Vaccine dtap-ipv/hib im at UPMC Lititz
1500 Highlands Drive, Lititz, PA · UPMC · · NPI 1285167916
$66.00
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.
$110.00
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.
$10.50 with United Healthcare Community Plan for Families vs $180.85 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 |
|---|---|---|---|
| United Healthcare Community Plan for Families | PA Medicaid | $10.50 | ↓ -84% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $12.70 | ↓ -81% |
| Highmark Wholecare (prev Gateway) | Medicaid | $12.70 | ↓ -81% |
| UPMC Health Plan | Managed Medicaid | $13.00 | ↓ -80% |
| Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $13.62 | ↓ -79% |
| Prime Net | Managed Medicare | $13.67 | ↓ -79% |
| Geisinger | Medicaid/CHIP | $14.57 | ↓ -78% |
| Keystone Health Plan | Medicare Advantage | $20.40 | ↓ -69% |
| Capital Blue Cross | Medicare Advantage | $20.40 | ↓ -69% |
| UPMC Work Partners | Workers Comp | $25.11 | ↓ -62% |
| Prime Net | Legacy Commercial | $37.84 | ↓ -43% |
| Prime Net | ACO | $38.15 | ↓ -42% |
| Aetna | ACO | $38.15 | ↓ -42% |
| Prime Net | NonGateKeeper | $45.08 | ↓ -32% |
| Prime Net | GateKeeper | $45.39 | ↓ -31% |
| Aetna | Commercial | $45.39 | ↓ -31% |
| Capital Blue Cross | Commercial | $47.85 | ↓ -28% |
| Capital Blue Cross | CHIP | $47.85 | ↓ -28% |
| Keystone Health Plan | Commercial | $47.85 | ↓ -28% |
| Preferred Healthcare System | Inter County Health Plan/Lancaster General Health/Musselman Lumber/Vallorbs Jewelry | $56.10 | ↓ -15% |
| United Healthcare | Commercial | $62.83 | ↓ -5% |
| Geisinger | Commercial | $66.79 | ↑ +1% |
| UPMC Health Plan | Commercial | $71.40 | ↑ +8% |
| Prime Net | FH-Medical Rental | $73.85 | ↑ +12% |
| Preferred Healthcare System | PPO | $76.50 | ↑ +16% |
| Multiplan | PPO (Includes PHCS and Humana as Payers) | $86.70 | ↑ +31% |
| UPMC Health Plan | CHIP | $107.80 | ↑ +63% |
| Aetna | Medicare | $127.55 | ↑ +93% |
| Cigna | Commercial | $180.85 | ↑ +174% |
Visitor-reported prices
Comments
Vaccine dtap-ipv/hib im at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Carlisle | Carlisle | $66.00 | $10.50 – $180.85 |
| UPMC Community Osteopathic | Harrisburg | $66.00 | $10.50 – $265.21 |
| UPMC Hamot | Erie | $65.40 | $11.00 – $358.48 |
| UPMC Hanover | Hanover | $66.00 | $10.50 – $180.85 |
| UPMC Kane | Kane | $282.00 | $11.00 – $222.73 |
| UPMC Memorial | York | $66.00 | $10.50 – $180.85 |
| UPMC Somerset | Somerset | $66.00 | $11.00 – $157.67 |
| Uniontown Hospital | Uniontown | $106.00 | $11.00 – $212.00 |