Cystostomy cystotomy w/drainage 51040 at GROVE CITY HOSPITAL
631 NORTH BROAD STREET EXT, GROVE CITY, PA · Ahn · · NPI 1023000296
$189.29
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.
$823.00
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.
$19.15 with Univera vs $5,611.47 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 | $19.15 | ↓ -90% |
| Univera | Univera Essential Plan | $19.15 | ↓ -90% |
| Univera | Univera Medicare | $23.36 | ↓ -88% |
| Univera | Univera Commercial | $30.42 | ↓ -84% |
| Aetna | Aetna Better Health CHIP | $42.12 | ↓ -78% |
| Amerihealth | Amerihealth Caritas Medicare (NY) | $44.23 | ↓ -77% |
| Amerihealth | Amerihealth Caritas D-SNP Medicare | $44.23 | ↓ -77% |
| University of Pittsburgh Medical Center | University of Pittsburgh Medical Center for You Medicaid HC | $48.44 | ↓ -74% |
| University of Pittsburgh Medical Center | University of Pittsburgh Medical Center for Kids | $48.44 | ↓ -74% |
| University of Pittsburgh Medical Center | University of Pittsburgh Medical Center for You Medicaid CHC | $48.44 | ↓ -74% |
| Pennsylvania Health and Wellness | PA Health and Wellness Medicaid CHC | $55.60 | ↓ -71% |
| Highmark Wholecare | Highmark Wholecare Medicaid HC | $58.13 | ↓ -69% |
| Geisinger | Geisinger Medicaid HC | $61.07 | ↓ -68% |
| United Healthcare | United Healthcare Medicaid | $61.07 | ↓ -68% |
| Geisinger | Geisinger CHIP | $61.07 | ↓ -68% |
| Amerihealth | Amerihealth Caritas CHC Medicaid | $61.07 | ↓ -68% |
| Amerihealth | Amerihealth Caritas HC Medicaid | $61.07 | ↓ -68% |
| Pennsylvania Health and Wellness | Pennsylvania Health and Wellness Medicaid CHC | $63.18 | ↓ -67% |
| Amerihealth | Amerihealth Medicaid CHC | $69.50 | ↓ -63% |
| Amerihealth | Amerihealth Medicaid HC | $69.50 | ↓ -63% |
| Highmark | Highmark Together Blue | $368.59 | ↑ +95% |
| Highmark | Highmark My Blue Access | $389.91 | ↑ +106% |
| Highmark | Highmark My Direct Blue | $389.91 | ↑ +106% |
| Highmark | Highmark Performance Blue | $389.91 | ↑ +106% |
| Highmark | Highmark Community Blue | $389.91 | ↑ +106% |
| Highmark | Highmark Connect Blue | $389.91 | ↑ +106% |
| Highmark | Highmark Indemnity | $389.91 | ↑ +106% |
| Highmark | Highmark Managed Care | $389.91 | ↑ +106% |
| Highmark | Highmark Social Mission Managed Care | $389.91 | ↑ +106% |
| Highmark | Highmark Social Mission Indemnity | $389.91 | ↑ +106% |
| Highmark | Highmark Blue High Performance | $389.91 | ↑ +106% |
| Cigna | Cigna Commercial | $465.77 | ↑ +146% |
| United Healthcare | United Healthcare Navigate Nexus Commercial | $528.27 | ↑ +179% |
| United Healthcare | United Healthcare Of OH Medicaid | $556.95 | ↑ +194% |
| United Healthcare | United Healthcare Commercial | $556.95 | ↑ +194% |
| University of Pittsburgh Medical Center | University of Pittsburgh Medical Center Commercial | $1,117.90 | ↑ +491% |
| United Healthcare | United Healthcare CHIP | $1,241.60 | ↑ +556% |
| Highmark | Highmark Community Blue Medicare PPO | $1,813.05 | ↑ +858% |
| Highmark | Highmark Complete Blue Medicare | $1,813.05 | ↑ +858% |
| Highmark | Highmark Freedom Blue | $1,832.76 | ↑ +868% |
| University of Pittsburgh Medical Center | University of Pittsburgh Medical Center for Life Medicare Specialty Plan D-SNP | $1,970.71 | ↑ +941% |
| Life Pittsburgh | Life Pittsburgh Medicare | $1,970.71 | ↑ +941% |
| American Health Plans | American Health Plans Medicare | $1,970.71 | ↑ +941% |
| University of Pittsburgh Medical Center | University of Pittsburgh Medical Center for Life Medicare HMO | $1,970.71 | ↑ +941% |
| University of Pittsburgh Medical Center | University of Pittsburgh Medical Center for Life Medicare PPO | $1,970.71 | ↑ +941% |
| Devoted Medicare | Devoted Health Medicare Advantage | $2,029.83 | ↑ +972% |
| Aetna | Aetna Medicare | $2,049.54 | ↑ +983% |
| Highmark | Highmark Security Blue | $2,049.54 | ↑ +983% |
| Highmark | Highmark Together Blue Medicare | $2,049.54 | ↑ +983% |
| United Healthcare | United Healthcare Medicare | $2,049.54 | ↑ +983% |
| Highmark | Highmark Community Blue Medicare HMO | $2,049.54 | ↑ +983% |
| Humana | Humana Commercial | $2,088.95 | ↑ +1004% |
| Highmark Wholecare | Highmark Wholecare Medicare Assured | $2,088.95 | ↑ +1004% |
| Cigna | Cigna Medicare | $2,108.66 | ↑ +1014% |
| United Healthcare | United Healthcare Medicare I-SNP | $2,108.66 | ↑ +1014% |
| United Healthcare | United Healthcare Medicare D-SNP | $2,128.36 | ↑ +1024% |
| Molina | Molina Ohio | $2,148.07 | ↑ +1035% |
| Highmark | Highmark Performance Blue Enhanced | $3,886.83 | ↑ +1953% |
| Aetna | Aetna Commercial | $4,191.70 | ↑ +2114% |
| Medical Mutual | Medical Mutual Commercial (Cigna Network) | $5,611.47 | ↑ +2864% |
Visitor-reported prices
Comments
Cystostomy cystotomy w/drainage 51040 at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Carlisle | Carlisle | $3,276.00 | $334.35 – $4,641.00 |
| AHN WEXFORD HOSPITAL | WEXFORD | $5,760.16 | $44.23 – $6,538.91 |
| UPMC Cole | Coudersport | $489.00 | $225.92 – $1,470.59 |
| UPMC Community Osteopathic | Harrisburg | $3,276.00 | $334.35 – $4,641.00 |
| UPMC Hamot | Erie | $5,943.60 | $289.60 – $2,840.52 |
| UPMC Northwest | Seneca | $6,051.00 | $289.60 – $2,050.66 |
| UPMC Hanover | Hanover | $3,276.00 | $334.35 – $3,131.10 |
| UPMC Horizon-Greenville | Greenville | $5,115.00 | $289.60 – $2,109.25 |