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Cornea pre-cut midwest eye cornea pre-cut midwest eye at UPMC St. Margaret
815 Freeport Road, Pittsburgh, PA · UPMC · · NPI 1790795359
$11,550.60
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.
$19,251.00
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.
$4,812.75 with Aetna vs $21,561.12 with Highmark BCBS of PA — 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 | $4,812.75 | ↓ -58% |
| Aetna | Neighborhood Network | $4,851.25 | ↓ -58% |
| Aetna | Home Depot Employer Group | $5,274.77 | ↓ -54% |
| Aetna | NBR ASO/FI | $5,390.28 | ↓ -53% |
| Cigna | New Business ASO | $5,390.28 | ↓ -53% |
| Aetna | EBR FI | $7,315.38 | ↓ -37% |
| Aetna | EBR ASO | $7,700.40 | ↓ -33% |
| Cigna | Commercial | $7,700.40 | ↓ -33% |
| UPMC Health Plan | Commercial | $9,378.02 | ↓ -19% |
| Highmark BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage | $9,625.50 | ↓ -17% |
| Highmark Wholecare (prev Gateway) | Medicare | $9,625.50 | ↓ -17% |
| PA Health & Wellness | PA Medicaid HMO | $10,588.05 | ↓ -8% |
| Highmark BCBS of PA | Managed Care | $10,780.56 | ↓ -7% |
| Highmark BCBS of PA | Managed Care - Social Mission | $10,780.56 | ↓ -7% |
| Highmark BCBS of PA | Commercial - Indemnity | $10,973.07 | ↓ -5% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $10,973.07 | ↓ -5% |
| Coventry/First Health | Commercial | $13,475.70 | ↑ +17% |
| Private Health Care Systems | PPO | $15,400.80 | ↑ +33% |
| SelectCare | Commercial | $15,400.80 | ↑ +33% |
| Humana | Commercial | $16,363.35 | ↑ +42% |
| Highmark BCBS of PA | UPMC Emergent | $21,561.12 | ↑ +87% |
| UPMC Work Partners | Workers Comp | not published by hospital | — |
Visitor-reported prices
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Cornea pre-cut midwest eye cornea pre-cut midwest eye at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Mercy | Pittsburgh | $11,265.60 | $4,694.00 – $16,898.40 |
| UPMC Passavant-McCandless | Pittsburgh | $12,602.40 | $5,251.00 – $17,853.40 |
| UPMC Presbyterian | Pittsburgh | $14,521.80 | $4,356.54 – $20,572.55 |
| UPMC Muncy | Muncy | $1,200.00 | $300.00 – $1,800.00 |
| UPMC Somerset | Somerset | $21,789.60 | $4,577.64 – $27,237.00 |
| UPMC Wellsboro | Wellsboro | $1,451.20 | $326.52 – $1,632.60 |