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Lens iol 23.0 d 1.5 cyl eyhance toric at UPMC Muncy
215 East Water Street, Muncy, PA · UPMC · · NPI 1609816198
$283.80
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.
$473.00
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.
$67.50 with Highmark Wholecare (prev Gateway) vs $427.50 with Multiplan — 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 |
|---|---|---|---|
| Highmark Wholecare (prev Gateway) | Medicare | $67.50 | ↓ -76% |
| UPMC Health Plan | Managed Medicare | $67.50 | ↓ -76% |
| AmeriHealth Caritas | Medicare | $69.53 | ↓ -76% |
| Cigna | Medicare | $70.88 | ↓ -75% |
| United Healthcare | Medicare | $72.22 | ↓ -75% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $72.90 | ↓ -74% |
| Highmark Wholecare (prev Gateway) | Medicaid | $90.00 | ↓ -68% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $148.50 | ↓ -48% |
| Highmark BCBS of PA | Bluecare HMO/FPLIC PPO/Traditional Products | $176.49 | ↓ -38% |
| Aetna | PEBTF Custom Network | $182.47 | ↓ -36% |
| UPMC Health Plan | Commercial | $196.20 | ↓ -31% |
| Highmark BCBS of PA | Managed Care - Social Mission | $207.85 | ↓ -27% |
| Aetna | Commercial | $214.65 | ↓ -24% |
| Coventry/First Health | Commercial | $225.45 | ↓ -21% |
| Wirerope Works | Commercial | $250.20 | ↓ -12% |
| Aetna | First Health | $297.00 | ↑ +5% |
| Geisinger | Commercial | $301.50 | ↑ +6% |
| Coventry/First Health | FH-Medical Rental | $302.85 | ↑ +7% |
| United Healthcare | Commercial | $307.80 | ↑ +8% |
| Cigna | Commercial | $308.25 | ↑ +9% |
| Multiplan | Auto | $351.00 | ↑ +24% |
| Multiplan | PPO (Includes PHCS as a Payer) | $351.00 | ↑ +24% |
| America's Choice | PPO | $360.00 | ↑ +27% |
| InterGroup | PPO | $360.00 | ↑ +27% |
| Three Rivers Provider Network | All | $405.00 | ↑ +43% |
| Multiplan | Worker's Compensation | $427.50 | ↑ +51% |
| UPMC Work Partners | Workers Comp | not published by hospital | — |
Visitor-reported prices
Comments
Lens iol 23.0 d 1.5 cyl eyhance toric at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Mercy | Pittsburgh | $609.00 | $112.50 – $552.75 |
| UPMC Northwest | Seneca | $609.00 | $253.75 – $862.75 |
| UPMC Passavant-McCandless | Pittsburgh | $609.00 | $112.50 – $1,015.79 |
| UPMC Presbyterian | Pittsburgh | $600.00 | $27.00 – $1,131.78 |
| UPMC St. Margaret | Pittsburgh | $789.00 | $112.50 – $858.95 |
| UPMC Wellsboro | Wellsboro | $360.00 | $81.00 – $405.00 |