Cornea pre-cut midwest eye cornea pre-cut midwest eye at UPMC Carlisle
361 Alexander Spring Road, Carlisle, PA · UPMC · · NPI 1689107328
$21,789.60
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.
$36,316.00
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.
$4,975.29 with Prime Net vs $30,868.60 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 | $4,975.29 | ↓ -77% |
| Aetna | Medicare | $5,992.14 | ↓ -73% |
| Keystone Health Plan | Medicare Advantage | $7,263.20 | ↓ -67% |
| Capital Blue Cross | Medicare Advantage | $7,263.20 | ↓ -67% |
| UPMC Health Plan | CHIP | $7,642.60 | ↓ -65% |
| Capital Blue Cross | Commercial | $11,730.07 | ↓ -46% |
| Keystone Health Plan | Commercial | $11,730.07 | ↓ -46% |
| Capital Blue Cross | CHIP | $11,730.07 | ↓ -46% |
| PA Health & Wellness | PA Medicaid HMO | $11,984.28 | ↓ -45% |
| Geisinger | Medicaid/CHIP | $11,984.28 | ↓ -45% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $12,104.12 | ↓ -44% |
| Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $13,800.08 | ↓ -37% |
| Prime Net | Legacy Commercial | $14,163.24 | ↓ -35% |
| Aetna | ACO | $14,272.19 | ↓ -34% |
| Prime Net | ACO | $14,272.19 | ↓ -34% |
| Prime Net | NonGateKeeper | $16,886.94 | ↓ -23% |
| Aetna | Commercial | $16,995.89 | ↓ -22% |
| Prime Net | GateKeeper | $16,995.89 | ↓ -22% |
| United Healthcare | Commercial | $22,370.66 | ↑ +3% |
| Wellspan Population Health | PPO | $23,605.40 | ↑ +8% |
| Geisinger | Commercial | $23,779.72 | ↑ +9% |
| UPMC Health Plan | Commercial | $25,421.20 | ↑ +17% |
| Prime Net | FH-Medical Rental | $27,454.90 | ↑ +26% |
| Cigna | Commercial | $28,326.48 | ↑ +30% |
| Multiplan | PPO (Includes PHCS and Humana as Payers) | $30,868.60 | ↑ +42% |
| UPMC Work Partners | Workers Comp | not published by hospital | — |
| Highmark Wholecare (prev Gateway) | Medicaid | not published by hospital | — |
Visitor-reported prices
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Cornea pre-cut midwest eye cornea pre-cut midwest eye at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Community Osteopathic | Harrisburg | $21,789.60 | $7,263.20 – $30,868.60 |
| UPMC East | Monroeville | $7,849.80 | $3,270.75 – $10,466.40 |
| UPMC Hanover | Hanover | $21,789.60 | $7,642.60 – $7,642.60 |
| UPMC Jameson | New Castle | $8,864.40 | $1,448.30 – $7,642.60 |
| UPMC Lititz | Lititz | $21,789.60 | $1,448.30 – $7,642.60 |
| UPMC Memorial | York | $21,789.60 | $1,448.30 – $7,642.60 |
| UPMC Mercy | Pittsburgh | $11,265.60 | $6,034.92 – $6,034.92 |
| UPMC Muncy | Muncy | $1,200.00 | $300.00 – $1,800.00 |