Sodium ferric gluconate complex in sucrose 62.5 mg/5 ml intravenous at UPMC Lititz
1500 Highlands Drive, Lititz, PA · UPMC · · NPI 1285167916
$3.60
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.
$6.00
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.
$0.80 with Prime Net vs $5.10 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 |
|---|---|---|---|
| Prime Net | Managed Medicare | $0.80 | ↓ -78% |
| Capital Blue Cross | Medicare Advantage | $1.20 | ↓ -67% |
| Keystone Health Plan | Medicare Advantage | $1.20 | ↓ -67% |
| UPMC Work Partners | Workers Comp | $1.48 | ↓ -59% |
| Geisinger | Medicaid/CHIP | $2.02 | ↓ -44% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $2.02 | ↓ -44% |
| Aetna | Medicare | $2.04 | ↓ -43% |
| Highmark Wholecare (prev Gateway) | Medicaid | $2.06 | ↓ -43% |
| UPMC Health Plan | Managed Medicaid | $2.23 | ↓ -38% |
| Prime Net | Legacy Commercial | $2.23 | ↓ -38% |
| Aetna | ACO | $2.24 | ↓ -38% |
| Prime Net | ACO | $2.24 | ↓ -38% |
| UPMC Health Plan | CHIP | $2.49 | ↓ -31% |
| Prime Net | NonGateKeeper | $2.65 | ↓ -26% |
| Aetna | Commercial | $2.67 | ↓ -26% |
| Prime Net | GateKeeper | $2.67 | ↓ -26% |
| Capital Blue Cross | Commercial | $2.81 | ↓ -22% |
| Keystone Health Plan | Commercial | $2.81 | ↓ -22% |
| Capital Blue Cross | CHIP | $2.81 | ↓ -22% |
| Preferred Healthcare System | Inter County Health Plan/Lancaster General Health/Musselman Lumber/Vallorbs Jewelry | $3.30 | ↓ -8% |
| Cigna | Commercial | $3.34 | ↓ -7% |
| United Healthcare | Commercial | $3.70 | ↑ +3% |
| Geisinger | Commercial | $3.93 | ↑ +9% |
| UPMC Health Plan | Commercial | $4.20 | ↑ +17% |
| Prime Net | FH-Medical Rental | $4.34 | ↑ +21% |
| Preferred Healthcare System | PPO | $4.50 | ↑ +25% |
| Multiplan | PPO (Includes PHCS and Humana as Payers) | $5.10 | ↑ +42% |
Visitor-reported prices
Comments
Sodium ferric gluconate complex in sucrose 62.5 mg/5 ml intravenous at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $13.40 | $1.28 – $15.19 |
| UPMC Bedford | Everett | $45.40 | $1.28 – $50.40 |
| AHN WEXFORD HOSPITAL | WEXFORD | $115.75 | $1.99 – $3.08 |
| GROVE CITY HOSPITAL | GROVE CITY | $102.40 | $1.99 – $3.08 |
| UPMC Cole | Coudersport | $39.60 | $2.02 – $52.80 |
| UPMC East | Monroeville | $90.40 | $1.28 – $90.40 |
| UPMC Hamot | Erie | $164.80 | $1.28 – $6.45 |
| UPMC Northwest | Seneca | $61.20 | $1.28 – $24.12 |