Ercp remove duct calculi 43264 at GROVE CITY HOSPITAL
631 NORTH BROAD STREET EXT, GROVE CITY, PA · Ahn · · NPI 1023000296
$231.15
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.
$1,005.00
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.
$292.36 with Univera vs $10,421.73 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 | $292.36 | ↑ +26% |
| Univera | Univera Healthy New York | $292.36 | ↑ +26% |
| Univera | Univera Medicare | $366.94 | ↑ +59% |
| Univera | Univera Commercial | $429.94 | ↑ +86% |
| Highmark | Highmark Together Blue | $433.11 | ↑ +87% |
| Highmark | Highmark My Blue Access | $458.16 | ↑ +98% |
| Highmark | Highmark Connect Blue | $458.16 | ↑ +98% |
| Highmark | Highmark Managed Care | $458.16 | ↑ +98% |
| Highmark | Highmark Indemnity | $458.16 | ↑ +98% |
| Highmark | Highmark Blue High Performance | $458.16 | ↑ +98% |
| Highmark | Highmark Community Blue | $458.16 | ↑ +98% |
| Highmark | Highmark Performance Blue | $458.16 | ↑ +98% |
| Highmark | Highmark My Direct Blue | $458.16 | ↑ +98% |
| Highmark | Highmark Social Mission Managed Care | $458.16 | ↑ +98% |
| Highmark | Highmark Social Mission Indemnity | $458.16 | ↑ +98% |
| Amerihealth | Amerihealth Caritas Medicare (NY) | $468.71 | ↑ +103% |
| Amerihealth | Amerihealth Caritas D-SNP Medicare | $468.71 | ↑ +103% |
| Cigna | Cigna Commercial | $571.52 | ↑ +147% |
| Pennsylvania Health and Wellness | PA Health and Wellness Medicaid CHC | $589.23 | ↑ +155% |
| Geisinger | Geisinger Medicaid HC | $647.27 | ↑ +180% |
| Amerihealth | Amerihealth Caritas CHC Medicaid | $647.27 | ↑ +180% |
| Amerihealth | Amerihealth Caritas HC Medicaid | $647.27 | ↑ +180% |
| Geisinger | Geisinger CHIP | $647.27 | ↑ +180% |
| United Healthcare | United Healthcare Medicaid | $647.27 | ↑ +180% |
| United Healthcare | United Healthcare Navigate Nexus Commercial | $668.52 | ↑ +189% |
| United Healthcare | United Healthcare Commercial | $704.81 | ↑ +205% |
| United Healthcare | United Healthcare Of OH Medicaid | $704.81 | ↑ +205% |
| Aetna | Aetna Better Health CHIP | $776.00 | ↑ +236% |
| University of Pittsburgh Medical Center | University of Pittsburgh Medical Center for Kids | $892.40 | ↑ +286% |
| University of Pittsburgh Medical Center | University of Pittsburgh Medical Center for You Medicaid HC | $892.40 | ↑ +286% |
| University of Pittsburgh Medical Center | University of Pittsburgh Medical Center for You Medicaid CHC | $892.40 | ↑ +286% |
| Highmark Wholecare | Highmark Wholecare Medicaid HC | $1,070.88 | ↑ +363% |
| Pennsylvania Health and Wellness | Pennsylvania Health and Wellness Medicaid CHC | $1,164.00 | ↑ +404% |
| United Healthcare | United Healthcare CHIP | $1,241.60 | ↑ +437% |
| Amerihealth | Amerihealth Medicaid CHC | $1,280.40 | ↑ +454% |
| Amerihealth | Amerihealth Medicaid HC | $1,280.40 | ↑ +454% |
| University of Pittsburgh Medical Center | University of Pittsburgh Medical Center Commercial | $2,098.74 | ↑ +808% |
| Highmark | Highmark Complete Blue Medicare | $3,367.23 | ↑ +1357% |
| Highmark | Highmark Community Blue Medicare PPO | $3,367.23 | ↑ +1357% |
| Highmark | Highmark Freedom Blue | $3,403.83 | ↑ +1373% |
| American Health Plans | American Health Plans Medicare | $3,660.03 | ↑ +1483% |
| Life Pittsburgh | Life Pittsburgh Medicare | $3,660.03 | ↑ +1483% |
| University of Pittsburgh Medical Center | University of Pittsburgh Medical Center for Life Medicare Specialty Plan D-SNP | $3,660.03 | ↑ +1483% |
| University of Pittsburgh Medical Center | University of Pittsburgh Medical Center for Life Medicare PPO | $3,660.03 | ↑ +1483% |
| University of Pittsburgh Medical Center | University of Pittsburgh Medical Center for Life Medicare HMO | $3,660.03 | ↑ +1483% |
| Devoted Medicare | Devoted Health Medicare Advantage | $3,769.83 | ↑ +1531% |
| Highmark | Highmark Community Blue Medicare HMO | $3,806.44 | ↑ +1547% |
| United Healthcare | United Healthcare Medicare | $3,806.44 | ↑ +1547% |
| Highmark | Highmark Together Blue Medicare | $3,806.44 | ↑ +1547% |
| Highmark | Highmark Security Blue | $3,806.44 | ↑ +1547% |
| Aetna | Aetna Medicare | $3,806.44 | ↑ +1547% |
| Highmark Wholecare | Highmark Wholecare Medicare Assured | $3,879.64 | ↑ +1578% |
| Humana | Humana Commercial | $3,879.64 | ↑ +1578% |
| United Healthcare | United Healthcare Medicare I-SNP | $3,916.24 | ↑ +1594% |
| Cigna | Cigna Medicare | $3,916.24 | ↑ +1594% |
| United Healthcare | United Healthcare Medicare D-SNP | $3,952.84 | ↑ +1610% |
| Molina | Molina Ohio | $3,989.44 | ↑ +1626% |
| Highmark | Highmark Performance Blue Enhanced | $7,218.68 | ↑ +3023% |
| Aetna | Aetna Commercial | $7,784.89 | ↑ +3268% |
| Medical Mutual | Medical Mutual Commercial (Cigna Network) | $10,421.73 | ↑ +4409% |
Visitor-reported prices
Comments
Ercp remove duct calculi 43264 at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $3,517.80 | $729.80 – $4,690.40 |
| UPMC Carlisle | Carlisle | $4,546.20 | $1,016.56 – $6,440.45 |
| AHN WEXFORD HOSPITAL | WEXFORD | $261.30 | $433.11 – $12,144.18 |
| UPMC Cole | Coudersport | $1,431.00 | $661.12 – $1,908.00 |
| UPMC Community Osteopathic | Harrisburg | $4,546.20 | $1,016.56 – $6,440.45 |
| UPMC East | Monroeville | $3,055.20 | $736.75 – $4,073.60 |
| UPMC Hamot | Erie | $4,144.80 | $729.80 – $5,275.45 |
| UPMC Hanover | Hanover | $4,546.20 | $1,016.56 – $5,815.15 |