Sodium ferric gluconate complex in sucrose 62.5 mg/5 ml intravenous 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

$3.60

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.

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What you pay up front if you don't use insurance.

$6.00

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.

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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 →

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 $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

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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

All Pennsylvania hospitals for this procedure →