Eye surgery follow-up add-on at GROVE CITY HOSPITAL
631 NORTH BROAD STREET EXT, GROVE CITY, PA · Ahn · · NPI 1023000296
$146.51
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.
$637.00
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.
$125.69 with Univera vs $2,003.29 with University of Pittsburgh Medical Center — 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 | $125.69 | ↓ -14% |
| Univera | Univera Essential Plan | $125.69 | ↓ -14% |
| Univera | Univera Medicare | $157.50 | ↑ +8% |
| Highmark | Highmark Together Blue | $194.01 | ↑ +32% |
| Highmark | Highmark Managed Care | $205.23 | ↑ +40% |
| Highmark | Highmark My Blue Access | $205.23 | ↑ +40% |
| Highmark | Highmark Social Mission Managed Care | $205.23 | ↑ +40% |
| Highmark | Highmark Social Mission Indemnity | $205.23 | ↑ +40% |
| Highmark | Highmark Performance Blue | $205.23 | ↑ +40% |
| Highmark | Highmark My Direct Blue | $205.23 | ↑ +40% |
| Highmark | Highmark Blue High Performance | $205.23 | ↑ +40% |
| Highmark | Highmark Community Blue | $205.23 | ↑ +40% |
| Highmark | Highmark Connect Blue | $205.23 | ↑ +40% |
| Highmark | Highmark Indemnity | $205.23 | ↑ +40% |
| Univera | Univera Commercial | $210.13 | ↑ +43% |
| Aetna | Aetna Better Health CHIP | $222.80 | ↑ +52% |
| Amerihealth | Amerihealth Caritas Medicare (NY) | $233.94 | ↑ +60% |
| Amerihealth | Amerihealth Caritas D-SNP Medicare | $233.94 | ↑ +60% |
| Cigna | Cigna Commercial | $242.60 | ↑ +66% |
| University of Pittsburgh Medical Center | University of Pittsburgh Medical Center for Kids | $256.22 | ↑ +75% |
| University of Pittsburgh Medical Center | University of Pittsburgh Medical Center for You Medicaid HC | $256.22 | ↑ +75% |
| University of Pittsburgh Medical Center | University of Pittsburgh Medical Center for You Medicaid CHC | $256.22 | ↑ +75% |
| Pennsylvania Health and Wellness | PA Health and Wellness Medicaid CHC | $294.10 | ↑ +101% |
| Highmark Wholecare | Highmark Wholecare Medicaid HC | $307.46 | ↑ +110% |
| United Healthcare | United Healthcare Medicaid | $323.06 | ↑ +121% |
| Geisinger | Geisinger CHIP | $323.06 | ↑ +121% |
| Geisinger | Geisinger Medicaid HC | $323.06 | ↑ +121% |
| Amerihealth | Amerihealth Caritas HC Medicaid | $323.06 | ↑ +121% |
| Amerihealth | Amerihealth Caritas CHC Medicaid | $323.06 | ↑ +121% |
| Pennsylvania Health and Wellness | Pennsylvania Health and Wellness Medicaid CHC | $334.20 | ↑ +128% |
| United Healthcare | United Healthcare CHIP | $356.48 | ↑ +143% |
| Amerihealth | Amerihealth Medicaid CHC | $367.62 | ↑ +151% |
| Amerihealth | Amerihealth Medicaid HC | $367.62 | ↑ +151% |
| United Healthcare | United Healthcare Navigate Nexus Commercial | $549.62 | ↑ +275% |
| United Healthcare | United Healthcare Commercial | $579.46 | ↑ +296% |
| United Healthcare | United Healthcare Of OH Medicaid | $579.46 | ↑ +296% |
| University of Pittsburgh Medical Center | University of Pittsburgh Medical Center Commercial | $2,003.29 | ↑ +1267% |
Visitor-reported prices
Comments
Eye surgery follow-up add-on at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| AHN WEXFORD HOSPITAL | WEXFORD | $165.62 | $194.01 – $323.06 |
| UPMC Mercy | Pittsburgh | not published | $245.08 – $1,824.54 |