Fusion of spermatic ducts at GROVE CITY HOSPITAL
631 NORTH BROAD STREET EXT, GROVE CITY, PA · Ahn · · NPI 1023000296
$517.73
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.
$2,251.00
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.
$65.10 with Amerihealth vs $5,611.47 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 |
|---|---|---|---|
| Amerihealth | Amerihealth Caritas D-SNP Medicare | $65.10 | ↓ -87% |
| Amerihealth | Amerihealth Caritas Medicare (NY) | $65.10 | ↓ -87% |
| Univera | Univera Essential Plan | $65.19 | ↓ -87% |
| Univera | Univera Healthy New York | $65.19 | ↓ -87% |
| Pennsylvania Health and Wellness | PA Health and Wellness Medicaid CHC | $81.84 | ↓ -84% |
| Univera | Univera Medicare | $82.84 | ↓ -84% |
| Amerihealth | Amerihealth Caritas CHC Medicaid | $89.90 | ↓ -83% |
| United Healthcare | United Healthcare Medicaid | $89.90 | ↓ -83% |
| Amerihealth | Amerihealth Caritas HC Medicaid | $89.90 | ↓ -83% |
| Geisinger | Geisinger CHIP | $89.90 | ↓ -83% |
| Geisinger | Geisinger Medicaid HC | $89.90 | ↓ -83% |
| United Healthcare | United Healthcare CHIP | $99.20 | ↓ -81% |
| Univera | Univera Commercial | $106.61 | ↓ -79% |
| Highmark | Highmark Together Blue | $1,026.36 | ↑ +98% |
| Highmark | Highmark Blue High Performance | $1,085.70 | ↑ +110% |
| Highmark | Highmark Community Blue | $1,085.70 | ↑ +110% |
| Highmark | Highmark Connect Blue | $1,085.70 | ↑ +110% |
| Highmark | Highmark Indemnity | $1,085.70 | ↑ +110% |
| Highmark | Highmark Managed Care | $1,085.70 | ↑ +110% |
| Highmark | Highmark My Blue Access | $1,085.70 | ↑ +110% |
| Highmark | Highmark My Direct Blue | $1,085.70 | ↑ +110% |
| Highmark | Highmark Performance Blue | $1,085.70 | ↑ +110% |
| Highmark | Highmark Social Mission Indemnity | $1,085.70 | ↑ +110% |
| Highmark | Highmark Social Mission Managed Care | $1,085.70 | ↑ +110% |
| Cigna | Cigna Commercial | $1,273.50 | ↑ +146% |
| United Healthcare | United Healthcare Navigate Nexus Commercial | $1,472.52 | ↑ +184% |
| United Healthcare | United Healthcare Commercial | $1,552.47 | ↑ +200% |
| United Healthcare | United Healthcare Of OH Medicaid | $1,552.47 | ↑ +200% |
| Highmark | Highmark Complete Blue Medicare | $1,813.05 | ↑ +250% |
| Highmark | Highmark Community Blue Medicare PPO | $1,813.05 | ↑ +250% |
| Highmark | Highmark Freedom Blue | $1,832.76 | ↑ +254% |
| University of Pittsburgh Medical Center | University of Pittsburgh Medical Center for Life Medicare PPO | $1,970.71 | ↑ +281% |
| Life Pittsburgh | Life Pittsburgh Medicare | $1,970.71 | ↑ +281% |
| University of Pittsburgh Medical Center | University of Pittsburgh Medical Center for Life Medicare HMO | $1,970.71 | ↑ +281% |
| American Health Plans | American Health Plans Medicare | $1,970.71 | ↑ +281% |
| University of Pittsburgh Medical Center | University of Pittsburgh Medical Center for Life Medicare Specialty Plan D-SNP | $1,970.71 | ↑ +281% |
| Devoted Medicare | Devoted Health Medicare Advantage | $2,029.83 | ↑ +292% |
| Highmark | Highmark Community Blue Medicare HMO | $2,049.54 | ↑ +296% |
| Aetna | Aetna Medicare | $2,049.54 | ↑ +296% |
| United Healthcare | United Healthcare Medicare | $2,049.54 | ↑ +296% |
| Highmark | Highmark Security Blue | $2,049.54 | ↑ +296% |
| Highmark | Highmark Together Blue Medicare | $2,049.54 | ↑ +296% |
| Humana | Humana Commercial | $2,088.95 | ↑ +303% |
| Highmark Wholecare | Highmark Wholecare Medicare Assured | $2,088.95 | ↑ +303% |
| Cigna | Cigna Medicare | $2,108.66 | ↑ +307% |
| United Healthcare | United Healthcare Medicare I-SNP | $2,108.66 | ↑ +307% |
| United Healthcare | United Healthcare Medicare D-SNP | $2,128.36 | ↑ +311% |
| Molina | Molina Ohio | $2,148.07 | ↑ +315% |
| University of Pittsburgh Medical Center | University of Pittsburgh Medical Center Commercial | $2,751.46 | ↑ +431% |
| Highmark | Highmark Performance Blue Enhanced | $3,886.83 | ↑ +651% |
| Aetna | Aetna Commercial | $4,191.70 | ↑ +710% |
| Medical Mutual | Medical Mutual Commercial (Cigna Network) | $5,611.47 | ↑ +984% |
Visitor-reported prices
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Fusion of spermatic ducts at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| AHN WEXFORD HOSPITAL | WEXFORD | $585.26 | $65.10 – $6,538.91 |