Destruction by neurolytic agent w/imaging guidance lumbar/sacral additional (both sides) at GROVE CITY HOSPITAL

631 NORTH BROAD STREET EXT, GROVE CITY, PA · Ahn · · NPI 1023000296

Source: hospital's published price file ↗ · Published Apr 14, 2026 · Ingested Sep 30, 2026

$4,285.05

Cash price

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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.

$5,565.00

Gross charge

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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.

$47.72 with Univera vs $115.87 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 →

Payer
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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
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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 $47.72 ↓ -99%
Univera Univera Healthy New York $47.72 ↓ -99%
Aetna Aetna Better Health CHIP $48.02 ↓ -99%
Amerihealth Amerihealth Caritas Medicare (NY) $50.42 ↓ -99%
Amerihealth Amerihealth Caritas D-SNP Medicare $50.42 ↓ -99%
Highmark Highmark Community Blue Medicare $51.21 ↓ -99%
Life Pittsburgh Life Pittsburgh Medicare $55.06 ↓ -99%
Allwell Allwell by Wellcare $55.06 ↓ -99%
University of Pittsburgh Medical Center University of Pittsburgh Medical Center for Kids $55.22 ↓ -99%
University of Pittsburgh Medical Center University of Pittsburgh Medical Center for You Medicaid CHC $55.22 ↓ -99%
University of Pittsburgh Medical Center University of Pittsburgh Medical Center for You Medicaid HC $55.22 ↓ -99%
Highmark Highmark Security Blue $56.71 ↓ -99%
Univera Univera Medicare $57.92 ↓ -99%
Devoted Medicare Devoted Duel Plus PA HMO D-SNP $58.36 ↓ -99%
Devoted Medicare Devoted Health Medicare Advantage $58.36 ↓ -99%
Highmark Highmark Together Blue $60.45 ↓ -99%
American Health Plans American Health Plans Medicare $60.57 ↓ -99%
Pennsylvania Health and Wellness PA Health and Wellness Medicaid CHC $63.39 ↓ -99%
Highmark Highmark Indemnity $63.94 ↓ -99%
Highmark Highmark Managed Care $63.94 ↓ -99%
Highmark Highmark My Blue Access $63.94 ↓ -99%
Highmark Highmark My Direct Blue $63.94 ↓ -99%
Highmark Highmark Performance Blue $63.94 ↓ -99%
Highmark Highmark Social Mission Indemnity $63.94 ↓ -99%
Highmark Highmark Social Mission Managed Care $63.94 ↓ -99%
Highmark Highmark Connect Blue $63.94 ↓ -99%
Highmark Highmark Community Blue $63.94 ↓ -99%
Highmark Highmark Blue High Performance $63.94 ↓ -99%
Highmark Wholecare Highmark Wholecare Medicaid HC $66.27 ↓ -98%
Univera Univera Commercial $68.16 ↓ -98%
Geisinger Geisinger CHIP $69.63 ↓ -98%
Amerihealth Amerihealth Caritas CHC Medicaid $69.63 ↓ -98%
United Healthcare United Healthcare Medicaid $69.63 ↓ -98%
Geisinger Geisinger Medicaid HC $69.63 ↓ -98%
Amerihealth Amerihealth Caritas HC Medicaid $69.63 ↓ -98%
Pennsylvania Health and Wellness Pennsylvania Health and Wellness Medicaid CHC $72.03 ↓ -98%
United Healthcare United Healthcare CHIP $76.83 ↓ -98%
Amerihealth Amerihealth Medicaid CHC $79.23 ↓ -98%
Amerihealth Amerihealth Medicaid HC $79.23 ↓ -98%
Cigna Cigna Commercial $93.19 ↓ -98%
United Healthcare United Healthcare Navigate Nexus Commercial $109.91 ↓ -97%
United Healthcare United Healthcare Commercial $115.87 ↓ -97%
United Healthcare United Healthcare Of OH Medicaid $115.87 ↓ -97%

Visitor-reported prices

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Destruction by neurolytic agent w/imaging guidance lumbar/sacral additional (both sides) at other Pennsylvania hospitals

Hospital City Cash price Negotiated range
UPMC Carlisle Carlisle $2,224.80 $60.99 – $9,539.00
UPMC Cole Coudersport $133.20 $50.42 – $771.51
UPMC Community Osteopathic Harrisburg $2,224.80 $62.91 – $4,989.94
UPMC East Monroeville $3,205.20 $52.82 – $4,273.60
UPMC Northwest Seneca $4,393.20 $52.82 – $1,611.51
UPMC Hanover Hanover $2,224.80 $60.99 – $269.06
UPMC Horizon-Greenville Greenville $2,267.40 $50.42 – $1,207.96
UPMC Jameson New Castle $2,267.40 $50.87 – $631.87

All Pennsylvania hospitals for this procedure →