Exploration maxillary sinus at GROVE CITY HOSPITAL
631 NORTH BROAD STREET EXT, GROVE CITY, PA · Ahn · · NPI 1023000296
$116.61
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.
$507.00
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.
$145.98 with Univera vs $10,099.64 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 | $145.98 | ↑ +25% |
| Univera | Univera Essential Plan | $145.98 | ↑ +25% |
| Univera | Univera Medicare | $181.80 | ↑ +56% |
| Highmark | Highmark Together Blue | $190.75 | ↑ +64% |
| Amerihealth | Amerihealth Caritas Medicare (NY) | $194.15 | ↑ +66% |
| Amerihealth | Amerihealth Caritas D-SNP Medicare | $194.15 | ↑ +66% |
| Univera | Univera Commercial | $194.25 | ↑ +67% |
| Highmark | Highmark My Blue Access | $201.78 | ↑ +73% |
| Highmark | Highmark Managed Care | $201.78 | ↑ +73% |
| Highmark | Highmark Connect Blue | $201.78 | ↑ +73% |
| Highmark | Highmark Indemnity | $201.78 | ↑ +73% |
| Highmark | Highmark Social Mission Managed Care | $201.78 | ↑ +73% |
| Highmark | Highmark Social Mission Indemnity | $201.78 | ↑ +73% |
| Highmark | Highmark My Direct Blue | $201.78 | ↑ +73% |
| Highmark | Highmark Performance Blue | $201.78 | ↑ +73% |
| Highmark | Highmark Blue High Performance | $201.78 | ↑ +73% |
| Highmark | Highmark Community Blue | $201.78 | ↑ +73% |
| Pennsylvania Health and Wellness | PA Health and Wellness Medicaid CHC | $244.07 | ↑ +109% |
| Geisinger | Geisinger Medicaid HC | $268.11 | ↑ +130% |
| Amerihealth | Amerihealth Caritas CHC Medicaid | $268.11 | ↑ +130% |
| Amerihealth | Amerihealth Caritas HC Medicaid | $268.11 | ↑ +130% |
| Geisinger | Geisinger CHIP | $268.11 | ↑ +130% |
| United Healthcare | United Healthcare Medicaid | $268.11 | ↑ +130% |
| Cigna | Cigna Commercial | $285.70 | ↑ +145% |
| United Healthcare | United Healthcare Navigate Nexus Commercial | $328.98 | ↑ +182% |
| United Healthcare | United Healthcare Of OH Medicaid | $346.84 | ↑ +197% |
| United Healthcare | United Healthcare Commercial | $346.84 | ↑ +197% |
| Aetna | Aetna Better Health CHIP | $776.00 | ↑ +565% |
| University of Pittsburgh Medical Center | University of Pittsburgh Medical Center Commercial | $833.10 | ↑ +614% |
| University of Pittsburgh Medical Center | University of Pittsburgh Medical Center for You Medicaid HC | $892.40 | ↑ +665% |
| University of Pittsburgh Medical Center | University of Pittsburgh Medical Center for Kids | $892.40 | ↑ +665% |
| University of Pittsburgh Medical Center | University of Pittsburgh Medical Center for You Medicaid CHC | $892.40 | ↑ +665% |
| Highmark Wholecare | Highmark Wholecare Medicaid HC | $1,070.88 | ↑ +818% |
| Pennsylvania Health and Wellness | Pennsylvania Health and Wellness Medicaid CHC | $1,164.00 | ↑ +898% |
| United Healthcare | United Healthcare CHIP | $1,241.60 | ↑ +965% |
| Amerihealth | Amerihealth Medicaid CHC | $1,280.40 | ↑ +998% |
| Amerihealth | Amerihealth Medicaid HC | $1,280.40 | ↑ +998% |
| Highmark | Highmark Complete Blue Medicare | $3,263.17 | ↑ +2698% |
| Highmark | Highmark Community Blue Medicare PPO | $3,263.17 | ↑ +2698% |
| Highmark | Highmark Freedom Blue | $3,298.64 | ↑ +2729% |
| American Health Plans | American Health Plans Medicare | $3,546.92 | ↑ +2942% |
| Life Pittsburgh | Life Pittsburgh Medicare | $3,546.92 | ↑ +2942% |
| University of Pittsburgh Medical Center | University of Pittsburgh Medical Center for Life Medicare Specialty Plan D-SNP | $3,546.92 | ↑ +2942% |
| University of Pittsburgh Medical Center | University of Pittsburgh Medical Center for Life Medicare PPO | $3,546.92 | ↑ +2942% |
| University of Pittsburgh Medical Center | University of Pittsburgh Medical Center for Life Medicare HMO | $3,546.92 | ↑ +2942% |
| Devoted Medicare | Devoted Health Medicare Advantage | $3,653.33 | ↑ +3033% |
| Highmark | Highmark Community Blue Medicare HMO | $3,688.80 | ↑ +3063% |
| United Healthcare | United Healthcare Medicare | $3,688.80 | ↑ +3063% |
| Highmark | Highmark Together Blue Medicare | $3,688.80 | ↑ +3063% |
| Highmark | Highmark Security Blue | $3,688.80 | ↑ +3063% |
| Aetna | Aetna Medicare | $3,688.80 | ↑ +3063% |
| Highmark Wholecare | Highmark Wholecare Medicare Assured | $3,759.73 | ↑ +3124% |
| Humana | Humana Commercial | $3,759.73 | ↑ +3124% |
| United Healthcare | United Healthcare Medicare I-SNP | $3,795.20 | ↑ +3155% |
| Cigna | Cigna Medicare | $3,795.20 | ↑ +3155% |
| United Healthcare | United Healthcare Medicare D-SNP | $3,830.67 | ↑ +3185% |
| Molina | Molina Ohio | $3,866.14 | ↑ +3215% |
| Highmark | Highmark Performance Blue Enhanced | $6,995.59 | ↑ +5899% |
| Aetna | Aetna Commercial | $7,544.30 | ↑ +6370% |
| Medical Mutual | Medical Mutual Commercial (Cigna Network) | $10,099.64 | ↑ +8561% |
Visitor-reported prices
Comments
Exploration maxillary sinus at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Cole | Coudersport | $390.60 | $180.46 – $1,192.92 |
| Uniontown Hospital | Uniontown | $2,771.50 | $205.80 – $7,505.72 |
| UPMC Altoona | Altoona | not published | $670.86 – $3,796.26 |
| UPMC Bedford | Everett | not published | $670.86 – $3,796.26 |
| UPMC East | Monroeville | not published | $724.12 – $3,866.57 |
| UPMC Hamot | Erie | not published | $724.12 – $5,112.40 |
| UPMC Northwest | Seneca | not published | $679.35 – $3,796.26 |
| UPMC Hanover | Hanover | not published | $710.95 – $5,635.42 |