Incision of anal sphincter at GROVE CITY HOSPITAL
631 NORTH BROAD STREET EXT, GROVE CITY, PA · Ahn · · NPI 1023000296
$102.81
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.
$447.00
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.
$12.82 with Univera vs $7,512.21 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 | $12.82 | ↓ -88% |
| Univera | Univera Healthy New York | $12.82 | ↓ -88% |
| Univera | Univera Medicare | $16.09 | ↓ -84% |
| Univera | Univera Commercial | $18.85 | ↓ -82% |
| Aetna | Aetna Better Health CHIP | $133.00 | ↑ +29% |
| Highmark | Highmark Community Blue Medicare | $138.45 | ↑ +35% |
| Amerihealth | Amerihealth Caritas Medicare (NY) | $139.65 | ↑ +36% |
| Amerihealth | Amerihealth Caritas D-SNP Medicare | $139.65 | ↑ +36% |
| Life Pittsburgh | Life Pittsburgh Medicare | $148.87 | ↑ +45% |
| Allwell | Allwell by Wellcare | $148.87 | ↑ +45% |
| University of Pittsburgh Medical Center | University of Pittsburgh Medical Center for You Medicaid HC | $152.95 | ↑ +49% |
| University of Pittsburgh Medical Center | University of Pittsburgh Medical Center for You Medicaid CHC | $152.95 | ↑ +49% |
| University of Pittsburgh Medical Center | University of Pittsburgh Medical Center for Kids | $152.95 | ↑ +49% |
| Highmark | Highmark Security Blue | $153.34 | ↑ +49% |
| Devoted Medicare | Devoted Health Medicare Advantage | $157.80 | ↑ +53% |
| Devoted Medicare | Devoted Duel Plus PA HMO D-SNP | $157.80 | ↑ +53% |
| American Health Plans | American Health Plans Medicare | $163.76 | ↑ +59% |
| Highmark | Highmark Together Blue | $169.27 | ↑ +65% |
| Pennsylvania Health and Wellness | PA Health and Wellness Medicaid CHC | $175.56 | ↑ +71% |
| Highmark | Highmark Managed Care | $179.06 | ↑ +74% |
| Highmark | Highmark Blue High Performance | $179.06 | ↑ +74% |
| Highmark | Highmark Community Blue | $179.06 | ↑ +74% |
| Highmark | Highmark Connect Blue | $179.06 | ↑ +74% |
| Highmark | Highmark Indemnity | $179.06 | ↑ +74% |
| Highmark | Highmark My Blue Access | $179.06 | ↑ +74% |
| Highmark | Highmark My Direct Blue | $179.06 | ↑ +74% |
| Highmark | Highmark Performance Blue | $179.06 | ↑ +74% |
| Highmark | Highmark Social Mission Indemnity | $179.06 | ↑ +74% |
| Highmark | Highmark Social Mission Managed Care | $179.06 | ↑ +74% |
| Highmark Wholecare | Highmark Wholecare Medicaid HC | $183.54 | ↑ +79% |
| Geisinger | Geisinger CHIP | $192.85 | ↑ +88% |
| Geisinger | Geisinger Medicaid HC | $192.85 | ↑ +88% |
| Amerihealth | Amerihealth Caritas HC Medicaid | $192.85 | ↑ +88% |
| United Healthcare | United Healthcare Medicaid | $192.85 | ↑ +88% |
| Amerihealth | Amerihealth Caritas CHC Medicaid | $192.85 | ↑ +88% |
| Pennsylvania Health and Wellness | Pennsylvania Health and Wellness Medicaid CHC | $199.50 | ↑ +94% |
| Amerihealth | Amerihealth Medicaid HC | $219.45 | ↑ +113% |
| Amerihealth | Amerihealth Medicaid CHC | $219.45 | ↑ +113% |
| Cigna | Cigna Commercial | $251.77 | ↑ +145% |
| United Healthcare | United Healthcare Navigate Nexus Commercial | $291.89 | ↑ +184% |
| United Healthcare | United Healthcare Of OH Medicaid | $307.73 | ↑ +199% |
| United Healthcare | United Healthcare Commercial | $307.73 | ↑ +199% |
| University of Pittsburgh Medical Center | University of Pittsburgh Medical Center Commercial | $570.16 | ↑ +455% |
| United Healthcare | United Healthcare CHIP | $750.40 | ↑ +630% |
| Highmark | Highmark Complete Blue Medicare | $2,427.18 | ↑ +2261% |
| Highmark | Highmark Community Blue Medicare PPO | $2,427.18 | ↑ +2261% |
| Highmark | Highmark Freedom Blue | $2,453.56 | ↑ +2286% |
| University of Pittsburgh Medical Center | University of Pittsburgh Medical Center for Life Medicare PPO | $2,638.23 | ↑ +2466% |
| University of Pittsburgh Medical Center | University of Pittsburgh Medical Center for Life Medicare Specialty Plan D-SNP | $2,638.23 | ↑ +2466% |
| University of Pittsburgh Medical Center | University of Pittsburgh Medical Center for Life Medicare HMO | $2,638.23 | ↑ +2466% |
| United Healthcare | United Healthcare Medicare | $2,743.76 | ↑ +2569% |
| Aetna | Aetna Medicare | $2,743.76 | ↑ +2569% |
| Highmark | Highmark Community Blue Medicare HMO | $2,743.76 | ↑ +2569% |
| Highmark | Highmark Together Blue Medicare | $2,743.76 | ↑ +2569% |
| Highmark Wholecare | Highmark Wholecare Medicare Assured | $2,796.53 | ↑ +2620% |
| Humana | Humana Commercial | $2,796.53 | ↑ +2620% |
| Cigna | Cigna Medicare | $2,822.91 | ↑ +2646% |
| United Healthcare | United Healthcare Medicare I-SNP | $2,822.91 | ↑ +2646% |
| United Healthcare | United Healthcare Medicare D-SNP | $2,849.29 | ↑ +2671% |
| Molina | Molina Ohio | $2,875.68 | ↑ +2697% |
| Highmark | Highmark Performance Blue Enhanced | $5,203.39 | ↑ +4961% |
| Aetna | Aetna Commercial | $5,611.52 | ↑ +5358% |
| Medical Mutual | Medical Mutual Commercial (Cigna Network) | $7,512.21 | ↑ +7207% |
Visitor-reported prices
Comments
Incision of anal sphincter at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Uniontown Hospital | Uniontown | $1,637.50 | $146.30 – $5,587.82 |
| UPMC Altoona | Altoona | not published | $133.00 – $2,823.70 |
| UPMC Bedford | Everett | not published | $139.65 – $2,823.70 |
| UPMC Community Osteopathic | Harrisburg | not published | $179.55 – $7,348.95 |
| UPMC East | Monroeville | not published | $146.30 – $2,875.99 |
| UPMC Northwest | Seneca | not published | $146.30 – $2,745.27 |
| UPMC Memorial | York | not published | $168.91 – $4,207.49 |
| UPMC Somerset | Somerset | not published | $146.30 – $2,614.54 |