Cystorrhaphy wound simple 51860 at GROVE CITY HOSPITAL
631 NORTH BROAD STREET EXT, GROVE CITY, PA · Ahn · · NPI 1023000296
$480.24
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.
$2,088.00
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.
$48.50 with Univera vs $25,330.66 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 Healthy New York | $48.50 | ↓ -90% |
| Univera | Univera Essential Plan | $48.50 | ↓ -90% |
| Univera | Univera Medicare | $59.15 | ↓ -88% |
| Univera | Univera Commercial | $77.03 | ↓ -84% |
| Aetna | Aetna Better Health CHIP | $83.00 | ↓ -83% |
| Amerihealth | Amerihealth Caritas Medicare (NY) | $87.15 | ↓ -82% |
| Amerihealth | Amerihealth Caritas D-SNP Medicare | $87.15 | ↓ -82% |
| University of Pittsburgh Medical Center | University of Pittsburgh Medical Center for You Medicaid HC | $95.45 | ↓ -80% |
| University of Pittsburgh Medical Center | University of Pittsburgh Medical Center for Kids | $95.45 | ↓ -80% |
| University of Pittsburgh Medical Center | University of Pittsburgh Medical Center for You Medicaid CHC | $95.45 | ↓ -80% |
| Pennsylvania Health and Wellness | PA Health and Wellness Medicaid CHC | $109.56 | ↓ -77% |
| Highmark Wholecare | Highmark Wholecare Medicaid HC | $114.54 | ↓ -76% |
| Geisinger | Geisinger CHIP | $120.35 | ↓ -75% |
| Amerihealth | Amerihealth Caritas HC Medicaid | $120.35 | ↓ -75% |
| Amerihealth | Amerihealth Caritas CHC Medicaid | $120.35 | ↓ -75% |
| United Healthcare | United Healthcare Medicaid | $120.35 | ↓ -75% |
| Geisinger | Geisinger Medicaid HC | $120.35 | ↓ -75% |
| Pennsylvania Health and Wellness | Pennsylvania Health and Wellness Medicaid CHC | $124.50 | ↓ -74% |
| United Healthcare | United Healthcare CHIP | $132.80 | ↓ -72% |
| Amerihealth | Amerihealth Medicaid CHC | $136.95 | ↓ -71% |
| Amerihealth | Amerihealth Medicaid HC | $136.95 | ↓ -71% |
| Highmark | Highmark Together Blue | $935.74 | ↑ +95% |
| Highmark | Highmark Indemnity | $989.85 | ↑ +106% |
| Highmark | Highmark Blue High Performance | $989.85 | ↑ +106% |
| Highmark | Highmark Community Blue | $989.85 | ↑ +106% |
| Highmark | Highmark Connect Blue | $989.85 | ↑ +106% |
| Highmark | Highmark Managed Care | $989.85 | ↑ +106% |
| Highmark | Highmark My Blue Access | $989.85 | ↑ +106% |
| Highmark | Highmark My Direct Blue | $989.85 | ↑ +106% |
| Highmark | Highmark Performance Blue | $989.85 | ↑ +106% |
| Highmark | Highmark Social Mission Indemnity | $989.85 | ↑ +106% |
| Highmark | Highmark Social Mission Managed Care | $989.85 | ↑ +106% |
| Cigna | Cigna Commercial | $1,187.17 | ↑ +147% |
| United Healthcare | United Healthcare Navigate Nexus Commercial | $1,369.87 | ↑ +185% |
| United Healthcare | United Healthcare Of OH Medicaid | $1,444.24 | ↑ +201% |
| United Healthcare | United Healthcare Commercial | $1,444.24 | ↑ +201% |
| University of Pittsburgh Medical Center | University of Pittsburgh Medical Center Commercial | $2,226.61 | ↑ +364% |
| Highmark | Highmark Community Blue Medicare PPO | $8,184.27 | ↑ +1604% |
| Highmark | Highmark Complete Blue Medicare | $8,184.27 | ↑ +1604% |
| Highmark | Highmark Freedom Blue | $8,273.23 | ↑ +1623% |
| American Health Plans | American Health Plans Medicare | $8,895.94 | ↑ +1752% |
| University of Pittsburgh Medical Center | University of Pittsburgh Medical Center for Life Medicare PPO | $8,895.94 | ↑ +1752% |
| University of Pittsburgh Medical Center | University of Pittsburgh Medical Center for Life Medicare HMO | $8,895.94 | ↑ +1752% |
| Life Pittsburgh | Life Pittsburgh Medicare | $8,895.94 | ↑ +1752% |
| University of Pittsburgh Medical Center | University of Pittsburgh Medical Center for Life Medicare Specialty Plan D-SNP | $8,895.94 | ↑ +1752% |
| Devoted Medicare | Devoted Health Medicare Advantage | $9,162.82 | ↑ +1808% |
| Aetna | Aetna Medicare | $9,251.78 | ↑ +1826% |
| United Healthcare | United Healthcare Medicare | $9,251.78 | ↑ +1826% |
| Highmark | Highmark Security Blue | $9,251.78 | ↑ +1826% |
| Highmark | Highmark Community Blue Medicare HMO | $9,251.78 | ↑ +1826% |
| Highmark | Highmark Together Blue Medicare | $9,251.78 | ↑ +1826% |
| Highmark Wholecare | Highmark Wholecare Medicare Assured | $9,429.70 | ↑ +1864% |
| Humana | Humana Commercial | $9,429.70 | ↑ +1864% |
| Cigna | Cigna Medicare | $9,518.66 | ↑ +1882% |
| United Healthcare | United Healthcare Medicare I-SNP | $9,518.66 | ↑ +1882% |
| United Healthcare | United Healthcare Medicare D-SNP | $9,607.62 | ↑ +1901% |
| Molina | Molina Ohio | $9,696.58 | ↑ +1919% |
| Highmark | Highmark Performance Blue Enhanced | $17,545.47 | ↑ +3553% |
| Aetna | Aetna Commercial | $18,921.67 | ↑ +3840% |
| Medical Mutual | Medical Mutual Commercial (Cigna Network) | $25,330.66 | ↑ +5175% |
Visitor-reported prices
Comments
Cystorrhaphy wound simple 51860 at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| AHN WEXFORD HOSPITAL | WEXFORD | $542.88 | $87.15 – $29,517.18 |
| UPMC Cole | Coudersport | $1,368.00 | $436.80 – $1,824.00 |
| UPMC Bedford | Everett | not published | $436.80 – $9,521.33 |
| UPMC Community Osteopathic | Harrisburg | not published | $544.96 – $9,732.98 |
| UPMC Hamot | Erie | not published | $457.60 – $12,822.31 |