Lens iol ant chamb 10.5 at UPMC Bedford
10455 Lincoln Highway, Everett, PA · UPMC · · NPI 1295724193
$652.20
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.
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What you pay up front if you don't use insurance.
$1,087.00
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.
$206.53 with Health Partners Plans (Jefferson Health Plan) vs $1,075.57 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 | $206.53 | ↓ -68% |
| Aetna | Medicare | $271.75 | ↓ -58% |
| Geisinger | Medicaid/CHIP | $358.71 | ↓ -45% |
| Cigna | EBR | $434.80 | ↓ -33% |
| Aetna | EBR ASO | $434.80 | ↓ -33% |
| Cigna | Commercial | $434.80 | ↓ -33% |
| Aetna | EBR FI | $532.63 | ↓ -18% |
| Highmark Wholecare (prev Gateway) | Medicare | $543.50 | ↓ -17% |
| United Healthcare | Compass Exchange | $597.85 | ↓ -8% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $597.85 | ↓ -8% |
| Aetna | Neighborhood Network | $673.94 | ↑ +3% |
| Aetna | Home Depot Employer Group | $692.42 | ↑ +6% |
| Cigna | NBR ASO/FI | $706.55 | ↑ +8% |
| United Healthcare | All Business | $706.55 | ↑ +8% |
| Aetna | NBR ASO/FI | $706.55 | ↑ +8% |
| InterGroup | PPO | $706.55 | ↑ +8% |
| Cigna | New Business ASO | $706.55 | ↑ +8% |
| Coventry/First Health | Commercial | $760.90 | ↑ +17% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity/Managed Care - Social Mission | $773.21 | ↑ +19% |
| Preferred Healthcare System | PPO | $869.60 | ↑ +33% |
| UPMC Health Plan | CHIP | $887.88 | ↑ +36% |
| Highmark BCBS of PA | Commercial - Indemnity/Managed Care | $952.51 | ↑ +46% |
| SelectCare | Commercial | $978.30 | ↑ +50% |
| Private Health Care Systems | PPO | $978.30 | ↑ +50% |
| Humana | Commercial | $978.30 | ↑ +50% |
| Health Coalition Partners | Intergroup | $978.30 | ↑ +50% |
| UPMC Health Plan | Commercial | $1,075.57 | ↑ +65% |
| UPMC Work Partners | Workers Comp | not published by hospital | — |
Visitor-reported prices
Comments
Lens iol ant chamb 10.5 at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $186.00 | $58.90 – $887.88 |
| UPMC East | Monroeville | $214.20 | $67.83 – $887.88 |
| UPMC Northwest | Seneca | $322.20 | $723.64 – $1,074.41 |
| UPMC Jameson | New Castle | $304.20 | $101.33 – $887.88 |
| UPMC Magee | Pittsburgh | $192.60 | $111.46 – $887.88 |
| UPMC McKeesport | Mckeesport | $652.20 | $111.46 – $887.88 |
| UPMC Mercy | Pittsburgh | $961.20 | $278.82 – $701.11 |
| UPMC Muncy | Muncy | $289.80 | $54.75 – $328.50 |