Cover eye w/membrane suture at GROVE CITY HOSPITAL
631 NORTH BROAD STREET EXT, GROVE CITY, PA · Ahn · · NPI 1023000296
$66.93
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.
$291.00
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.
$90.21 with Highmark vs $10,329.88 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 |
|---|---|---|---|
| Highmark | Highmark Community Blue Medicare | $90.21 | ↑ +35% |
| Univera | Univera Essential Plan | $95.38 | ↑ +43% |
| Univera | Univera Healthy New York | $95.38 | ↑ +43% |
| Life Pittsburgh | Life Pittsburgh Medicare | $97.00 | ↑ +45% |
| Allwell | Allwell by Wellcare | $97.00 | ↑ +45% |
| Highmark | Highmark Security Blue | $99.91 | ↑ +49% |
| Devoted Medicare | Devoted Health Medicare Advantage | $102.82 | ↑ +54% |
| Devoted Medicare | Devoted Duel Plus PA HMO D-SNP | $102.82 | ↑ +54% |
| American Health Plans | American Health Plans Medicare | $106.70 | ↑ +59% |
| Univera | Univera Medicare | $119.52 | ↑ +79% |
| Highmark | Highmark Together Blue | $146.87 | ↑ +119% |
| Highmark | Highmark Indemnity | $155.36 | ↑ +132% |
| Highmark | Highmark Connect Blue | $155.36 | ↑ +132% |
| Highmark | Highmark Social Mission Managed Care | $155.36 | ↑ +132% |
| Highmark | Highmark Social Mission Indemnity | $155.36 | ↑ +132% |
| Highmark | Highmark Performance Blue | $155.36 | ↑ +132% |
| Highmark | Highmark My Direct Blue | $155.36 | ↑ +132% |
| Highmark | Highmark Blue High Performance | $155.36 | ↑ +132% |
| Highmark | Highmark Community Blue | $155.36 | ↑ +132% |
| Highmark | Highmark My Blue Access | $155.36 | ↑ +132% |
| Highmark | Highmark Managed Care | $155.36 | ↑ +132% |
| Univera | Univera Commercial | $159.45 | ↑ +138% |
| Cigna | Cigna Commercial | $184.60 | ↑ +176% |
| Amerihealth | Amerihealth Caritas D-SNP Medicare | $240.75 | ↑ +260% |
| Amerihealth | Amerihealth Caritas Medicare (NY) | $240.75 | ↑ +260% |
| United Healthcare | United Healthcare Navigate Nexus Commercial | $271.17 | ↑ +305% |
| United Healthcare | United Healthcare Of OH Medicaid | $285.89 | ↑ +327% |
| United Healthcare | United Healthcare Commercial | $285.89 | ↑ +327% |
| Pennsylvania Health and Wellness | PA Health and Wellness Medicaid CHC | $302.66 | ↑ +352% |
| United Healthcare | United Healthcare Medicaid | $332.47 | ↑ +397% |
| Geisinger | Geisinger Medicaid HC | $332.47 | ↑ +397% |
| Geisinger | Geisinger CHIP | $332.47 | ↑ +397% |
| Amerihealth | Amerihealth Caritas CHC Medicaid | $332.47 | ↑ +397% |
| Amerihealth | Amerihealth Caritas HC Medicaid | $332.47 | ↑ +397% |
| Aetna | Aetna Better Health CHIP | $776.00 | ↑ +1059% |
| University of Pittsburgh Medical Center | University of Pittsburgh Medical Center for You Medicaid HC | $892.40 | ↑ +1233% |
| University of Pittsburgh Medical Center | University of Pittsburgh Medical Center for Kids | $892.40 | ↑ +1233% |
| University of Pittsburgh Medical Center | University of Pittsburgh Medical Center for You Medicaid CHC | $892.40 | ↑ +1233% |
| Highmark Wholecare | Highmark Wholecare Medicaid HC | $1,070.88 | ↑ +1500% |
| Pennsylvania Health and Wellness | Pennsylvania Health and Wellness Medicaid CHC | $1,164.00 | ↑ +1639% |
| United Healthcare | United Healthcare CHIP | $1,241.60 | ↑ +1755% |
| Amerihealth | Amerihealth Medicaid HC | $1,280.40 | ↑ +1813% |
| Amerihealth | Amerihealth Medicaid CHC | $1,280.40 | ↑ +1813% |
| Highmark | Highmark Complete Blue Medicare | $3,337.56 | ↑ +4887% |
| Highmark | Highmark Community Blue Medicare PPO | $3,337.56 | ↑ +4887% |
| Highmark | Highmark Freedom Blue | $3,373.83 | ↑ +4941% |
| University of Pittsburgh Medical Center | University of Pittsburgh Medical Center for Life Medicare PPO | $3,627.78 | ↑ +5320% |
| University of Pittsburgh Medical Center | University of Pittsburgh Medical Center for Life Medicare HMO | $3,627.78 | ↑ +5320% |
| University of Pittsburgh Medical Center | University of Pittsburgh Medical Center for Life Medicare Specialty Plan D-SNP | $3,627.78 | ↑ +5320% |
| Aetna | Aetna Medicare | $3,772.89 | ↑ +5537% |
| Highmark | Highmark Together Blue Medicare | $3,772.89 | ↑ +5537% |
| United Healthcare | United Healthcare Medicare | $3,772.89 | ↑ +5537% |
| Highmark | Highmark Community Blue Medicare HMO | $3,772.89 | ↑ +5537% |
| Highmark Wholecare | Highmark Wholecare Medicare Assured | $3,845.44 | ↑ +5645% |
| Humana | Humana Commercial | $3,845.44 | ↑ +5645% |
| Cigna | Cigna Medicare | $3,881.72 | ↑ +5700% |
| United Healthcare | United Healthcare Medicare I-SNP | $3,881.72 | ↑ +5700% |
| United Healthcare | United Healthcare Medicare D-SNP | $3,918.00 | ↑ +5754% |
| Molina | Molina Ohio | $3,954.28 | ↑ +5808% |
| Highmark | Highmark Performance Blue Enhanced | $7,155.07 | ↑ +10590% |
| Aetna | Aetna Commercial | $7,716.28 | ↑ +11429% |
| Medical Mutual | Medical Mutual Commercial (Cigna Network) | $10,329.88 | ↑ +15334% |
Visitor-reported prices
Comments
Cover eye w/membrane suture at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Uniontown Hospital | Uniontown | $3,973.00 | $77.21 – $7,914.49 |