Phentolamine mesylate injection at UPMC Lititz

Hospitals report these codes with terse, inconsistent chargemaster text. This plain-English title was written by an AI model from that text and has not been reviewed by a person, so it can be wrong. The prices on this page come straight from hospital filings and do not depend on it.

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Provider: anthropic
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Reasoning effort: low
Max output tokens: 4096
Prompt version (hash): 444523875572
Generated: October 20, 2026

Original text from hospital filings

PHENTOLAMINE 5 MG INJECTION SOLUTION

Lititz, PA

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Pricing by billing methodology

Price type

How this price compares nationally

UPMC Lititz’s median price of $269 is 51% below the median hospital's median price ($550), higher than 4% of the 2,056 hospitals reporting HCPCS J2760. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting HCPCS J2760 at UPMC Lititz

Negotiated rates from the hospital’s own file: 7 payers, 20 plan rates. A facility fee, a professional fee, a per diem and a case rate are different bills, so each is listed on its own. Open a payer to see it across hospitals.

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1	Blue Cross Blue Shield medicare advantage facility · percent of total billed charges · outpatientfrom % of charges	$84	$82	$22	27%	—	$30 – $98
2	Aetna aco facility · percent of total billed charges · inpatientfrom % of charges	$157	$154	$42	27%	—	$56 – $183
3	Aetna aco facility · percent of total billed charges · outpatientfrom % of charges	$165	$161	$44	27%	—	$59 – $192
4	Aetna commercial facility · percent of total billed charges · inpatientfrom % of charges	$186	$183	$49	27%	—	$67 – $218
5	Aetna commercial facility · percent of total billed charges · outpatientfrom % of charges	$196	$192	$52	27%	—	$70 – $229
6	Blue Cross Blue Shield chip facility · percent of total billed charges · outpatientfrom % of charges	$197	$193	$52	27%	—	$70 – $229
7	Blue Cross Blue Shield commercial facility · percent of total billed charges · outpatientfrom % of charges	$197	$193	$52	27%	—	$70 – $229
8	UnitedHealthcare commercial facility · percent of total billed charges · inpatientfrom % of charges	$258	$253	$69	27%	—	$92 – $301
9	MultiPlan ppo (includes phcs and humana as payers) facility · percent of total billed charges · inpatientfrom % of charges	$356	$349	$95	27%	—	$128 – $416
10	MultiPlan ppo (includes phcs and humana as payers) facility · percent of total billed charges · outpatientfrom % of charges	$356	$349	$95	27%	—	$128 – $416
11	Highmark medicare facility · fee schedule · outpatient	$428	$428	—	—	—	$428 – $428
12	Amerihealth Caritas community healthchoices (chc)/medicaid facility · fee schedule · outpatient	$432	$432	—	—	—	$432 – $432
13	Aetna medicare facility · fee schedule · outpatient	$451	$451	—	—	—	$451 – $451
14	Cigna medicare facility · fee schedule · outpatient	$454	$454	—	—	—	$454 – $454
15	UnitedHealthcare medicare facility · fee schedule · outpatient	$462	$462	—	—	—	$462 – $462
16	Cigna commercial facility · fee schedule · outpatient	$630	$630	—	—	—	$630 – $630
17	Highmark medicaid facility · fee schedule · outpatient	$885	$885	$445	50%	—	$441 – $1.3k
18	Highmark commercial - children's health insurance facility · fee schedule · outpatient	$1.3k	$1.3k	—	—	—	$1.3k – $1.3k
19	Highmark commercial facility · fee schedule · outpatient	$1.4k	$1.4k	—	—	—	$1.4k – $1.4k
20	UnitedHealthcare commercial facility · fee schedule · outpatient	$3.1k	$3.1k	—	—	—	$3.1k – $3.1k

Last updated: Mar 6, 2026

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