Lens iol 23.0 d 1.5 cyl eyhance toric at UPMC Jameson
1211 Wilmington Avenue, New Castle, PA · UPMC · · NPI 111471575
$609.00
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.
?
What you pay up front if you don't use insurance.
$1,015.00
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.
?
The hospital's undiscounted list price — almost no one pays this.
$138.60 with Cigna vs $700.00 with UPMC Health Plan — same scan, same building. Share
Negotiated rates by payer
?
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 →
?
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 |
|---|---|---|---|
| Cigna | Commercial | $138.60 | ↓ -77% |
| Geisinger | Medicaid/CHIP | $148.50 | ↓ -76% |
| United Healthcare | Commercial | $157.05 | ↓ -74% |
| UPMC Health Plan | Commercial | $202.50 | ↓ -67% |
| Highmark Wholecare (prev Gateway) | Medicare | $225.00 | ↓ -63% |
| Aetna of PA | Medicare | $229.36 | ↓ -62% |
| PA Health & Wellness | PA Medicaid HMO | $247.50 | ↓ -59% |
| Multiplan | PPO (inc. Auto and Worker's Compensation) | $337.50 | ↓ -45% |
| Humana | Commercial | $360.00 | ↓ -41% |
| National Provider Network | PPO | $396.00 | ↓ -35% |
| UPMC Health Plan | CHIP | $700.00 | ↑ +15% |
| UPMC Work Partners | Workers Comp | not published by hospital | — |
| Aetna | Medicaid | not published by hospital | — |
| UPMC Health Plan | Managed Medicaid | 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 Altoona | Altoona | $270.00 | $85.50 – $700.00 |
| UPMC Bedford | Everett | $270.00 | $85.50 – $700.00 |
| UPMC East | Monroeville | $609.00 | $85.50 – $700.00 |
| UPMC Northwest | Seneca | $609.00 | $847.06 – $847.06 |
| UPMC Horizon-Greenville | Greenville | $303.00 | $700.00 – $700.00 |
| UPMC Magee | Pittsburgh | $609.00 | $252.30 – $700.00 |
| UPMC Mercy | Pittsburgh | $609.00 | $552.75 – $552.75 |
| UPMC Muncy | Muncy | $283.80 | $67.50 – $405.00 |