Excision of vaginal septum 57130 at GROVE CITY HOSPITAL
631 NORTH BROAD STREET EXT, GROVE CITY, PA · Ahn · · NPI 1023000296
$111.55
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.
$485.00
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.
$14.17 with Univera vs $8,709.67 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 | $14.17 | ↓ -87% |
| Univera | Univera Healthy New York | $14.17 | ↓ -87% |
| Univera | Univera Medicare | $17.80 | ↓ -84% |
| Univera | Univera Commercial | $19.89 | ↓ -82% |
| Amerihealth | Amerihealth Caritas D-SNP Medicare | $24.21 | ↓ -78% |
| Amerihealth | Amerihealth Caritas Medicare (NY) | $24.21 | ↓ -78% |
| Pennsylvania Health and Wellness | PA Health and Wellness Medicaid CHC | $30.44 | ↓ -73% |
| Amerihealth | Amerihealth Caritas HC Medicaid | $33.44 | ↓ -70% |
| Geisinger | Geisinger CHIP | $33.44 | ↓ -70% |
| Geisinger | Geisinger Medicaid HC | $33.44 | ↓ -70% |
| United Healthcare | United Healthcare Medicaid | $33.44 | ↓ -70% |
| Amerihealth | Amerihealth Caritas CHC Medicaid | $33.44 | ↓ -70% |
| Highmark | Highmark Community Blue Medicare | $150.33 | ↑ +35% |
| Life Pittsburgh | Life Pittsburgh Medicare | $161.65 | ↑ +45% |
| Allwell | Allwell by Wellcare | $161.65 | ↑ +45% |
| Highmark | Highmark Security Blue | $166.50 | ↑ +49% |
| Devoted Medicare | Devoted Health Medicare Advantage | $171.35 | ↑ +54% |
| Devoted Medicare | Devoted Duel Plus PA HMO D-SNP | $171.35 | ↑ +54% |
| American Health Plans | American Health Plans Medicare | $177.82 | ↑ +59% |
| Highmark | Highmark Together Blue | $196.65 | ↑ +76% |
| Highmark | Highmark Indemnity | $208.02 | ↑ +86% |
| Highmark | Highmark Blue High Performance | $208.02 | ↑ +86% |
| Highmark | Highmark Community Blue | $208.02 | ↑ +86% |
| Highmark | Highmark Connect Blue | $208.02 | ↑ +86% |
| Highmark | Highmark Managed Care | $208.02 | ↑ +86% |
| Highmark | Highmark My Blue Access | $208.02 | ↑ +86% |
| Highmark | Highmark My Direct Blue | $208.02 | ↑ +86% |
| Highmark | Highmark Performance Blue | $208.02 | ↑ +86% |
| Highmark | Highmark Social Mission Indemnity | $208.02 | ↑ +86% |
| Highmark | Highmark Social Mission Managed Care | $208.02 | ↑ +86% |
| Cigna | Cigna Commercial | $276.48 | ↑ +148% |
| United Healthcare | United Healthcare Navigate Nexus Commercial | $305.50 | ↑ +174% |
| United Healthcare | United Healthcare Commercial | $322.08 | ↑ +189% |
| United Healthcare | United Healthcare Of OH Medicaid | $322.08 | ↑ +189% |
| Aetna | Aetna Better Health CHIP | $555.00 | ↑ +398% |
| University of Pittsburgh Medical Center | University of Pittsburgh Medical Center Commercial | $625.27 | ↑ +461% |
| University of Pittsburgh Medical Center | University of Pittsburgh Medical Center for You Medicaid HC | $638.25 | ↑ +472% |
| University of Pittsburgh Medical Center | University of Pittsburgh Medical Center for Kids | $638.25 | ↑ +472% |
| University of Pittsburgh Medical Center | University of Pittsburgh Medical Center for You Medicaid CHC | $638.25 | ↑ +472% |
| Highmark Wholecare | Highmark Wholecare Medicaid HC | $765.90 | ↑ +587% |
| Pennsylvania Health and Wellness | Pennsylvania Health and Wellness Medicaid CHC | $832.50 | ↑ +646% |
| United Healthcare | United Healthcare CHIP | $888.00 | ↑ +696% |
| Amerihealth | Amerihealth Medicaid CHC | $915.75 | ↑ +721% |
| Amerihealth | Amerihealth Medicaid HC | $915.75 | ↑ +721% |
| Highmark | Highmark Community Blue Medicare PPO | $2,814.07 | ↑ +2423% |
| Highmark | Highmark Complete Blue Medicare | $2,814.07 | ↑ +2423% |
| Highmark | Highmark Freedom Blue | $2,844.66 | ↑ +2450% |
| University of Pittsburgh Medical Center | University of Pittsburgh Medical Center for Life Medicare PPO | $3,058.77 | ↑ +2642% |
| University of Pittsburgh Medical Center | University of Pittsburgh Medical Center for Life Medicare Specialty Plan D-SNP | $3,058.77 | ↑ +2642% |
| University of Pittsburgh Medical Center | University of Pittsburgh Medical Center for Life Medicare HMO | $3,058.77 | ↑ +2642% |
| United Healthcare | United Healthcare Medicare | $3,181.12 | ↑ +2752% |
| Highmark | Highmark Together Blue Medicare | $3,181.12 | ↑ +2752% |
| Highmark | Highmark Community Blue Medicare HMO | $3,181.12 | ↑ +2752% |
| Aetna | Aetna Medicare | $3,181.12 | ↑ +2752% |
| Humana | Humana Commercial | $3,242.30 | ↑ +2807% |
| Highmark Wholecare | Highmark Wholecare Medicare Assured | $3,242.30 | ↑ +2807% |
| Cigna | Cigna Medicare | $3,272.89 | ↑ +2834% |
| United Healthcare | United Healthcare Medicare I-SNP | $3,272.89 | ↑ +2834% |
| United Healthcare | United Healthcare Medicare D-SNP | $3,303.47 | ↑ +2861% |
| Molina | Molina Ohio | $3,334.06 | ↑ +2889% |
| Highmark | Highmark Performance Blue Enhanced | $6,032.81 | ↑ +5308% |
| Aetna | Aetna Commercial | $6,506.01 | ↑ +5732% |
| Medical Mutual | Medical Mutual Commercial (Cigna Network) | $8,709.67 | ↑ +7708% |
Visitor-reported prices
Comments
Excision of vaginal septum 57130 at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Uniontown Hospital | Uniontown | $818.50 | $205.80 – $6,516.82 |
| UPMC Altoona | Altoona | not published | $502.27 – $3,273.80 |
| UPMC Carlisle | Carlisle | not published | $525.63 – $4,866.56 |
| UPMC Hamot | Erie | not published | $570.33 – $4,408.81 |