Dilate biliary duct/ampulla at GROVE CITY HOSPITAL
631 NORTH BROAD STREET EXT, GROVE CITY, PA · Ahn · · NPI 1023000296
$85.79
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.
$373.00
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.
$107.80 with Univera vs $267.58 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 |
|---|---|---|---|
| Univera | Univera Essential Plan | $107.80 | ↑ +26% |
| Univera | Univera Healthy New York | $107.80 | ↑ +26% |
| Aetna | Aetna Better Health CHIP | $109.31 | ↑ +27% |
| Amerihealth | Amerihealth Caritas Medicare (NY) | $114.78 | ↑ +34% |
| Amerihealth | Amerihealth Caritas D-SNP Medicare | $114.78 | ↑ +34% |
| Highmark | Highmark Community Blue Medicare | $115.65 | ↑ +35% |
| Allwell | Allwell by Wellcare | $124.35 | ↑ +45% |
| Life Pittsburgh | Life Pittsburgh Medicare | $124.35 | ↑ +45% |
| University of Pittsburgh Medical Center | University of Pittsburgh Medical Center for You Medicaid CHC | $125.71 | ↑ +47% |
| University of Pittsburgh Medical Center | University of Pittsburgh Medical Center for You Medicaid HC | $125.71 | ↑ +47% |
| University of Pittsburgh Medical Center | University of Pittsburgh Medical Center for Kids | $125.71 | ↑ +47% |
| Highmark | Highmark Security Blue | $128.08 | ↑ +49% |
| Devoted Medicare | Devoted Duel Plus PA HMO D-SNP | $131.81 | ↑ +54% |
| Devoted Medicare | Devoted Health Medicare Advantage | $131.81 | ↑ +54% |
| Univera | Univera Medicare | $135.30 | ↑ +58% |
| American Health Plans | American Health Plans Medicare | $136.79 | ↑ +59% |
| Highmark | Highmark Together Blue | $140.05 | ↑ +63% |
| Pennsylvania Health and Wellness | PA Health and Wellness Medicaid CHC | $144.29 | ↑ +68% |
| Highmark | Highmark Managed Care | $148.15 | ↑ +73% |
| Highmark | Highmark My Blue Access | $148.15 | ↑ +73% |
| Highmark | Highmark My Direct Blue | $148.15 | ↑ +73% |
| Highmark | Highmark Performance Blue | $148.15 | ↑ +73% |
| Highmark | Highmark Social Mission Indemnity | $148.15 | ↑ +73% |
| Highmark | Highmark Social Mission Managed Care | $148.15 | ↑ +73% |
| Highmark | Highmark Blue High Performance | $148.15 | ↑ +73% |
| Highmark | Highmark Community Blue | $148.15 | ↑ +73% |
| Highmark | Highmark Connect Blue | $148.15 | ↑ +73% |
| Highmark | Highmark Indemnity | $148.15 | ↑ +73% |
| Highmark Wholecare | Highmark Wholecare Medicaid HC | $150.85 | ↑ +76% |
| Geisinger | Geisinger CHIP | $158.50 | ↑ +85% |
| Geisinger | Geisinger Medicaid HC | $158.50 | ↑ +85% |
| United Healthcare | United Healthcare Medicaid | $158.50 | ↑ +85% |
| Amerihealth | Amerihealth Caritas CHC Medicaid | $158.50 | ↑ +85% |
| Amerihealth | Amerihealth Caritas HC Medicaid | $158.50 | ↑ +85% |
| Univera | Univera Commercial | $158.52 | ↑ +85% |
| Pennsylvania Health and Wellness | Pennsylvania Health and Wellness Medicaid CHC | $163.97 | ↑ +91% |
| United Healthcare | United Healthcare CHIP | $174.90 | ↑ +104% |
| Amerihealth | Amerihealth Medicaid HC | $180.36 | ↑ +110% |
| Amerihealth | Amerihealth Medicaid CHC | $180.36 | ↑ +110% |
| Cigna | Cigna Commercial | $211.39 | ↑ +146% |
| United Healthcare | United Healthcare Navigate Nexus Commercial | $253.80 | ↑ +196% |
| United Healthcare | United Healthcare Of OH Medicaid | $267.58 | ↑ +212% |
| United Healthcare | United Healthcare Commercial | $267.58 | ↑ +212% |
Visitor-reported prices
Comments
Dilate biliary duct/ampulla at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Carlisle | Carlisle | $2,304.60 | $138.82 – $9,539.00 |
| AHN WEXFORD HOSPITAL | WEXFORD | $7,442.92 | $114.78 – $211.39 |
| UPMC Community Osteopathic | Harrisburg | $2,304.60 | $143.20 – $3,264.85 |
| UPMC Hanover | Hanover | $2,304.60 | $138.82 – $695.48 |
| UPMC Lititz | Lititz | $2,304.60 | $124.67 – $695.48 |
| UPMC Memorial | York | $2,304.60 | $124.67 – $695.48 |
| UPMC Somerset | Somerset | $2,304.60 | $120.24 – $664.57 |
| WellSpan Good Samaritan Hospital | Lebanon | $3,115.20 | $136.64 – $371.65 |