healthcosts.net
Lens iol ant chamb 10.5 at UPMC Muncy
215 East Water Street, Muncy, PA · UPMC · · NPI 1609816198
$289.80
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.
$483.00
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.
$54.75 with Highmark Wholecare (prev Gateway) vs $346.75 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 | $54.75 | ↓ -81% |
| UPMC Health Plan | Managed Medicare | $54.75 | ↓ -81% |
| AmeriHealth Caritas | Medicare | $56.39 | ↓ -81% |
| Cigna | Medicare | $57.49 | ↓ -80% |
| United Healthcare | Medicare | $58.58 | ↓ -80% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $59.13 | ↓ -80% |
| Highmark BCBS of PA | Bluecare HMO/FPLIC PPO/Traditional Products | $143.15 | ↓ -51% |
| Aetna | PEBTF Custom Network | $148.01 | ↓ -49% |
| UPMC Health Plan | Commercial | $159.14 | ↓ -45% |
| Highmark BCBS of PA | Managed Care - Social Mission | $168.59 | ↓ -42% |
| Aetna | Commercial | $174.10 | ↓ -40% |
| Coventry/First Health | Commercial | $182.87 | ↓ -37% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $200.75 | ↓ -31% |
| Wirerope Works | Commercial | $202.94 | ↓ -30% |
| Aetna | First Health | $240.90 | ↓ -17% |
| Geisinger | Commercial | $244.55 | ↓ -16% |
| Coventry/First Health | FH-Medical Rental | $245.65 | ↓ -15% |
| United Healthcare | Commercial | $249.66 | ↓ -14% |
| Cigna | Commercial | $250.03 | ↓ -14% |
| Multiplan | Auto | $284.70 | ↓ -2% |
| Multiplan | PPO (Includes PHCS as a Payer) | $284.70 | ↓ -2% |
| America's Choice | PPO | $292.00 | ↑ +1% |
| InterGroup | PPO | $292.00 | ↑ +1% |
| Three Rivers Provider Network | All | $328.50 | ↑ +13% |
| Multiplan | Worker's Compensation | $346.75 | ↑ +20% |
| 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 Mercy | Pittsburgh | $961.20 | $71.50 – $701.11 |
| UPMC Northwest | Seneca | $322.20 | $134.25 – $1,074.41 |
| UPMC Passavant-McCandless | Pittsburgh | $2,022.60 | $281.48 – $1,288.42 |
| UPMC Presbyterian | Pittsburgh | $2,531.40 | $81.90 – $1,435.54 |
| UPMC St. Margaret | Pittsburgh | $2,022.60 | $281.48 – $2,689.40 |
| UPMC Wellsboro | Wellsboro | $350.40 | $78.84 – $394.20 |