Bronchial valve init insert at GROVE CITY HOSPITAL
631 NORTH BROAD STREET EXT, GROVE CITY, PA · Ahn · · NPI 1023000296
$130.41
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.
$567.00
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.
$165.03 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 | $165.03 | ↑ +27% |
| Univera | Univera Healthy New York | $165.03 | ↑ +27% |
| Univera | Univera Medicare | $205.53 | ↑ +58% |
| Univera | Univera Commercial | $219.61 | ↑ +68% |
| Highmark | Highmark Together Blue | $232.49 | ↑ +78% |
| Highmark | Highmark Connect Blue | $245.93 | ↑ +89% |
| Highmark | Highmark Blue High Performance | $245.93 | ↑ +89% |
| Highmark | Highmark Community Blue | $245.93 | ↑ +89% |
| Highmark | Highmark Indemnity | $245.93 | ↑ +89% |
| Highmark | Highmark Managed Care | $245.93 | ↑ +89% |
| Highmark | Highmark My Blue Access | $245.93 | ↑ +89% |
| Highmark | Highmark My Direct Blue | $245.93 | ↑ +89% |
| Highmark | Highmark Performance Blue | $245.93 | ↑ +89% |
| Highmark | Highmark Social Mission Indemnity | $245.93 | ↑ +89% |
| Highmark | Highmark Social Mission Managed Care | $245.93 | ↑ +89% |
| Cigna | Cigna Commercial | $322.44 | ↑ +147% |
| United Healthcare | United Healthcare Navigate Nexus Commercial | $388.18 | ↑ +198% |
| United Healthcare | United Healthcare Commercial | $409.26 | ↑ +214% |
| United Healthcare | United Healthcare Of OH Medicaid | $409.26 | ↑ +214% |
| United Healthcare | United Healthcare Medicaid | $6,038.59 | ↑ +4530% |
| United Healthcare | United Healthcare CHIP | $6,038.59 | ↑ +4530% |
| Highmark | Highmark Complete Blue Medicare | $6,126.79 | ↑ +4598% |
| Highmark | Highmark Community Blue Medicare PPO | $6,126.79 | ↑ +4598% |
| Highmark | Highmark Freedom Blue | $6,193.39 | ↑ +4649% |
| University of Pittsburgh Medical Center | University of Pittsburgh Medical Center for Life Medicare Specialty Plan D-SNP | $6,659.55 | ↑ +5007% |
| American Health Plans | American Health Plans Medicare | $6,659.55 | ↑ +5007% |
| Life Pittsburgh | Life Pittsburgh Medicare | $6,659.55 | ↑ +5007% |
| University of Pittsburgh Medical Center | University of Pittsburgh Medical Center for Life Medicare HMO | $6,659.55 | ↑ +5007% |
| University of Pittsburgh Medical Center | University of Pittsburgh Medical Center for Life Medicare PPO | $6,659.55 | ↑ +5007% |
| Devoted Medicare | Devoted Health Medicare Advantage | $6,859.34 | ↑ +5160% |
| Highmark | Highmark Community Blue Medicare HMO | $6,925.94 | ↑ +5211% |
| Aetna | Aetna Medicare | $6,925.94 | ↑ +5211% |
| Highmark | Highmark Together Blue Medicare | $6,925.94 | ↑ +5211% |
| Highmark | Highmark Security Blue | $6,925.94 | ↑ +5211% |
| United Healthcare | United Healthcare Medicare | $6,925.94 | ↑ +5211% |
| Amerihealth | Amerihealth Caritas D-SNP Medicare | $6,992.53 | ↑ +5262% |
| Humana | Humana Commercial | $7,059.13 | ↑ +5313% |
| Highmark Wholecare | Highmark Wholecare Medicare Assured | $7,059.13 | ↑ +5313% |
| United Healthcare | United Healthcare Medicare I-SNP | $7,125.72 | ↑ +5364% |
| Cigna | Cigna Medicare | $7,125.72 | ↑ +5364% |
| United Healthcare | United Healthcare Medicare D-SNP | $7,192.32 | ↑ +5415% |
| Molina | Molina Ohio | $7,258.91 | ↑ +5466% |
| Highmark | Highmark Performance Blue Enhanced | $13,134.64 | ↑ +9972% |
| Aetna | Aetna Commercial | $14,164.87 | ↑ +10762% |
| Medical Mutual | Medical Mutual Commercial (Cigna Network) | $18,962.68 | ↑ +14441% |
Visitor-reported prices
Comments
Bronchial valve init insert at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Presbyterian | Pittsburgh | $9,866.40 | $192.25 – $7,259.71 |