Vaccine influenza quadrivalent (riv4) rdna antibiotic/preservative free im at UPMC Lititz
1500 Highlands Drive, Lititz, PA · UPMC · · NPI 1285167916
$76.20
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.
?
What you pay up front if you don't use insurance.
$127.00
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.
?
The hospital's undiscounted list price — almost no one pays this.
$12.70 with Highmark Wholecare (prev Gateway) vs $102.85 with Multiplan — same scan, same building. Share
Negotiated rates by payer
?
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 →
?
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 |
|---|---|---|---|
| Highmark Wholecare (prev Gateway) | Medicaid | $12.70 | ↓ -83% |
| UPMC Health Plan | Managed Medicaid | $13.00 | ↓ -83% |
| Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $13.62 | ↓ -82% |
| Geisinger | Medicaid/CHIP | $14.57 | ↓ -81% |
| Prime Net | Managed Medicare | $16.21 | ↓ -79% |
| Keystone Health Plan | Medicare Advantage | $24.20 | ↓ -68% |
| Capital Blue Cross | Medicare Advantage | $24.20 | ↓ -68% |
| UPMC Work Partners | Workers Comp | $31.68 | ↓ -58% |
| Prime Net | Legacy Commercial | $44.89 | ↓ -41% |
| Prime Net | ACO | $45.25 | ↓ -41% |
| Aetna | ACO | $45.25 | ↓ -41% |
| Prime Net | NonGateKeeper | $53.48 | ↓ -30% |
| Prime Net | GateKeeper | $53.84 | ↓ -29% |
| Aetna | Commercial | $53.84 | ↓ -29% |
| Capital Blue Cross | CHIP | $56.76 | ↓ -26% |
| Capital Blue Cross | Commercial | $56.76 | ↓ -26% |
| Keystone Health Plan | Commercial | $56.76 | ↓ -26% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $65.26 | ↓ -14% |
| Aetna | Medicare | $65.67 | ↓ -14% |
| Preferred Healthcare System | Inter County Health Plan/Lancaster General Health/Musselman Lumber/Vallorbs Jewelry | $66.55 | ↓ -13% |
| United Healthcare | Commercial | $74.54 | ↓ -2% |
| Geisinger | Commercial | $79.23 | ↑ +4% |
| UPMC Health Plan | Commercial | $84.70 | ↑ +11% |
| UPMC Health Plan | CHIP | $85.18 | ↑ +12% |
| Prime Net | FH-Medical Rental | $87.60 | ↑ +15% |
| Preferred Healthcare System | PPO | $90.75 | ↑ +19% |
| Cigna | Commercial | $101.87 | ↑ +34% |
| Multiplan | PPO (Includes PHCS and Humana as Payers) | $102.85 | ↑ +35% |
Visitor-reported prices
Comments
Vaccine influenza quadrivalent (riv4) rdna antibiotic/preservative free im at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Carlisle | Carlisle | $76.20 | $12.70 – $102.85 |
| UPMC Cole | Coudersport | $31.20 | $10.50 – $41.60 |
| UPMC Community Osteopathic | Harrisburg | $76.20 | $13.62 – $102.85 |
| UPMC Hanover | Hanover | $76.20 | $12.70 – $515.45 |
| UPMC Kane | Kane | $25.80 | $11.00 – $73.40 |
| UPMC Magee | Pittsburgh | $57.00 | $11.00 – $59.17 |
| UPMC Memorial | York | $76.20 | $12.70 – $515.45 |
| UPMC Muncy | Muncy | $54.00 | $11.00 – $63.30 |