Composite graft/pri close/don area 15760 at GROVE CITY HOSPITAL
631 NORTH BROAD STREET EXT, GROVE CITY, PA · Ahn · · NPI 1023000296
$450.34
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.
$1,958.00
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.
$56.89 with Univera vs $5,010.80 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 | $56.89 | ↓ -87% |
| Univera | Univera Healthy New York | $56.89 | ↓ -87% |
| Univera | Univera Medicare | $69.08 | ↓ -85% |
| Univera | Univera Commercial | $75.05 | ↓ -83% |
| Aetna | Aetna Better Health CHIP | $298.50 | ↓ -34% |
| Amerihealth | Amerihealth Caritas D-SNP Medicare | $313.43 | ↓ -30% |
| Amerihealth | Amerihealth Caritas Medicare (NY) | $313.43 | ↓ -30% |
| University of Pittsburgh Medical Center | University of Pittsburgh Medical Center for You Medicaid HC | $343.28 | ↓ -24% |
| University of Pittsburgh Medical Center | University of Pittsburgh Medical Center for Kids | $343.28 | ↓ -24% |
| University of Pittsburgh Medical Center | University of Pittsburgh Medical Center for You Medicaid CHC | $343.28 | ↓ -24% |
| Pennsylvania Health and Wellness | PA Health and Wellness Medicaid CHC | $394.02 | ↓ -13% |
| Highmark Wholecare | Highmark Wholecare Medicaid HC | $411.93 | ↓ -9% |
| Amerihealth | Amerihealth Caritas HC Medicaid | $432.83 | ↓ -4% |
| Amerihealth | Amerihealth Caritas CHC Medicaid | $432.83 | ↓ -4% |
| Geisinger | Geisinger CHIP | $432.83 | ↓ -4% |
| Geisinger | Geisinger Medicaid HC | $432.83 | ↓ -4% |
| United Healthcare | United Healthcare Medicaid | $432.83 | ↓ -4% |
| Pennsylvania Health and Wellness | Pennsylvania Health and Wellness Medicaid CHC | $447.75 | ↓ -1% |
| Amerihealth | Amerihealth Medicaid CHC | $478.33 | ↑ +6% |
| Amerihealth | Amerihealth Medicaid HC | $478.33 | ↑ +6% |
| Highmark | Highmark Community Blue Medicare | $606.96 | ↑ +35% |
| Life Pittsburgh | Life Pittsburgh Medicare | $652.65 | ↑ +45% |
| Allwell | Allwell by Wellcare | $652.65 | ↑ +45% |
| Highmark | Highmark Security Blue | $672.23 | ↑ +49% |
| Devoted Medicare | Devoted Health Medicare Advantage | $691.81 | ↑ +54% |
| Devoted Medicare | Devoted Duel Plus PA HMO D-SNP | $691.81 | ↑ +54% |
| Highmark | Highmark Together Blue | $694.52 | ↑ +54% |
| American Health Plans | American Health Plans Medicare | $717.92 | ↑ +59% |
| Highmark | Highmark Performance Blue | $734.68 | ↑ +63% |
| Highmark | Highmark Social Mission Indemnity | $734.68 | ↑ +63% |
| Highmark | Highmark Social Mission Managed Care | $734.68 | ↑ +63% |
| Highmark | Highmark Blue High Performance | $734.68 | ↑ +63% |
| Highmark | Highmark Connect Blue | $734.68 | ↑ +63% |
| Highmark | Highmark Community Blue | $734.68 | ↑ +63% |
| Highmark | Highmark Indemnity | $734.68 | ↑ +63% |
| Highmark | Highmark Managed Care | $734.68 | ↑ +63% |
| Highmark | Highmark My Blue Access | $734.68 | ↑ +63% |
| Highmark | Highmark My Direct Blue | $734.68 | ↑ +63% |
| Cigna | Cigna Commercial | $1,106.53 | ↑ +146% |
| United Healthcare | United Healthcare CHIP | $1,241.60 | ↑ +176% |
| United Healthcare | United Healthcare Navigate Nexus Commercial | $1,268.05 | ↑ +182% |
| United Healthcare | United Healthcare Of OH Medicaid | $1,336.90 | ↑ +197% |
| United Healthcare | United Healthcare Commercial | $1,336.90 | ↑ +197% |
| Highmark | Highmark Community Blue Medicare PPO | $1,618.98 | ↑ +260% |
| Highmark | Highmark Complete Blue Medicare | $1,618.98 | ↑ +260% |
| Highmark | Highmark Freedom Blue | $1,636.57 | ↑ +263% |
| University of Pittsburgh Medical Center | University of Pittsburgh Medical Center for Life Medicare PPO | $1,759.76 | ↑ +291% |
| University of Pittsburgh Medical Center | University of Pittsburgh Medical Center for Life Medicare Specialty Plan D-SNP | $1,759.76 | ↑ +291% |
| University of Pittsburgh Medical Center | University of Pittsburgh Medical Center for Life Medicare HMO | $1,759.76 | ↑ +291% |
| Aetna | Aetna Medicare | $1,830.15 | ↑ +306% |
| United Healthcare | United Healthcare Medicare | $1,830.15 | ↑ +306% |
| Highmark | Highmark Together Blue Medicare | $1,830.15 | ↑ +306% |
| Highmark | Highmark Community Blue Medicare HMO | $1,830.15 | ↑ +306% |
| Humana | Humana Commercial | $1,865.34 | ↑ +314% |
| Highmark Wholecare | Highmark Wholecare Medicare Assured | $1,865.34 | ↑ +314% |
| United Healthcare | United Healthcare Medicare I-SNP | $1,882.94 | ↑ +318% |
| Cigna | Cigna Medicare | $1,882.94 | ↑ +318% |
| United Healthcare | United Healthcare Medicare D-SNP | $1,900.54 | ↑ +322% |
| Molina | Molina Ohio | $1,918.13 | ↑ +326% |
| University of Pittsburgh Medical Center | University of Pittsburgh Medical Center Commercial | $1,935.43 | ↑ +330% |
| Highmark | Highmark Performance Blue Enhanced | $3,470.77 | ↑ +671% |
| Aetna | Aetna Commercial | $3,743.00 | ↑ +731% |
| Medical Mutual | Medical Mutual Commercial (Cigna Network) | $5,010.80 | ↑ +1013% |
Visitor-reported prices
Comments
Composite graft/pri close/don area 15760 at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| AHN WEXFORD HOSPITAL | WEXFORD | $509.08 | $313.43 – $5,838.96 |
| UPMC Mercy | Pittsburgh | $4,080.00 | $328.35 – $2,169.19 |
| UPMC St. Margaret | Pittsburgh | $3,734.40 | $328.35 – $2,158.55 |
| Uniontown Hospital | Uniontown | $2,371.50 | $205.80 – $4,153.69 |