Ercp bil/panc duct; each stent plcmt 43274 at GROVE CITY HOSPITAL
631 NORTH BROAD STREET EXT, GROVE CITY, PA · Ahn · · NPI 1023000296
$293.25
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.
$1,275.00
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.
$371.42 with Univera vs $16,306.50 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 Essential Plan | $371.42 | ↑ +27% |
| Univera | Univera Healthy New York | $371.42 | ↑ +27% |
| Amerihealth | Amerihealth Caritas D-SNP Medicare | $410.50 | ↑ +40% |
| Amerihealth | Amerihealth Caritas Medicare (NY) | $410.50 | ↑ +40% |
| Univera | Univera Medicare | $466.17 | ↑ +59% |
| Pennsylvania Health and Wellness | PA Health and Wellness Medicaid CHC | $516.05 | ↑ +76% |
| Univera | Univera Commercial | $546.21 | ↑ +86% |
| Highmark | Highmark Together Blue | $550.40 | ↑ +88% |
| Geisinger | Geisinger Medicaid HC | $566.88 | ↑ +93% |
| Amerihealth | Amerihealth Caritas CHC Medicaid | $566.88 | ↑ +93% |
| Amerihealth | Amerihealth Caritas HC Medicaid | $566.88 | ↑ +93% |
| United Healthcare | United Healthcare Medicaid | $566.88 | ↑ +93% |
| Geisinger | Geisinger CHIP | $566.88 | ↑ +93% |
| Highmark | Highmark Indemnity | $582.22 | ↑ +99% |
| Highmark | Highmark Blue High Performance | $582.22 | ↑ +99% |
| Highmark | Highmark Community Blue | $582.22 | ↑ +99% |
| Highmark | Highmark Connect Blue | $582.22 | ↑ +99% |
| Highmark | Highmark Managed Care | $582.22 | ↑ +99% |
| Highmark | Highmark My Blue Access | $582.22 | ↑ +99% |
| Highmark | Highmark My Direct Blue | $582.22 | ↑ +99% |
| Highmark | Highmark Performance Blue | $582.22 | ↑ +99% |
| Highmark | Highmark Social Mission Indemnity | $582.22 | ↑ +99% |
| Highmark | Highmark Social Mission Managed Care | $582.22 | ↑ +99% |
| Cigna | Cigna Commercial | $726.49 | ↑ +148% |
| Aetna | Aetna Better Health CHIP | $776.00 | ↑ +165% |
| United Healthcare | United Healthcare Navigate Nexus Commercial | $851.62 | ↑ +190% |
| University of Pittsburgh Medical Center | University of Pittsburgh Medical Center for Kids | $892.40 | ↑ +204% |
| University of Pittsburgh Medical Center | University of Pittsburgh Medical Center for You Medicaid CHC | $892.40 | ↑ +204% |
| University of Pittsburgh Medical Center | University of Pittsburgh Medical Center for You Medicaid HC | $892.40 | ↑ +204% |
| United Healthcare | United Healthcare Of OH Medicaid | $897.85 | ↑ +206% |
| United Healthcare | United Healthcare Commercial | $897.85 | ↑ +206% |
| Highmark Wholecare | Highmark Wholecare Medicaid HC | $1,070.88 | ↑ +265% |
| Pennsylvania Health and Wellness | Pennsylvania Health and Wellness Medicaid CHC | $1,164.00 | ↑ +297% |
| United Healthcare | United Healthcare CHIP | $1,241.60 | ↑ +323% |
| Amerihealth | Amerihealth Medicaid HC | $1,280.40 | ↑ +337% |
| Amerihealth | Amerihealth Medicaid CHC | $1,280.40 | ↑ +337% |
| Highmark | Highmark Complete Blue Medicare | $5,268.58 | ↑ +1697% |
| Highmark | Highmark Community Blue Medicare PPO | $5,268.58 | ↑ +1697% |
| Highmark | Highmark Freedom Blue | $5,325.85 | ↑ +1716% |
| University of Pittsburgh Medical Center | University of Pittsburgh Medical Center for Life Medicare Specialty Plan D-SNP | $5,726.72 | ↑ +1853% |
| American Health Plans | American Health Plans Medicare | $5,726.72 | ↑ +1853% |
| Life Pittsburgh | Life Pittsburgh Medicare | $5,726.72 | ↑ +1853% |
| University of Pittsburgh Medical Center | University of Pittsburgh Medical Center for Life Medicare HMO | $5,726.72 | ↑ +1853% |
| University of Pittsburgh Medical Center | University of Pittsburgh Medical Center for Life Medicare PPO | $5,726.72 | ↑ +1853% |
| Devoted Medicare | Devoted Health Medicare Advantage | $5,898.52 | ↑ +1911% |
| Highmark | Highmark Security Blue | $5,955.79 | ↑ +1931% |
| Highmark | Highmark Together Blue Medicare | $5,955.79 | ↑ +1931% |
| United Healthcare | United Healthcare Medicare | $5,955.79 | ↑ +1931% |
| Aetna | Aetna Medicare | $5,955.79 | ↑ +1931% |
| Highmark | Highmark Community Blue Medicare HMO | $5,955.79 | ↑ +1931% |
| Humana | Humana Commercial | $6,070.33 | ↑ +1970% |
| Highmark Wholecare | Highmark Wholecare Medicare Assured | $6,070.33 | ↑ +1970% |
| United Healthcare | United Healthcare Medicare I-SNP | $6,127.59 | ↑ +1990% |
| Cigna | Cigna Medicare | $6,127.59 | ↑ +1990% |
| United Healthcare | United Healthcare Medicare D-SNP | $6,184.86 | ↑ +2009% |
| Molina | Molina Ohio | $6,242.13 | ↑ +2029% |
| Highmark | Highmark Performance Blue Enhanced | $11,294.81 | ↑ +3752% |
| Aetna | Aetna Commercial | $12,180.74 | ↑ +4054% |
| Medical Mutual | Medical Mutual Commercial (Cigna Network) | $16,306.50 | ↑ +5461% |
Visitor-reported prices
Comments
Ercp bil/panc duct; each stent plcmt 43274 at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $3,517.80 | $172.48 – $6,129.31 |
| AHN WEXFORD HOSPITAL | WEXFORD | $331.50 | $410.50 – $19,001.55 |
| UPMC Cole | Coudersport | $858.60 | $172.48 – $1,144.80 |
| UPMC East | Monroeville | $3,055.20 | $98.53 – $6,129.31 |
| UPMC Hamot | Erie | $4,961.40 | $214.14 – $8,254.31 |
| UPMC Jameson | New Castle | $2,754.00 | $172.48 – $7,661.64 |
| UPMC Magee | Pittsburgh | $3,596.40 | $156.59 – $6,242.82 |
| UPMC McKeesport | Mckeesport | $3,033.60 | $93.93 – $6,242.82 |