Aetna | ACO | $93.50 | ↓ -38% |
| Prime Net | NonGateKeeper | $110.50 | ↓ -26% |
| Aetna | Commercial | $111.25 | ↓ -26% |
| Prime Net | GateKeeper | $111.25 | ↓ -26% |
| Keystone Health Plan | Commercial | $117.28 | ↓ -22% |
| Capital Blue Cross | CHIP | $117.28 | ↓ -22% |
| Capital Blue Cross | Commercial | $117.28 | ↓ -22% |
| Preferred Healthcare System | Inter County Health Plan/Lancaster General Health/Musselman Lumber/Vallorbs Jewelry | $137.50 | ↓ -8% |
| United Healthcare | Commercial | $154.00 | ↑ +3% |
| Geisinger | Commercial | $163.70 | ↑ +9% |
| UPMC Health Plan | Commercial | $175.00 | ↑ +17% |
| Prime Net | FH-Medical Rental | $181.00 | ↑ +21% |
| Preferred Healthcare System | PPO | $187.50 | ↑ +25% |
| Multiplan | PPO (Includes PHCS and Humana as Payers) | $212.50 | ↑ +42% |
| Highmark BCBS of PA | Medicare | $54,719.60 | ↑ +36380% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $55,272.32 | ↑ +36748% |
| Geisinger | Medicaid/CHIP | $55,272.32 | ↑ +36748% |
| Highmark Wholecare (prev Gateway) | Medicaid | $56,377.77 | ↑ +37485% |
| Aetna | Medicare | $57,649.03 | ↑ +38333% |
| Cigna | Medicare | $58,035.94 | ↑ +38591% |
| Geisinger | Medicare | $58,035.94 | ↑ +38591% |
| United Healthcare | Medicare | $59,141.38 | ↑ +39328% |
| UPMC Health Plan | Managed Medicaid | $60,799.56 | ↑ +40433% |
| UPMC Health Plan | CHIP | $67,984.96 | ↑ +45223% |
| Cigna | Commercial | $75,331.59 | ↑ +50121% |
| Keystone Autism Services | ACAP | $88,435.71 | ↑ +58857% |
| Highmark BCBS of PA | Commercial - Children's Health Insurance | $163,396.03 | ↑ +108831% |
| Highmark BCBS of PA | Medicaid | $170,139.26 | ↑ +113326% |
| Highmark BCBS of PA | Commercial | $173,853.56 | ↑ +115802% |
| Tricare | East Region | not published by hospital | — |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
Visitor-reported prices
Comments
Sipuleucel-t - su at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Magee | Pittsburgh | $118,513.80 | $34,898.95 – $59,694.11 |
| AHN WEXFORD HOSPITAL | WEXFORD | not published | $36,146.69 – $117,486.54 |
| GROVE CITY HOSPITAL | GROVE CITY | not published | $44,863.07 – $117,486.54 |