Close tear duct opening at GROVE CITY HOSPITAL
631 NORTH BROAD STREET EXT, GROVE CITY, PA · Ahn · · NPI 1023000296
$74.06
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.
$322.00
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.
$9.53 with Univera vs $1,241.60 with United Healthcare — 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 | $9.53 | ↓ -87% |
| Univera | Univera Healthy New York | $9.53 | ↓ -87% |
| Univera | Univera Medicare | $11.94 | ↓ -84% |
| Univera | Univera Commercial | $15.93 | ↓ -78% |
| Aetna | Aetna Better Health CHIP | $63.00 | ↓ -15% |
| Amerihealth | Amerihealth Caritas D-SNP Medicare | $66.15 | ↓ -11% |
| Amerihealth | Amerihealth Caritas Medicare (NY) | $66.15 | ↓ -11% |
| University of Pittsburgh Medical Center | University of Pittsburgh Medical Center for You Medicaid HC | $72.45 | ↓ -2% |
| University of Pittsburgh Medical Center | University of Pittsburgh Medical Center for Kids | $72.45 | ↓ -2% |
| University of Pittsburgh Medical Center | University of Pittsburgh Medical Center for You Medicaid CHC | $72.45 | ↓ -2% |
| Pennsylvania Health and Wellness | PA Health and Wellness Medicaid CHC | $83.16 | ↑ +12% |
| Highmark Wholecare | Highmark Wholecare Medicaid HC | $86.94 | ↑ +17% |
| Amerihealth | Amerihealth Caritas HC Medicaid | $91.35 | ↑ +23% |
| Amerihealth | Amerihealth Caritas CHC Medicaid | $91.35 | ↑ +23% |
| Geisinger | Geisinger CHIP | $91.35 | ↑ +23% |
| Geisinger | Geisinger Medicaid HC | $91.35 | ↑ +23% |
| United Healthcare | United Healthcare Medicaid | $91.35 | ↑ +23% |
| Pennsylvania Health and Wellness | Pennsylvania Health and Wellness Medicaid CHC | $94.50 | ↑ +28% |
| Highmark | Highmark Community Blue Medicare | $99.91 | ↑ +35% |
| Amerihealth | Amerihealth Medicaid CHC | $103.95 | ↑ +40% |
| Amerihealth | Amerihealth Medicaid HC | $103.95 | ↑ +40% |
| Life Pittsburgh | Life Pittsburgh Medicare | $107.43 | ↑ +45% |
| Allwell | Allwell by Wellcare | $107.43 | ↑ +45% |
| Highmark | Highmark Security Blue | $110.65 | ↑ +49% |
| Devoted Medicare | Devoted Health Medicare Advantage | $113.88 | ↑ +54% |
| Devoted Medicare | Devoted Duel Plus PA HMO D-SNP | $113.88 | ↑ +54% |
| American Health Plans | American Health Plans Medicare | $118.17 | ↑ +60% |
| Highmark | Highmark Together Blue | $146.87 | ↑ +98% |
| Highmark | Highmark Performance Blue | $155.36 | ↑ +110% |
| Highmark | Highmark Social Mission Indemnity | $155.36 | ↑ +110% |
| Highmark | Highmark Social Mission Managed Care | $155.36 | ↑ +110% |
| Highmark | Highmark Blue High Performance | $155.36 | ↑ +110% |
| Highmark | Highmark Connect Blue | $155.36 | ↑ +110% |
| Highmark | Highmark Community Blue | $155.36 | ↑ +110% |
| Highmark | Highmark Indemnity | $155.36 | ↑ +110% |
| Highmark | Highmark Managed Care | $155.36 | ↑ +110% |
| Highmark | Highmark My Blue Access | $155.36 | ↑ +110% |
| Highmark | Highmark My Direct Blue | $155.36 | ↑ +110% |
| Cigna | Cigna Commercial | $183.25 | ↑ +147% |
| United Healthcare | United Healthcare Navigate Nexus Commercial | $208.57 | ↑ +182% |
| United Healthcare | United Healthcare Of OH Medicaid | $219.89 | ↑ +197% |
| United Healthcare | United Healthcare Commercial | $219.89 | ↑ +197% |
| University of Pittsburgh Medical Center | University of Pittsburgh Medical Center Commercial | $253.81 | ↑ +243% |
| Highmark | Highmark Community Blue Medicare PPO | $264.57 | ↑ +257% |
| Highmark | Highmark Complete Blue Medicare | $264.57 | ↑ +257% |
| Highmark | Highmark Freedom Blue | $267.45 | ↑ +261% |
| University of Pittsburgh Medical Center | University of Pittsburgh Medical Center for Life Medicare HMO | $287.58 | ↑ +288% |
| University of Pittsburgh Medical Center | University of Pittsburgh Medical Center for Life Medicare PPO | $287.58 | ↑ +288% |
| University of Pittsburgh Medical Center | University of Pittsburgh Medical Center for Life Medicare Specialty Plan D-SNP | $287.58 | ↑ +288% |
| Aetna | Aetna Medicare | $299.08 | ↑ +304% |
| United Healthcare | United Healthcare Medicare | $299.08 | ↑ +304% |
| Highmark | Highmark Together Blue Medicare | $299.08 | ↑ +304% |
| Highmark | Highmark Community Blue Medicare HMO | $299.08 | ↑ +304% |
| Humana | Humana Commercial | $304.83 | ↑ +312% |
| Highmark Wholecare | Highmark Wholecare Medicare Assured | $304.83 | ↑ +312% |
| United Healthcare | United Healthcare Medicare I-SNP | $307.71 | ↑ +315% |
| Cigna | Cigna Medicare | $307.71 | ↑ +315% |
| United Healthcare | United Healthcare Medicare D-SNP | $310.58 | ↑ +319% |
| Molina | Molina Ohio | $313.46 | ↑ +323% |
| Highmark | Highmark Performance Blue Enhanced | $567.19 | ↑ +666% |
| Aetna | Aetna Commercial | $611.68 | ↑ +726% |
| Medical Mutual | Medical Mutual Commercial (Cigna Network) | $818.86 | ↑ +1006% |
| United Healthcare | United Healthcare CHIP | $1,241.60 | ↑ +1576% |
Visitor-reported prices
Comments
Close tear duct opening at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| AHN WEXFORD HOSPITAL | WEXFORD | $83.72 | $66.15 – $954.19 |
| UPMC Mercy | Pittsburgh | not published | $218.66 – $313.49 |