Cystourethro w/implant at GROVE CITY HOSPITAL
631 NORTH BROAD STREET EXT, GROVE CITY, PA · Ahn · · NPI 1023000296
$134.55
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.
$585.00
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.
$164.15 with Aetna vs $1,241.60 with United Healthcare — 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 |
|---|---|---|---|
| Aetna | Aetna Better Health CHIP | $164.15 | ↑ +22% |
| Univera | Univera Essential Plan | $168.77 | ↑ +25% |
| Univera | Univera Healthy New York | $168.77 | ↑ +25% |
| Amerihealth | Amerihealth Caritas D-SNP Medicare | $172.36 | ↑ +28% |
| Amerihealth | Amerihealth Caritas Medicare (NY) | $172.36 | ↑ +28% |
| Highmark | Highmark Community Blue Medicare | $181.32 | ↑ +35% |
| University of Pittsburgh Medical Center | University of Pittsburgh Medical Center for You Medicaid CHC | $188.77 | ↑ +40% |
| University of Pittsburgh Medical Center | University of Pittsburgh Medical Center for Kids | $188.77 | ↑ +40% |
| University of Pittsburgh Medical Center | University of Pittsburgh Medical Center for You Medicaid HC | $188.77 | ↑ +40% |
| Life Pittsburgh | Life Pittsburgh Medicare | $194.97 | ↑ +45% |
| Allwell | Allwell by Wellcare | $194.97 | ↑ +45% |
| Highmark | Highmark Security Blue | $200.82 | ↑ +49% |
| Univera | Univera Medicare | $205.84 | ↑ +53% |
| Devoted Medicare | Devoted Duel Plus PA HMO D-SNP | $206.67 | ↑ +54% |
| Devoted Medicare | Devoted Health Medicare Advantage | $206.67 | ↑ +54% |
| American Health Plans | American Health Plans Medicare | $214.47 | ↑ +59% |
| Pennsylvania Health and Wellness | PA Health and Wellness Medicaid CHC | $216.68 | ↑ +61% |
| Highmark Wholecare | Highmark Wholecare Medicaid HC | $226.53 | ↑ +68% |
| Geisinger | Geisinger Medicaid HC | $238.02 | ↑ +77% |
| Amerihealth | Amerihealth Caritas CHC Medicaid | $238.02 | ↑ +77% |
| Amerihealth | Amerihealth Caritas HC Medicaid | $238.02 | ↑ +77% |
| Geisinger | Geisinger CHIP | $238.02 | ↑ +77% |
| United Healthcare | United Healthcare Medicaid | $238.02 | ↑ +77% |
| Pennsylvania Health and Wellness | Pennsylvania Health and Wellness Medicaid CHC | $246.23 | ↑ +83% |
| Highmark | Highmark Together Blue | $265.29 | ↑ +97% |
| Univera | Univera Commercial | $268.04 | ↑ +99% |
| Amerihealth | Amerihealth Medicaid CHC | $270.85 | ↑ +101% |
| Amerihealth | Amerihealth Medicaid HC | $270.85 | ↑ +101% |
| Highmark | Highmark Blue High Performance | $280.62 | ↑ +109% |
| Highmark | Highmark Indemnity | $280.62 | ↑ +109% |
| Highmark | Highmark Managed Care | $280.62 | ↑ +109% |
| Highmark | Highmark My Blue Access | $280.62 | ↑ +109% |
| Highmark | Highmark My Direct Blue | $280.62 | ↑ +109% |
| Highmark | Highmark Performance Blue | $280.62 | ↑ +109% |
| Highmark | Highmark Social Mission Indemnity | $280.62 | ↑ +109% |
| Highmark | Highmark Social Mission Managed Care | $280.62 | ↑ +109% |
| Highmark | Highmark Community Blue | $280.62 | ↑ +109% |
| Highmark | Highmark Connect Blue | $280.62 | ↑ +109% |
| Cigna | Cigna Commercial | $330.48 | ↑ +146% |
| United Healthcare | United Healthcare Navigate Nexus Commercial | $387.62 | ↑ +188% |
| United Healthcare | United Healthcare Of OH Medicaid | $408.67 | ↑ +204% |
| United Healthcare | United Healthcare Commercial | $408.67 | ↑ +204% |
| United Healthcare | United Healthcare CHIP | $1,241.60 | ↑ +823% |
Visitor-reported prices
Comments
Cystourethro w/implant at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| AHN WEXFORD HOSPITAL | WEXFORD | $152.10 | $172.36 – $330.48 |
| UPMC Cole | Coudersport | $253.20 | $116.98 – $1,627.41 |
| Uniontown Hospital | Uniontown | $692.83 | $180.06 – $373.98 |
| UPMC Carlisle | Carlisle | not published | $208.47 – $9,539.00 |
| UPMC Community Osteopathic | Harrisburg | not published | $221.60 – $4,874.58 |
| UPMC Hamot | Erie | not published | $180.56 – $1,627.41 |
| UPMC Northwest | Seneca | not published | $180.56 – $2,055.59 |
| UPMC Hanover | Hanover | not published | $208.47 – $1,703.11 |