Clearance of tear duct at GROVE CITY HOSPITAL
631 NORTH BROAD STREET EXT, GROVE CITY, PA · Ahn · · NPI 1023000296
$161.23
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.
$701.00
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.
$20.57 with Univera vs $1,241.60 with United Healthcare — 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 |
|---|---|---|---|
| Univera | Univera Essential Plan | $20.57 | ↓ -87% |
| Univera | Univera Healthy New York | $20.57 | ↓ -87% |
| Univera | Univera Medicare | $25.78 | ↓ -84% |
| Univera | Univera Commercial | $34.39 | ↓ -79% |
| Highmark | Highmark Together Blue | $198.69 | ↑ +23% |
| Aetna | Aetna Better Health CHIP | $200.00 | ↑ +24% |
| Amerihealth | Amerihealth Caritas D-SNP Medicare | $210.00 | ↑ +30% |
| Amerihealth | Amerihealth Caritas Medicare (NY) | $210.00 | ↑ +30% |
| Highmark | Highmark Community Blue Medicare | $217.31 | ↑ +35% |
| University of Pittsburgh Medical Center | University of Pittsburgh Medical Center for You Medicaid CHC | $230.00 | ↑ +43% |
| University of Pittsburgh Medical Center | University of Pittsburgh Medical Center for Kids | $230.00 | ↑ +43% |
| University of Pittsburgh Medical Center | University of Pittsburgh Medical Center for You Medicaid HC | $230.00 | ↑ +43% |
| Allwell | Allwell by Wellcare | $233.67 | ↑ +45% |
| Life Pittsburgh | Life Pittsburgh Medicare | $233.67 | ↑ +45% |
| Highmark | Highmark Security Blue | $240.68 | ↑ +49% |
| Devoted Medicare | Devoted Health Medicare Advantage | $247.69 | ↑ +54% |
| Devoted Medicare | Devoted Duel Plus PA HMO D-SNP | $247.69 | ↑ +54% |
| American Health Plans | American Health Plans Medicare | $257.04 | ↑ +59% |
| Pennsylvania Health and Wellness | PA Health and Wellness Medicaid CHC | $264.00 | ↑ +64% |
| Highmark | Highmark Community Blue Medicare PPO | $264.57 | ↑ +64% |
| Highmark | Highmark Complete Blue Medicare | $264.57 | ↑ +64% |
| Highmark | Highmark Freedom Blue | $267.45 | ↑ +66% |
| Highmark Wholecare | Highmark Wholecare Medicaid HC | $276.00 | ↑ +71% |
| University of Pittsburgh Medical Center | University of Pittsburgh Medical Center for Life Medicare Specialty Plan D-SNP | $287.58 | ↑ +78% |
| University of Pittsburgh Medical Center | University of Pittsburgh Medical Center for Life Medicare HMO | $287.58 | ↑ +78% |
| University of Pittsburgh Medical Center | University of Pittsburgh Medical Center for Life Medicare PPO | $287.58 | ↑ +78% |
| Amerihealth | Amerihealth Caritas HC Medicaid | $290.00 | ↑ +80% |
| United Healthcare | United Healthcare Medicaid | $290.00 | ↑ +80% |
| Amerihealth | Amerihealth Caritas CHC Medicaid | $290.00 | ↑ +80% |
| Geisinger | Geisinger CHIP | $290.00 | ↑ +80% |
| Geisinger | Geisinger Medicaid HC | $290.00 | ↑ +80% |
| Aetna | Aetna Medicare | $299.08 | ↑ +85% |
| United Healthcare | United Healthcare Medicare | $299.08 | ↑ +85% |
| Highmark | Highmark Community Blue Medicare HMO | $299.08 | ↑ +85% |
| Highmark | Highmark Together Blue Medicare | $299.08 | ↑ +85% |
| Pennsylvania Health and Wellness | Pennsylvania Health and Wellness Medicaid CHC | $300.00 | ↑ +86% |
| Humana | Humana Commercial | $304.83 | ↑ +89% |
| Highmark Wholecare | Highmark Wholecare Medicare Assured | $304.83 | ↑ +89% |
| Cigna | Cigna Medicare | $307.71 | ↑ +91% |
| United Healthcare | United Healthcare Medicare I-SNP | $307.71 | ↑ +91% |
| United Healthcare | United Healthcare Medicare D-SNP | $310.58 | ↑ +93% |
| Molina | Molina Ohio | $313.46 | ↑ +94% |
| Amerihealth | Amerihealth Medicaid CHC | $330.00 | ↑ +105% |
| Amerihealth | Amerihealth Medicaid HC | $330.00 | ↑ +105% |
| Highmark | Highmark My Blue Access | $335.21 | ↑ +108% |
| Highmark | Highmark Community Blue | $335.21 | ↑ +108% |
| Highmark | Highmark Connect Blue | $335.21 | ↑ +108% |
| Highmark | Highmark Indemnity | $335.21 | ↑ +108% |
| Highmark | Highmark Managed Care | $335.21 | ↑ +108% |
| Highmark | Highmark Blue High Performance | $335.21 | ↑ +108% |
| Highmark | Highmark My Direct Blue | $335.21 | ↑ +108% |
| Highmark | Highmark Performance Blue | $335.21 | ↑ +108% |
| Highmark | Highmark Social Mission Indemnity | $335.21 | ↑ +108% |
| Highmark | Highmark Social Mission Managed Care | $335.21 | ↑ +108% |
| Cigna | Cigna Commercial | $398.00 | ↑ +147% |
| United Healthcare | United Healthcare Navigate Nexus Commercial | $456.90 | ↑ +183% |
| United Healthcare | United Healthcare Of OH Medicaid | $481.71 | ↑ +199% |
| United Healthcare | United Healthcare Commercial | $481.71 | ↑ +199% |
| Highmark | Highmark Performance Blue Enhanced | $567.19 | ↑ +252% |
| Aetna | Aetna Commercial | $611.68 | ↑ +279% |
| University of Pittsburgh Medical Center | University of Pittsburgh Medical Center Commercial | $738.47 | ↑ +358% |
| Medical Mutual | Medical Mutual Commercial (Cigna Network) | $818.86 | ↑ +408% |
| United Healthcare | United Healthcare CHIP | $1,241.60 | ↑ +670% |
Visitor-reported prices
Comments
Clearance of tear duct at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| AHN WEXFORD HOSPITAL | WEXFORD | $182.26 | $164.29 – $954.19 |
| Uniontown Hospital | Uniontown | $365.00 | $205.80 – $638.99 |