Lens iol ant bicnvx 24.0 multi at UPMC Bedford
10455 Lincoln Highway, Everett, PA · UPMC · · NPI 1295724193
$636.60
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.
$1,061.00
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.
$84.17 with Health Partners Plans (Jefferson Health Plan) vs $1,075.71 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 | $84.17 | ↓ -87% |
| Aetna | Medicare | $110.75 | ↓ -83% |
| Geisinger | Medicaid/CHIP | $146.19 | ↓ -77% |
| Cigna | EBR | $177.20 | ↓ -72% |
| Aetna | EBR ASO | $177.20 | ↓ -72% |
| Cigna | Commercial | $177.20 | ↓ -72% |
| Aetna | EBR FI | $217.07 | ↓ -66% |
| Highmark Wholecare (prev Gateway) | Medicare | $221.50 | ↓ -65% |
| United Healthcare | Compass Exchange | $243.65 | ↓ -62% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $243.65 | ↓ -62% |
| Aetna | Neighborhood Network | $274.66 | ↓ -57% |
| Aetna | Home Depot Employer Group | $282.19 | ↓ -56% |
| Cigna | NBR ASO/FI | $287.95 | ↓ -55% |
| United Healthcare | All Business | $287.95 | ↓ -55% |
| Aetna | NBR ASO/FI | $287.95 | ↓ -55% |
| Cigna | New Business ASO | $287.95 | ↓ -55% |
| InterGroup | PPO | $287.95 | ↓ -55% |
| Coventry/First Health | Commercial | $310.10 | ↓ -51% |
| Preferred Healthcare System | PPO | $354.40 | ↓ -44% |
| Private Health Care Systems | PPO | $398.70 | ↓ -37% |
| Humana | Commercial | $398.70 | ↓ -37% |
| SelectCare | Commercial | $398.70 | ↓ -37% |
| Health Coalition Partners | Intergroup | $398.70 | ↓ -37% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity/Managed Care - Social Mission | $773.21 | ↑ +21% |
| UPMC Health Plan | CHIP | $887.99 | ↑ +39% |
| Highmark BCBS of PA | Commercial - Indemnity/Managed Care | $952.51 | ↑ +50% |
| UPMC Health Plan | Commercial | $1,075.71 | ↑ +69% |
| UPMC Work Partners | Workers Comp | not published by hospital | — |
Visitor-reported prices
Comments
Lens iol ant bicnvx 24.0 multi at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $612.00 | $92.72 – $887.99 |
| UPMC East | Monroeville | $1,898.40 | $79.80 – $887.99 |
| UPMC Hamot | Erie | $764.40 | $278.82 – $278.82 |
| UPMC Northwest | Seneca | $561.00 | $723.64 – $1,074.55 |
| UPMC Horizon-Greenville | Greenville | $430.20 | $710.60 – $887.99 |
| UPMC Jameson | New Castle | $502.20 | $101.33 – $887.99 |
| UPMC Magee | Pittsburgh | $2,260.80 | $111.46 – $887.99 |
| UPMC McKeesport | Mckeesport | $712.20 | $111.46 – $887.99 |