Lens, intraocular (new tech) at UPMC East
2775 Mosside Boulevard, Monroeville, PA · UPMC · · NPI 1225323983
$893.40
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.
$1,489.00
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.
$282.91 with Health Partners Plans (Jefferson Health Plan) vs $1,191.20 with Private Health Care Systems — 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 | $282.91 | ↓ -68% |
| Aetna | Medicare | $372.25 | ↓ -58% |
| United Healthcare | Compass Exchange | $491.37 | ↓ -45% |
| Geisinger | Medicaid/CHIP | $491.37 | ↓ -45% |
| Aetna | Neighborhood Network | $522.64 | ↓ -41% |
| UPMC Health Plan | CHIP | $559.16 | ↓ -37% |
| Aetna | EBR FI | $565.82 | ↓ -37% |
| Aetna | Home Depot Employer Group | $568.80 | ↓ -36% |
| Cigna | NBR ASO/FI | $580.71 | ↓ -35% |
| United Healthcare | All Business | $580.71 | ↓ -35% |
| Aetna | NBR ASO/FI | $580.71 | ↓ -35% |
| Cigna | New Business ASO | $580.71 | ↓ -35% |
| Cigna | Commercial | $595.60 | ↓ -33% |
| Aetna | EBR ASO | $595.60 | ↓ -33% |
| Cigna | EBR | $595.60 | ↓ -33% |
| UPMC Health Plan | Commercial | $678.54 | ↓ -24% |
| Highmark Wholecare (prev Gateway) | Medicare | $744.50 | ↓ -17% |
| InterGroup | PPO | $744.50 | ↓ -17% |
| PA Health & Wellness | PA Medicaid HMO | $818.95 | ↓ -8% |
| Coventry/First Health | Commercial | $1,042.30 | ↑ +17% |
| Private Health Care Systems | PPO | $1,191.20 | ↑ +33% |
| UPMC Work Partners | Workers Comp | not published by hospital | — |
Visitor-reported prices
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Lens, intraocular (new tech) at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Cole | Coudersport | $336.00 | $53.20 – $224.00 |
| 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 |