Lens iol ant chamb 10.5 at UPMC McKeesport
1500 Fifth Avenue, Mckeesport, PA · UPMC · · NPI 104370353
$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.
$111.46 with Aetna vs $1,828.70 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 |
|---|---|---|---|
| Aetna | Medicare | $111.46 | ↓ -83% |
| Highmark BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage | $281.48 | ↓ -57% |
| Aetna | Neighborhood Network | $377.19 | ↓ -42% |
| Aetna | Home Depot Employer Group | $409.80 | ↓ -37% |
| Aetna | EBR FI | $413.06 | ↓ -37% |
| Cigna | New Business ASO | $418.50 | ↓ -36% |
| Aetna | NBR ASO/FI | $418.50 | ↓ -36% |
| Aetna | EBR ASO | $434.80 | ↓ -33% |
| Cigna | Commercial | $434.80 | ↓ -33% |
| InterGroup | PPO | $543.50 | ↓ -17% |
| Highmark Wholecare (prev Gateway) | Medicare | $543.50 | ↓ -17% |
| PA Health & Wellness | PA Medicaid HMO | $597.85 | ↓ -8% |
| Cigna Behavioral Health | Commercial | $652.20 | ↑ +0% |
| Coventry/First Health | Commercial | $760.90 | ↑ +17% |
| Private Health Care Systems | PPO | $869.60 | ↑ +33% |
| SelectCare | Commercial | $869.60 | ↑ +33% |
| UPMC Health Plan | CHIP | $887.88 | ↑ +36% |
| Humana | Commercial | $923.95 | ↑ +42% |
| Highmark BCBS of PA | Managed Care - Social Mission | $1,052.74 | ↑ +61% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $1,061.17 | ↑ +63% |
| Highmark BCBS of PA | Managed Care | $1,409.94 | ↑ +116% |
| Highmark BCBS of PA | Commercial - Indemnity | $1,421.20 | ↑ +118% |
| UPMC Health Plan | Commercial | $1,828.70 | ↑ +180% |
| UPMC Work Partners | Workers Comp | not published by hospital | — |
Visitor-reported prices
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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 Bedford | Everett | $652.20 | $206.53 – $978.30 |
| 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 Mercy | Pittsburgh | $961.20 | $278.82 – $701.11 |
| UPMC Muncy | Muncy | $289.80 | $54.75 – $328.50 |