LENS INTOCU ENVISTA VAR BAUSC at UPMC Williamsport

Williamsport, PA

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Pricing by billing methodology

Price type

Payers reporting HCPCS V2633 at UPMC Williamsport

Negotiated rates from the hospital’s own file: 6 payers, 21 plan rates. A facility fee, a professional fee, a per diem and a case rate are different bills, so each is listed on its own. Open a payer to see it across hospitals.

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1	Aetna medicare facility · percent of total billed charges · outpatientfrom % of charges	$185	$185	—	—	—	$185 – $185
2	Highmark managed care - social mission facility · percent of total billed charges · outpatientfrom % of charges	$273	$273	—	—	—	$273 – $273
3	Aetna pebtf custom network facility · percent of total billed charges · outpatientfrom % of charges	$278	$278	—	—	—	$278 – $278
4	Aetna pebtf custom network facility · percent of total billed charges · inpatientfrom % of charges	$294	$294	—	—	—	$294 – $294
5	Highmark bluecare hmo/fplic ppo/traditional products facility · percent of total billed charges · outpatientfrom % of charges	$321	$321	—	—	—	$321 – $321
6	Aetna commercial facility · percent of total billed charges · outpatientfrom % of charges	$327	$327	—	—	—	$327 – $327
7	First Health commercial facility · percent of total billed charges · outpatientfrom % of charges	$344	$344	—	—	—	$344 – $344
8	Aetna commercial facility · percent of total billed charges · inpatientfrom % of charges	$346	$346	—	—	—	$346 – $346
9	First Health commercial facility · percent of total billed charges · inpatientfrom % of charges	$363	$363	—	—	—	$363 – $363
10	Aetna first health facility · percent of total billed charges · inpatientfrom % of charges	$453	$453	—	—	—	$453 – $453
11	Aetna first health facility · percent of total billed charges · outpatientfrom % of charges	$453	$453	—	—	—	$453 – $453
12	First Health fh-medical rental facility · percent of total billed charges · inpatientfrom % of charges	$462	$462	—	—	—	$462 – $462
13	First Health fh-medical rental facility · percent of total billed charges · outpatientfrom % of charges	$462	$462	—	—	—	$462 – $462
14	UnitedHealthcare commercial facility · percent of total billed charges · inpatientfrom % of charges	$469	$469	—	—	—	$469 – $469
15	UnitedHealthcare commercial facility · percent of total billed charges · outpatientfrom % of charges	$469	$469	—	—	—	$469 – $469
16	Cigna commercial facility · percent of total billed charges · inpatientfrom % of charges	$470	$470	—	—	—	$470 – $470
17	Cigna commercial facility · percent of total billed charges · outpatientfrom % of charges	$470	$470	—	—	—	$470 – $470
18	MultiPlan auto facility · percent of total billed charges · inpatientfrom % of charges	$535	$535	—	—	—	$535 – $535
19	MultiPlan auto facility · percent of total billed charges · outpatientfrom % of charges	$535	$535	—	—	—	$535 – $535
20	MultiPlan ppo (includes phcs as a payer) facility · percent of total billed charges · inpatientfrom % of charges	$535	$535	—	—	—	$535 – $535
21	MultiPlan ppo (includes phcs as a payer) facility · percent of total billed charges · outpatientfrom % of charges	$535	$535	—	—	—	$535 – $535

Last updated: Mar 6, 2026

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