Dilation of rectal stricture 45910 at GROVE CITY HOSPITAL
631 NORTH BROAD STREET EXT, GROVE CITY, PA · Ahn · · NPI 1023000296
$125.35
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.
$545.00
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.
$15.74 with Univera vs $3,229.85 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 | $15.74 | ↓ -87% |
| Univera | Univera Essential Plan | $15.74 | ↓ -87% |
| Univera | Univera Medicare | $19.76 | ↓ -84% |
| Univera | Univera Commercial | $23.15 | ↓ -82% |
| Aetna | Aetna Better Health CHIP | $44.00 | ↓ -65% |
| Amerihealth | Amerihealth Caritas Medicare (NY) | $46.20 | ↓ -63% |
| Amerihealth | Amerihealth Caritas D-SNP Medicare | $46.20 | ↓ -63% |
| University of Pittsburgh Medical Center | University of Pittsburgh Medical Center for You Medicaid HC | $50.60 | ↓ -60% |
| University of Pittsburgh Medical Center | University of Pittsburgh Medical Center for Kids | $50.60 | ↓ -60% |
| University of Pittsburgh Medical Center | University of Pittsburgh Medical Center for You Medicaid CHC | $50.60 | ↓ -60% |
| Pennsylvania Health and Wellness | PA Health and Wellness Medicaid CHC | $58.08 | ↓ -54% |
| Highmark Wholecare | Highmark Wholecare Medicaid HC | $60.72 | ↓ -52% |
| Geisinger | Geisinger Medicaid HC | $63.80 | ↓ -49% |
| United Healthcare | United Healthcare Medicaid | $63.80 | ↓ -49% |
| Geisinger | Geisinger CHIP | $63.80 | ↓ -49% |
| Amerihealth | Amerihealth Caritas CHC Medicaid | $63.80 | ↓ -49% |
| Amerihealth | Amerihealth Caritas HC Medicaid | $63.80 | ↓ -49% |
| Pennsylvania Health and Wellness | Pennsylvania Health and Wellness Medicaid CHC | $66.00 | ↓ -47% |
| Amerihealth | Amerihealth Medicaid HC | $72.60 | ↓ -42% |
| Amerihealth | Amerihealth Medicaid CHC | $72.60 | ↓ -42% |
| Highmark | Highmark Together Blue | $207.41 | ↑ +65% |
| Highmark | Highmark Managed Care | $219.40 | ↑ +75% |
| Highmark | Highmark My Blue Access | $219.40 | ↑ +75% |
| Highmark | Highmark My Direct Blue | $219.40 | ↑ +75% |
| Highmark | Highmark Performance Blue | $219.40 | ↑ +75% |
| Highmark | Highmark Social Mission Indemnity | $219.40 | ↑ +75% |
| Highmark | Highmark Blue High Performance | $219.40 | ↑ +75% |
| Highmark | Highmark Community Blue | $219.40 | ↑ +75% |
| Highmark | Highmark Social Mission Managed Care | $219.40 | ↑ +75% |
| Highmark | Highmark Connect Blue | $219.40 | ↑ +75% |
| Highmark | Highmark Indemnity | $219.40 | ↑ +75% |
| Cigna | Cigna Commercial | $307.55 | ↑ +145% |
| University of Pittsburgh Medical Center | University of Pittsburgh Medical Center Commercial | $338.93 | ↑ +170% |
| United Healthcare | United Healthcare Navigate Nexus Commercial | $350.53 | ↑ +180% |
| United Healthcare | United Healthcare Commercial | $369.56 | ↑ +195% |
| United Healthcare | United Healthcare Of OH Medicaid | $369.56 | ↑ +195% |
| Highmark | Highmark Complete Blue Medicare | $1,043.55 | ↑ +733% |
| Highmark | Highmark Community Blue Medicare PPO | $1,043.55 | ↑ +733% |
| Highmark | Highmark Freedom Blue | $1,054.90 | ↑ +742% |
| American Health Plans | American Health Plans Medicare | $1,134.30 | ↑ +805% |
| Life Pittsburgh | Life Pittsburgh Medicare | $1,134.30 | ↑ +805% |
| University of Pittsburgh Medical Center | University of Pittsburgh Medical Center for Life Medicare Specialty Plan D-SNP | $1,134.30 | ↑ +805% |
| University of Pittsburgh Medical Center | University of Pittsburgh Medical Center for Life Medicare PPO | $1,134.30 | ↑ +805% |
| University of Pittsburgh Medical Center | University of Pittsburgh Medical Center for Life Medicare HMO | $1,134.30 | ↑ +805% |
| Devoted Medicare | Devoted Health Medicare Advantage | $1,168.33 | ↑ +832% |
| Aetna | Aetna Medicare | $1,179.67 | ↑ +841% |
| Highmark | Highmark Security Blue | $1,179.67 | ↑ +841% |
| Highmark | Highmark Community Blue Medicare HMO | $1,179.67 | ↑ +841% |
| United Healthcare | United Healthcare Medicare | $1,179.67 | ↑ +841% |
| Highmark | Highmark Together Blue Medicare | $1,179.67 | ↑ +841% |
| Highmark Wholecare | Highmark Wholecare Medicare Assured | $1,202.36 | ↑ +859% |
| Humana | Humana Commercial | $1,202.36 | ↑ +859% |
| Cigna | Cigna Medicare | $1,213.70 | ↑ +868% |
| United Healthcare | United Healthcare Medicare I-SNP | $1,213.70 | ↑ +868% |
| United Healthcare | United Healthcare Medicare D-SNP | $1,225.04 | ↑ +877% |
| Molina | Molina Ohio | $1,236.39 | ↑ +886% |
| United Healthcare | United Healthcare CHIP | $1,241.60 | ↑ +891% |
| Highmark | Highmark Performance Blue Enhanced | $2,237.18 | ↑ +1685% |
| Aetna | Aetna Commercial | $2,412.65 | ↑ +1825% |
| Medical Mutual | Medical Mutual Commercial (Cigna Network) | $3,229.85 | ↑ +2477% |
Visitor-reported prices
Comments
Dilation of rectal stricture 45910 at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $3,435.60 | $44.00 – $4,580.80 |
| AHN WEXFORD HOSPITAL | WEXFORD | $141.70 | $46.20 – $3,763.66 |
| UPMC Magee | Pittsburgh | $2,491.80 | $48.40 – $1,214.04 |
| UPMC Passavant-McCandless | Pittsburgh | $2,641.20 | $48.40 – $1,236.52 |
| UPMC Presbyterian | Pittsburgh | $8,947.80 | $48.40 – $1,236.52 |
| UPMC Wellsboro | Wellsboro | $3,933.60 | $48.40 – $993.28 |
| WellSpan Ephrata Community Hospital | Ephrata | not published | $1,150.15 – $5,627.00 |