Dexametha opth insert 0.1 mg at GROVE CITY HOSPITAL
631 NORTH BROAD STREET EXT, GROVE CITY, PA · Ahn · · NPI 1023000296
not published by hospital
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.
not published by hospital
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.
$67.45 with Highmark vs $278.00 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 Together Blue | $67.45 | — |
| Highmark | Highmark Community Blue Medicare PPO | $89.82 | — |
| Highmark | Highmark Complete Blue Medicare | $89.82 | — |
| Highmark | Highmark Freedom Blue | $90.80 | — |
| University of Pittsburgh Medical Center | University of Pittsburgh Medical Center Commercial | $95.74 | — |
| American Health Plans | American Health Plans Medicare | $97.63 | — |
| University of Pittsburgh Medical Center | University of Pittsburgh Medical Center for Life Medicare HMO | $97.63 | — |
| Life Pittsburgh | Life Pittsburgh Medicare | $97.63 | — |
| University of Pittsburgh Medical Center | University of Pittsburgh Medical Center for Life Medicare PPO | $97.63 | — |
| University of Pittsburgh Medical Center | University of Pittsburgh Medical Center for Life Medicare Specialty Plan D-SNP | $97.63 | — |
| Devoted Medicare | Devoted Health Medicare Advantage | $100.56 | — |
| Amerihealth | Amerihealth Medicaid HC | $101.49 | — |
| Amerihealth | Amerihealth Medicaid CHC | $101.49 | — |
| Aetna | Aetna Medicare | $101.54 | — |
| Highmark | Highmark Security Blue | $101.54 | — |
| United Healthcare | United Healthcare Medicare | $101.54 | — |
| Highmark | Highmark Together Blue Medicare | $101.54 | — |
| Highmark | Highmark Community Blue Medicare HMO | $101.54 | — |
| Amerihealth | Amerihealth Caritas D-SNP Medicare | $102.51 | — |
| Highmark Wholecare | Highmark Wholecare Medicare Assured | $103.49 | — |
| Humana | Humana Commercial | $103.49 | — |
| Cigna | Cigna Medicare | $104.47 | — |
| United Healthcare | United Healthcare Medicare I-SNP | $104.47 | — |
| United Healthcare | United Healthcare Medicare D-SNP | $105.44 | — |
| Molina | Molina Ohio | $106.42 | — |
| Cigna | Cigna Commercial | $112.95 | — |
| Highmark | Highmark Social Mission Managed Care | $115.38 | — |
| Highmark | Highmark My Direct Blue | $115.38 | — |
| Highmark | Highmark Community Blue | $137.83 | — |
| Highmark | Highmark Blue High Performance | $137.83 | — |
| Highmark | Highmark Connect Blue | $137.83 | — |
| Highmark | Highmark Indemnity | $137.83 | — |
| Highmark | Highmark Managed Care | $137.83 | — |
| Highmark | Highmark My Blue Access | $137.83 | — |
| Highmark | Highmark Performance Blue | $137.83 | — |
| Highmark | Highmark Social Mission Indemnity | $137.83 | — |
| Pennsylvania Health and Wellness | Pennsylvania Health and Wellness Medicaid CHC | $143.60 | — |
| United Healthcare | United Healthcare Navigate Nexus Commercial | $147.40 | — |
| United Healthcare | United Healthcare Of OH Medicaid | $155.98 | — |
| United Healthcare | United Healthcare Commercial | $155.98 | — |
| Highmark | Highmark Performance Blue Enhanced | $192.56 | — |
| Aetna | Aetna Commercial | $207.66 | — |
| Medical Mutual | Medical Mutual Commercial (Cigna Network) | $278.00 | — |
Visitor-reported prices
Comments
Dexametha opth insert 0.1 mg at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $477.60 | $64.99 – $477.60 |
| UPMC Bedford | Everett | $505.60 | $35.41 – $568.80 |
| UPMC Carlisle | Carlisle | $354.00 | $80.83 – $501.50 |
| UPMC Community Osteopathic | Harrisburg | $354.00 | $100.25 – $501.50 |
| UPMC East | Monroeville | $505.60 | $64.99 – $505.60 |
| UPMC Hamot | Erie | $528.00 | $64.99 – $122.32 |
| UPMC Northwest | Seneca | $505.60 | $64.99 – $105.99 |
| UPMC Hanover | Hanover | $354.00 | $97.35 – $157.33 |