Cover eye w/membrane at GROVE CITY HOSPITAL
631 NORTH BROAD STREET EXT, GROVE CITY, PA · Ahn · · NPI 1023000296
$28.06
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.
$122.00
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.
$35.87 with Univera vs $2,653.12 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 | $35.87 | ↑ +28% |
| Univera | Univera Healthy New York | $35.87 | ↑ +28% |
| Highmark | Highmark Community Blue Medicare | $37.80 | ↑ +35% |
| Allwell | Allwell by Wellcare | $40.64 | ↑ +45% |
| Life Pittsburgh | Life Pittsburgh Medicare | $40.64 | ↑ +45% |
| Highmark | Highmark Security Blue | $41.86 | ↑ +49% |
| Devoted Medicare | Devoted Duel Plus PA HMO D-SNP | $43.08 | ↑ +54% |
| Devoted Medicare | Devoted Health Medicare Advantage | $43.08 | ↑ +54% |
| American Health Plans | American Health Plans Medicare | $44.70 | ↑ +59% |
| Univera | Univera Medicare | $44.95 | ↑ +60% |
| Highmark | Highmark Together Blue | $54.70 | ↑ +95% |
| Highmark | Highmark Community Blue | $57.87 | ↑ +106% |
| Highmark | Highmark Blue High Performance | $57.87 | ↑ +106% |
| Highmark | Highmark Connect Blue | $57.87 | ↑ +106% |
| Highmark | Highmark Indemnity | $57.87 | ↑ +106% |
| Highmark | Highmark Managed Care | $57.87 | ↑ +106% |
| Highmark | Highmark My Blue Access | $57.87 | ↑ +106% |
| Highmark | Highmark My Direct Blue | $57.87 | ↑ +106% |
| Highmark | Highmark Performance Blue | $57.87 | ↑ +106% |
| Highmark | Highmark Social Mission Indemnity | $57.87 | ↑ +106% |
| Highmark | Highmark Social Mission Managed Care | $57.87 | ↑ +106% |
| Univera | Univera Commercial | $59.97 | ↑ +114% |
| Amerihealth | Amerihealth Caritas D-SNP Medicare | $62.59 | ↑ +123% |
| Amerihealth | Amerihealth Caritas Medicare (NY) | $62.59 | ↑ +123% |
| Cigna | Cigna Commercial | $69.52 | ↑ +148% |
| Pennsylvania Health and Wellness | PA Health and Wellness Medicaid CHC | $78.69 | ↑ +180% |
| Geisinger | Geisinger CHIP | $86.43 | ↑ +208% |
| Amerihealth | Amerihealth Caritas HC Medicaid | $86.43 | ↑ +208% |
| Geisinger | Geisinger Medicaid HC | $86.43 | ↑ +208% |
| United Healthcare | United Healthcare Medicaid | $86.43 | ↑ +208% |
| Amerihealth | Amerihealth Caritas CHC Medicaid | $86.43 | ↑ +208% |
| United Healthcare | United Healthcare Navigate Nexus Commercial | $98.79 | ↑ +252% |
| United Healthcare | United Healthcare Of OH Medicaid | $104.15 | ↑ +271% |
| United Healthcare | United Healthcare Commercial | $104.15 | ↑ +271% |
| Aetna | Aetna Better Health CHIP | $776.00 | ↑ +2666% |
| Highmark | Highmark Complete Blue Medicare | $857.21 | ↑ +2955% |
| Highmark | Highmark Community Blue Medicare PPO | $857.21 | ↑ +2955% |
| Highmark | Highmark Freedom Blue | $866.53 | ↑ +2988% |
| University of Pittsburgh Medical Center | University of Pittsburgh Medical Center for Kids | $892.40 | ↑ +3080% |
| University of Pittsburgh Medical Center | University of Pittsburgh Medical Center for You Medicaid HC | $892.40 | ↑ +3080% |
| University of Pittsburgh Medical Center | University of Pittsburgh Medical Center for You Medicaid CHC | $892.40 | ↑ +3080% |
| University of Pittsburgh Medical Center | University of Pittsburgh Medical Center for Life Medicare Specialty Plan D-SNP | $931.75 | ↑ +3221% |
| University of Pittsburgh Medical Center | University of Pittsburgh Medical Center for Life Medicare PPO | $931.75 | ↑ +3221% |
| University of Pittsburgh Medical Center | University of Pittsburgh Medical Center for Life Medicare HMO | $931.75 | ↑ +3221% |
| Highmark | Highmark Community Blue Medicare HMO | $969.03 | ↑ +3353% |
| Highmark | Highmark Together Blue Medicare | $969.03 | ↑ +3353% |
| United Healthcare | United Healthcare Medicare | $969.03 | ↑ +3353% |
| Aetna | Aetna Medicare | $969.03 | ↑ +3353% |
| Highmark Wholecare | Highmark Wholecare Medicare Assured | $987.66 | ↑ +3420% |
| Humana | Humana Commercial | $987.66 | ↑ +3420% |
| United Healthcare | United Healthcare Medicare I-SNP | $996.98 | ↑ +3453% |
| Cigna | Cigna Medicare | $996.98 | ↑ +3453% |
| United Healthcare | United Healthcare Medicare D-SNP | $1,006.30 | ↑ +3486% |
| Molina | Molina Ohio | $1,015.61 | ↑ +3519% |
| Highmark Wholecare | Highmark Wholecare Medicaid HC | $1,070.88 | ↑ +3716% |
| Pennsylvania Health and Wellness | Pennsylvania Health and Wellness Medicaid CHC | $1,164.00 | ↑ +4048% |
| United Healthcare | United Healthcare CHIP | $1,241.60 | ↑ +4325% |
| Amerihealth | Amerihealth Medicaid CHC | $1,280.40 | ↑ +4463% |
| Amerihealth | Amerihealth Medicaid HC | $1,280.40 | ↑ +4463% |
| Highmark | Highmark Performance Blue Enhanced | $1,837.70 | ↑ +6449% |
| Aetna | Aetna Commercial | $1,981.84 | ↑ +6963% |
| Medical Mutual | Medical Mutual Commercial (Cigna Network) | $2,653.12 | ↑ +9355% |
Visitor-reported prices
Comments
Cover eye w/membrane at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Magee | Pittsburgh | $9,340.80 | $864.20 – $2,260.47 |
| UPMC Muncy | Muncy | $14,438.40 | $993.28 – $1,966.42 |
| UPMC Passavant-McCandless | Pittsburgh | $11,560.20 | $858.11 – $2,260.47 |
| UPMC Presbyterian | Pittsburgh | $17,159.40 | $931.20 – $2,414.21 |
| UPMC Wellsboro | Wellsboro | $17,461.60 | $993.28 – $1,838.17 |
| Uniontown Hospital | Uniontown | $1,146.00 | $32.17 – $2,006.86 |