Implantation iris prosthesis at GROVE CITY HOSPITAL
631 NORTH BROAD STREET EXT, GROVE CITY, PA · Ahn · · NPI 1023000296
$493.35
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.
$2,145.00
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.
$63.20 with Univera vs $44,969.46 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 | $63.20 | ↓ -87% |
| Univera | Univera Healthy New York | $63.20 | ↓ -87% |
| Univera | Univera Medicare | $79.19 | ↓ -84% |
| Univera | Univera Commercial | $105.66 | ↓ -79% |
| Cigna | Cigna Commercial | $1,220.78 | ↑ +147% |
| United Healthcare | United Healthcare Navigate Nexus Commercial | $1,458.04 | ↑ +196% |
| United Healthcare | United Healthcare Commercial | $1,537.21 | ↑ +212% |
| United Healthcare | United Healthcare Of OH Medicaid | $1,537.21 | ↑ +212% |
| Highmark | Highmark Together Blue | $10,911.34 | ↑ +2112% |
| Highmark | Highmark Community Blue Medicare PPO | $14,529.51 | ↑ +2845% |
| Highmark | Highmark Complete Blue Medicare | $14,529.51 | ↑ +2845% |
| Highmark | Highmark Freedom Blue | $14,687.44 | ↑ +2877% |
| University of Pittsburgh Medical Center | University of Pittsburgh Medical Center for Life Medicare PPO | $15,792.94 | ↑ +3101% |
| University of Pittsburgh Medical Center | University of Pittsburgh Medical Center for Life Medicare Specialty Plan D-SNP | $15,792.94 | ↑ +3101% |
| American Health Plans | American Health Plans Medicare | $15,792.94 | ↑ +3101% |
| Life Pittsburgh | Life Pittsburgh Medicare | $15,792.94 | ↑ +3101% |
| University of Pittsburgh Medical Center | University of Pittsburgh Medical Center for Life Medicare HMO | $15,792.94 | ↑ +3101% |
| Devoted Medicare | Devoted Health Medicare Advantage | $16,266.73 | ↑ +3197% |
| Aetna | Aetna Medicare | $16,424.66 | ↑ +3229% |
| Highmark | Highmark Security Blue | $16,424.66 | ↑ +3229% |
| Highmark | Highmark Community Blue Medicare HMO | $16,424.66 | ↑ +3229% |
| United Healthcare | United Healthcare Medicare | $16,424.66 | ↑ +3229% |
| Highmark | Highmark Together Blue Medicare | $16,424.66 | ↑ +3229% |
| Amerihealth | Amerihealth Caritas D-SNP Medicare | $16,582.59 | ↑ +3261% |
| Highmark Wholecare | Highmark Wholecare Medicare Assured | $16,740.52 | ↑ +3293% |
| Humana | Humana Commercial | $16,740.52 | ↑ +3293% |
| Cigna | Cigna Medicare | $16,898.45 | ↑ +3325% |
| United Healthcare | United Healthcare Medicare I-SNP | $16,898.45 | ↑ +3325% |
| United Healthcare | United Healthcare Medicare D-SNP | $17,056.38 | ↑ +3357% |
| Molina | Molina Ohio | $17,214.31 | ↑ +3389% |
| Highmark | Highmark My Direct Blue | $18,664.10 | ↑ +3683% |
| Highmark | Highmark Social Mission Managed Care | $18,664.10 | ↑ +3683% |
| Highmark | Highmark My Blue Access | $26,129.43 | ↑ +5196% |
| Highmark | Highmark Performance Blue Enhanced | $31,148.42 | ↑ +6214% |
| Highmark | Highmark Performance Blue | $31,148.42 | ↑ +6214% |
| Highmark | Highmark Blue High Performance | $31,148.42 | ↑ +6214% |
| Highmark | Highmark Managed Care | $32,615.59 | ↑ +6511% |
| Highmark | Highmark Indemnity | $32,615.59 | ↑ +6511% |
| Highmark | Highmark Community Blue | $32,615.59 | ↑ +6511% |
| Aetna | Aetna Commercial | $33,591.59 | ↑ +6709% |
| Medical Mutual | Medical Mutual Commercial (Cigna Network) | $44,969.46 | ↑ +9015% |