Lens, intraocular (new tech) at UPMC Cole
1001 East Second Street, Coudersport, PA · UPMC · · NPI 110485184
$336.00
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.
$560.00
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.
$53.20 with Health Partners Plans (Jefferson Health Plan) vs $559.16 with UPMC Health Plan — 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 |
|---|---|---|---|
| Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $53.20 | ↓ -84% |
| Highmark BCBS of PA | Community Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage/Together Blue Medicare Advantage | $77.62 | ↓ -77% |
| AmeriHealth Caritas | Medicare | $78.40 | ↓ -77% |
| UPMC Health Plan | Managed Medicare | $78.40 | ↓ -77% |
| United Healthcare | Medicare | $78.40 | ↓ -77% |
| Humana | Medicare | $79.18 | ↓ -76% |
| AmeriHealth Caritas | Medicaid | $80.36 | ↓ -76% |
| AmeriHealth Caritas | Community HealthChoices (CHC) | $80.36 | ↓ -76% |
| Cigna | Medicare | $82.32 | ↓ -76% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP | $84.67 | ↓ -75% |
| PA Health & Wellness | Medicare Advantage (Allwell by Wellcare) | $84.67 | ↓ -75% |
| Aetna | Medicare | $85.40 | ↓ -75% |
| Geisinger | Medicaid | $92.40 | ↓ -73% |
| Highmark Wholecare (prev Gateway) | Medicaid | $112.00 | ↓ -67% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $154.00 | ↓ -54% |
| United Healthcare | Commercial | $154.00 | ↓ -54% |
| UPMC Health Plan | Managed Medicaid | $173.60 | ↓ -48% |
| UPMC Health Plan | Commercial | $196.00 | ↓ -42% |
| Geisinger | Commercial | $210.00 | ↓ -38% |
| Humana | Commercial | $224.00 | ↓ -33% |
| Multiplan | Worker's Compensation | $224.00 | ↓ -33% |
| Multiplan | PPO/Auto | $224.00 | ↓ -33% |
| InterGroup | PPO | $224.00 | ↓ -33% |
| Galaxy Health Plan | Commercial | $224.00 | ↓ -33% |
| Aetna | Commercial | $229.60 | ↓ -32% |
| UPMC Health Plan | CHIP | $559.16 | ↑ +66% |
| UPMC Work Partners | Workers Comp | not published by hospital | — |
Visitor-reported prices
Comments
Lens, intraocular (new tech) at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC East | Monroeville | $893.40 | $282.91 – $1,191.20 |
| UPMC Magee | Pittsburgh | $372.60 | $238.90 – $559.16 |
| UPMC Mercy | Pittsburgh | $642.60 | $441.54 – $441.54 |
| UPMC Passavant-McCandless | Pittsburgh | $739.20 | $811.41 – $811.41 |
| UPMC Presbyterian | Pittsburgh | $1,024.20 | $904.06 – $904.06 |