Incise tear duct opening 68440 at GROVE CITY HOSPITAL
631 NORTH BROAD STREET EXT, GROVE CITY, PA · Ahn · · NPI 1023000296
$63.25
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.
$275.00
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.
$8.15 with Univera vs $1,241.60 with United Healthcare — 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 | $8.15 | ↓ -87% |
| Univera | Univera Healthy New York | $8.15 | ↓ -87% |
| Univera | Univera Medicare | $10.21 | ↓ -84% |
| Univera | Univera Commercial | $13.62 | ↓ -78% |
| Aetna | Aetna Better Health CHIP | $35.00 | ↓ -45% |
| Amerihealth | Amerihealth Caritas D-SNP Medicare | $36.75 | ↓ -42% |
| Amerihealth | Amerihealth Caritas Medicare (NY) | $36.75 | ↓ -42% |
| University of Pittsburgh Medical Center | University of Pittsburgh Medical Center for You Medicaid HC | $40.25 | ↓ -36% |
| University of Pittsburgh Medical Center | University of Pittsburgh Medical Center for Kids | $40.25 | ↓ -36% |
| University of Pittsburgh Medical Center | University of Pittsburgh Medical Center for You Medicaid CHC | $40.25 | ↓ -36% |
| Pennsylvania Health and Wellness | PA Health and Wellness Medicaid CHC | $46.20 | ↓ -27% |
| Highmark Wholecare | Highmark Wholecare Medicaid HC | $48.30 | ↓ -24% |
| Amerihealth | Amerihealth Caritas HC Medicaid | $50.75 | ↓ -20% |
| Amerihealth | Amerihealth Caritas CHC Medicaid | $50.75 | ↓ -20% |
| Geisinger | Geisinger CHIP | $50.75 | ↓ -20% |
| Geisinger | Geisinger Medicaid HC | $50.75 | ↓ -20% |
| United Healthcare | United Healthcare Medicaid | $50.75 | ↓ -20% |
| Pennsylvania Health and Wellness | Pennsylvania Health and Wellness Medicaid CHC | $52.50 | ↓ -17% |
| Amerihealth | Amerihealth Medicaid CHC | $57.75 | ↓ -9% |
| Amerihealth | Amerihealth Medicaid HC | $57.75 | ↓ -9% |
| Highmark | Highmark Community Blue Medicare | $85.19 | ↑ +35% |
| Life Pittsburgh | Life Pittsburgh Medicare | $91.60 | ↑ +45% |
| Allwell | Allwell by Wellcare | $91.60 | ↑ +45% |
| Highmark | Highmark Security Blue | $94.35 | ↑ +49% |
| Devoted Medicare | Devoted Health Medicare Advantage | $97.10 | ↑ +54% |
| Devoted Medicare | Devoted Duel Plus PA HMO D-SNP | $97.10 | ↑ +54% |
| American Health Plans | American Health Plans Medicare | $100.76 | ↑ +59% |
| Highmark | Highmark Together Blue | $126.25 | ↑ +100% |
| Highmark | Highmark Performance Blue | $133.55 | ↑ +111% |
| Highmark | Highmark Social Mission Indemnity | $133.55 | ↑ +111% |
| Highmark | Highmark Social Mission Managed Care | $133.55 | ↑ +111% |
| Highmark | Highmark Blue High Performance | $133.55 | ↑ +111% |
| Highmark | Highmark Connect Blue | $133.55 | ↑ +111% |
| Highmark | Highmark Community Blue | $133.55 | ↑ +111% |
| Highmark | Highmark Indemnity | $133.55 | ↑ +111% |
| Highmark | Highmark Managed Care | $133.55 | ↑ +111% |
| Highmark | Highmark My Blue Access | $133.55 | ↑ +111% |
| Highmark | Highmark My Direct Blue | $133.55 | ↑ +111% |
| Cigna | Cigna Commercial | $156.63 | ↑ +148% |
| United Healthcare | United Healthcare Navigate Nexus Commercial | $175.10 | ↑ +177% |
| United Healthcare | United Healthcare Of OH Medicaid | $184.61 | ↑ +192% |
| United Healthcare | United Healthcare Commercial | $184.61 | ↑ +192% |
| University of Pittsburgh Medical Center | University of Pittsburgh Medical Center Commercial | $188.09 | ↑ +197% |
| Highmark | Highmark Community Blue Medicare PPO | $264.57 | ↑ +318% |
| Highmark | Highmark Complete Blue Medicare | $264.57 | ↑ +318% |
| Highmark | Highmark Freedom Blue | $267.45 | ↑ +323% |
| University of Pittsburgh Medical Center | University of Pittsburgh Medical Center for Life Medicare HMO | $287.58 | ↑ +355% |
| University of Pittsburgh Medical Center | University of Pittsburgh Medical Center for Life Medicare PPO | $287.58 | ↑ +355% |
| University of Pittsburgh Medical Center | University of Pittsburgh Medical Center for Life Medicare Specialty Plan D-SNP | $287.58 | ↑ +355% |
| Aetna | Aetna Medicare | $299.08 | ↑ +373% |
| United Healthcare | United Healthcare Medicare | $299.08 | ↑ +373% |
| Highmark | Highmark Together Blue Medicare | $299.08 | ↑ +373% |
| Highmark | Highmark Community Blue Medicare HMO | $299.08 | ↑ +373% |
| Humana | Humana Commercial | $304.83 | ↑ +382% |
| Highmark Wholecare | Highmark Wholecare Medicare Assured | $304.83 | ↑ +382% |
| United Healthcare | United Healthcare Medicare I-SNP | $307.71 | ↑ +386% |
| Cigna | Cigna Medicare | $307.71 | ↑ +386% |
| United Healthcare | United Healthcare Medicare D-SNP | $310.58 | ↑ +391% |
| Molina | Molina Ohio | $313.46 | ↑ +396% |
| Highmark | Highmark Performance Blue Enhanced | $567.19 | ↑ +797% |
| Aetna | Aetna Commercial | $611.68 | ↑ +867% |
| Medical Mutual | Medical Mutual Commercial (Cigna Network) | $818.86 | ↑ +1195% |
| United Healthcare | United Healthcare CHIP | $1,241.60 | ↑ +1863% |
Visitor-reported prices
Comments
Incise tear duct opening 68440 at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| AHN WEXFORD HOSPITAL | WEXFORD | $71.50 | $36.75 – $954.19 |
| Uniontown Hospital | Uniontown | $365.00 | $38.50 – $638.99 |