Bronch w/balloon occlusion at GROVE CITY HOSPITAL
631 NORTH BROAD STREET EXT, GROVE CITY, PA · Ahn · · NPI 1023000296
$119.83
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.
$521.00
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.
$151.09 with Univera vs $18,962.68 with Medical Mutual — 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 |
|---|---|---|---|
| Univera | Univera Essential Plan | $151.09 | ↑ +26% |
| Univera | Univera Healthy New York | $151.09 | ↑ +26% |
| Highmark | Highmark Community Blue Medicare | $161.62 | ↑ +35% |
| Amerihealth | Amerihealth Caritas D-SNP Medicare | $172.38 | ↑ +44% |
| Amerihealth | Amerihealth Caritas Medicare (NY) | $172.38 | ↑ +44% |
| Allwell | Allwell by Wellcare | $173.79 | ↑ +45% |
| Life Pittsburgh | Life Pittsburgh Medicare | $173.79 | ↑ +45% |
| Highmark | Highmark Security Blue | $179.00 | ↑ +49% |
| Devoted Medicare | Devoted Duel Plus PA HMO D-SNP | $184.22 | ↑ +54% |
| Devoted Medicare | Devoted Health Medicare Advantage | $184.22 | ↑ +54% |
| Univera | Univera Medicare | $188.17 | ↑ +57% |
| American Health Plans | American Health Plans Medicare | $191.17 | ↑ +60% |
| Univera | Univera Commercial | $201.05 | ↑ +68% |
| Highmark | Highmark Together Blue | $213.15 | ↑ +78% |
| Pennsylvania Health and Wellness | PA Health and Wellness Medicaid CHC | $216.70 | ↑ +81% |
| Highmark | Highmark Social Mission Managed Care | $225.47 | ↑ +88% |
| Highmark | Highmark Blue High Performance | $225.47 | ↑ +88% |
| Highmark | Highmark Community Blue | $225.47 | ↑ +88% |
| Highmark | Highmark Social Mission Indemnity | $225.47 | ↑ +88% |
| Highmark | Highmark Connect Blue | $225.47 | ↑ +88% |
| Highmark | Highmark Indemnity | $225.47 | ↑ +88% |
| Highmark | Highmark Managed Care | $225.47 | ↑ +88% |
| Highmark | Highmark My Blue Access | $225.47 | ↑ +88% |
| Highmark | Highmark My Direct Blue | $225.47 | ↑ +88% |
| Highmark | Highmark Performance Blue | $225.47 | ↑ +88% |
| Amerihealth | Amerihealth Caritas HC Medicaid | $238.05 | ↑ +99% |
| Geisinger | Geisinger CHIP | $238.05 | ↑ +99% |
| Amerihealth | Amerihealth Caritas CHC Medicaid | $238.05 | ↑ +99% |
| United Healthcare | United Healthcare Medicaid | $238.05 | ↑ +99% |
| Geisinger | Geisinger Medicaid HC | $238.05 | ↑ +99% |
| Cigna | Cigna Commercial | $295.39 | ↑ +147% |
| United Healthcare | United Healthcare Navigate Nexus Commercial | $352.90 | ↑ +195% |
| United Healthcare | United Healthcare Commercial | $372.06 | ↑ +210% |
| United Healthcare | United Healthcare Of OH Medicaid | $372.06 | ↑ +210% |
| Aetna | Aetna Better Health CHIP | $776.00 | ↑ +548% |
| University of Pittsburgh Medical Center | University of Pittsburgh Medical Center for You Medicaid HC | $892.40 | ↑ +645% |
| University of Pittsburgh Medical Center | University of Pittsburgh Medical Center for Kids | $892.40 | ↑ +645% |
| University of Pittsburgh Medical Center | University of Pittsburgh Medical Center for You Medicaid CHC | $892.40 | ↑ +645% |
| Highmark Wholecare | Highmark Wholecare Medicaid HC | $1,070.88 | ↑ +794% |
| Pennsylvania Health and Wellness | Pennsylvania Health and Wellness Medicaid CHC | $1,164.00 | ↑ +871% |
| United Healthcare | United Healthcare CHIP | $1,241.60 | ↑ +936% |
| Amerihealth | Amerihealth Medicaid HC | $1,280.40 | ↑ +969% |
| Amerihealth | Amerihealth Medicaid CHC | $1,280.40 | ↑ +969% |
| Highmark | Highmark Complete Blue Medicare | $6,126.79 | ↑ +5013% |
| Highmark | Highmark Community Blue Medicare PPO | $6,126.79 | ↑ +5013% |
| Highmark | Highmark Freedom Blue | $6,193.39 | ↑ +5068% |
| University of Pittsburgh Medical Center | University of Pittsburgh Medical Center for Life Medicare PPO | $6,659.55 | ↑ +5457% |
| University of Pittsburgh Medical Center | University of Pittsburgh Medical Center for Life Medicare HMO | $6,659.55 | ↑ +5457% |
| University of Pittsburgh Medical Center | University of Pittsburgh Medical Center for Life Medicare Specialty Plan D-SNP | $6,659.55 | ↑ +5457% |
| Aetna | Aetna Medicare | $6,925.94 | ↑ +5680% |
| Highmark | Highmark Together Blue Medicare | $6,925.94 | ↑ +5680% |
| United Healthcare | United Healthcare Medicare | $6,925.94 | ↑ +5680% |
| Highmark | Highmark Community Blue Medicare HMO | $6,925.94 | ↑ +5680% |
| Highmark Wholecare | Highmark Wholecare Medicare Assured | $7,059.13 | ↑ +5791% |
| Humana | Humana Commercial | $7,059.13 | ↑ +5791% |
| Cigna | Cigna Medicare | $7,125.72 | ↑ +5847% |
| United Healthcare | United Healthcare Medicare I-SNP | $7,125.72 | ↑ +5847% |
| United Healthcare | United Healthcare Medicare D-SNP | $7,192.32 | ↑ +5902% |
| Molina | Molina Ohio | $7,258.91 | ↑ +5958% |
| Highmark | Highmark Performance Blue Enhanced | $13,134.64 | ↑ +10861% |
| Aetna | Aetna Commercial | $14,164.87 | ↑ +11721% |
| Medical Mutual | Medical Mutual Commercial (Cigna Network) | $18,962.68 | ↑ +15725% |
Visitor-reported prices
Comments
Bronch w/balloon occlusion at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Presbyterian | Pittsburgh | $24,718.80 | $931.20 – $7,259.71 |